Genetic Testing for Epilepsy: Benefits and Treatment Options for Infants
Genetic testing for epilepsy? Hello, doctor. I would like to ask how many types of medications are currently available for treating epilepsy in infants? Could you please advise if genetic testing for epilepsy would be helpful in quickly treating the condition? If a specific epile...
Dr. Cai Zongzhang Reply:
Hello: Epilepsy is currently diagnosed based on clinical symptoms, with genetic testing serving only as a reference, as there is not yet a complete consistency between genotype and clinical phenotype. Medications for infants differ from those for adults, so it is recommended to c...[Read More] Genetic Testing for Epilepsy: Benefits and Treatment Options for Infants
Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Symptoms of epilepsy Hello, I would like to inquire whether epilepsy can lead to a vegetative state, and under what circumstances this might occur. For individuals who are already on a regular medication regimen, how can they avoid further seizures? Is it completely uncontrollabl...
Dr. Cai Zongzhang Reply:
Hello, epilepsy is a clinical manifestation caused by abnormal electrical discharges in brain cells. The primary prevention focuses on reducing any damage to the brain. Therefore, conditions such as hypertension, diabetes, heart disease, hyperlipidemia, and gout should be treated...[Read More] Understanding Epilepsy: Risks, Management, and Avoiding Seizures
Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Questions about epilepsy? Hello, Doctor. I was diagnosed with abnormal brain wave activity due to sleepwalking and other factors when I was five years old, and I started medication until middle school. I discontinued the medication in middle school as my symptoms improved. Howeve...
Dr. Cai Zongzhang Reply:
Hello, based on your description, it seems to be symptoms of epilepsy. There may be an adjustment period during the medication process, so I recommend that you continue to communicate with your physician.[Read More] Understanding Epilepsy: Managing Symptoms and Seeking Solutions
Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Epilepsy Issues and Solutions I am a law student preparing for the national examination. Several years ago, I was hospitalized in the intensive care unit due to encephalitis, and later developed postictal epilepsy, for which I was prescribed Sabril and Revotril for two years. Dur...
Dr. Jiang Junyi Reply:
Hello: Adjustments to epilepsy medication should be made under the guidance of a physician. The authority on epilepsy in Taiwan is at Taipei Veterans General Hospital. If you have concerns about your medication, you can consult with the epilepsy specialists at this medical center...[Read More] Overcoming Epilepsy: A Student's Journey Through Challenges and Recovery
Managing Shoulder Pain: Insights on Pediatric Neurological Concerns
Shoulder pain? The otolaryngologist conducted a blood test for my son, who is a premature baby. He suggested that my son undergo detoxification for lead for one year and take his supplements for one month. He mentioned that the dosage for epilepsy can be reduced by 1cc; currently...
Dr. Jiang Junyi Reply:
Hello: To avoid excessive lead absorption from the environment, consider the following recommendations: 1. Use safe tableware for serving food, avoiding decorative dishes and brightly colored utensils to prevent lead from colored pigments leaching into food. 2. For utensils tha...[Read More] Managing Shoulder Pain: Insights on Pediatric Neurological Concerns
Understanding Sleep Movements in Children: Is It Epilepsy?
Children may experience eyelid twitching, chewing, and swallowing during sleep? Hello Doctor: My son is currently 3 and a half years old. Recently, I have noticed that he often exhibits chewing and swallowing movements while sleeping, along with eyelid twitching and exertion of o...
Dr. Cai Zongzhang Reply:
Hello, the symptoms you mentioned cannot be directly attributed to neurological responses; they may be reactions related to the sleep process. It is advisable to seek further evaluation and treatment from a pediatrician.[Read More] Understanding Sleep Movements in Children: Is It Epilepsy?
Post-Head Injury Seizures: Duration of Medication and Return to Work
Post-craniotomy seizures following a car accident? Hello, Doctor: After a car accident, I experienced intracranial hemorrhage and underwent skull surgery, which led to seizures (in March 2019). Since taking the medication prescribed by my doctor, I have not had any further seizur...
Dr. Cai Zongzhang Reply:
Hello, if you have a physician that you are regularly following up with, it is recommended that you continue to have regular check-ups. You can also discuss any adjustments and management of related medications with your physician.[Read More] Post-Head Injury Seizures: Duration of Medication and Return to Work
Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Myoclonic epilepsy with absence seizures Hello Doctor, I have been diagnosed with epilepsy since I was in the third year of junior high school. It started after I went on a roller coaster, and the next morning I suddenly knocked over a cup of water. I didn't think much of it...
Dr. Cai Zongzhang Reply:
Hello, you are continuing your medication, but are you regularly attending check-ups and undergoing relevant tests? The decision to discontinue antiepileptic medications must be carefully evaluated, weighing the benefits of stopping the medication against the risk of seizure recu...[Read More] Understanding Myoclonic Epilepsy with Absence Seizures: A Patient's Journey
Long-Term Use of Antiepileptic Medication: Risks and Considerations
Dizziness and epilepsy issues? Hello Doctor: About 3.4 years ago, I fainted unconsciously and had a motorcycle accident. At that time, the doctor diagnosed me with epilepsy and mentioned that there was a missing segment of a blood vessel in my right brain (cerebrovascular disease...
Dr. Jiang Junyi Reply:
Hello: Based on your description, Shunao capsules primarily act as a relaxant for cerebral blood vessels, and the medication does not have effects for stroke prevention or epilepsy treatment. Clinically, it is mainly used for treating migraines or dizziness. Long-term use may lea...[Read More] Long-Term Use of Antiepileptic Medication: Risks and Considerations
Can You Take Collagen Powder or Glutathione Capsules with Epilepsy?
Symptoms of epilepsy Hello, I have symptoms of epilepsy and am currently on medication. Can I take collagen powder or glutathione antioxidant capsules? Thank you!
Dr. Jiang Junyi Reply:
Hello: There are many types of antiepileptic medications, and there are numerous interactions between these drugs. Collagen powder and glutathione antioxidant capsules are both proteins, so it's important to monitor kidney function when consuming them. When increasing the in...[Read More] Can You Take Collagen Powder or Glutathione Capsules with Epilepsy?
Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Post-operative agitation and anxiety as side effects of using the medication Uriel after a subdural hematoma surgery? Hello Doctor, my father is 66 years old and has a history of epilepsy, Parkinson's disease, and head trauma. He used to take two tablets of Depakene 500mg an...
Dr. Jiang Junyi Reply:
Hello: You can first discuss your concerns with the primary care physician. If the primary care physician is unfamiliar with the medications, they typically consult with a specialist at the hospital via phone, which is the practice at our institution. Regarding the medications De...[Read More] Post-Surgery Anxiety and Restlessness from New Antiepileptic Medication
Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Dizziness for over a month? On the evening of August 25th, I experienced a bout of dizziness that nearly caused me to faint. I went to the emergency room for a blood test, which showed no significant issues. It might have been due to lack of sleep. A few days later, I visited a c...
Dr. Jiang Junyi Reply:
Based on your description: Hello, you mentioned experiencing near-fainting episodes. In addition to dizziness, it may be necessary to consider syncope. First, we should evaluate the symptoms of syncope, with the most common causes being reflex syncope: excessive stimulation of th...[Read More] Persistent Dizziness for Over a Month: Understanding Vestibular Neuritis
Understanding Severe Headaches and Fainting: Possible Neurological Issues
Severe headache followed by fainting? Hello doctor, my husband is 30 years old. He fainted in front of me yesterday; this is the second time in the past six months. Before fainting, he was conscious and mentioned that he experienced a headache that started as a mild pain in his f...
Dr. Jiang Junyi Reply:
Hello, based on your description, it is advisable for your husband to seek medical attention promptly after experiencing headaches followed by fainting. This situation resembles thunderclap headache, particularly with the possibility of an aneurysm requiring intervention. Common ...[Read More] Understanding Severe Headaches and Fainting: Possible Neurological Issues
Understanding Pituitary Abnormalities: Diagnosis and Treatment Options
Pituitary gland abnormalities Hello: I have epilepsy and have been on medication for over a year. A year ago, I underwent an MRI of the brain, which revealed abnormalities in the pituitary gland. Blood tests also indicated that my testosterone levels are too low. The urologist ha...
Dr. Cai Zongzhang Reply:
Hello, if you are currently receiving treatment from both neurology and urology specialists, the physicians should be able to continuously and accurately diagnose your symptoms. Although there are many treatment options for pituitary abnormalities, it is advisable to discuss the ...[Read More] Understanding Pituitary Abnormalities: Diagnosis and Treatment Options
Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
What is wrong with me? Doctor, I have a tendency to be easily anxious and can be startled by minor things. I have a history of epilepsy, and often after sudden events (like being startled by a loud noise), I experience shallow and rapid breathing, increased heart rate, and cold s...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider the symptoms of "hyperventilation." Hyperventilation can lead to a decrease in carbon dioxide levels in the blood, resulting in an increase in pH, a condition known medically as "respiratory alkalosi...[Read More] Understanding My Symptoms: Anxiety, Epilepsy, and Neurological Concerns
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello, Doctor Jiang. My son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he experienced another seizure of unknown origin...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders often involve various genetic or metabolic diseases. Regarding epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should also be...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Childhood Absence Seizures Hello Dr. Jiang, my son is currently 2 years and 10 months old. When he was about 6 months old, he had a febrile seizure and was diagnosed with complex febrile seizures. Then, at 1 year and 10 months, he had another seizure of unknown origin. At 2 years...
Dr. Jiang Junyi Reply:
Hello: In the field of neurology, pediatric neurological disorders require consideration of various genetic or metabolic diseases. For epilepsy, if it is absence epilepsy, there will be a specific pattern observed on the electroencephalogram (EEG). Benign focal epilepsy should al...[Read More] Understanding Absence Seizures in Young Children: Symptoms and Next Steps
Understanding Neurological Symptoms: Seeking Help for Stress-Induced Issues
I would like to consult with a physician? I have a history of epilepsy... In the past few months, I don't know if it's due to excessive stress causing "autonomic nervous system dysfunction" or something else... I become very easily anxious due to minor inciden...
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you maintain a regular schedule. For your concerns, it is advisable to consult with a neurologist at a major hospital, and a referral to a psychiatrist may also be considered.[Read More] Understanding Neurological Symptoms: Seeking Help for Stress-Induced Issues
Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Symptoms of epilepsy? Doctor, during my previous visit, the doctor mentioned that my condition was stable, so they did not increase my medication dosage. However, I also told the doctor that I have experienced dizziness and drowsiness once or twice recently. If I continue to feel...
Dr. Cai Zongzhang Reply:
Hello, you may be aware that dizziness is one of the symptoms of epilepsy. Recurrent dizziness can be distressing, especially when it occurs frequently or when effective treatment is not achieved. Medication is one solution, but it should be adjusted appropriately by a physician ...[Read More] Understanding Seizure Symptoms: Causes of Dizziness and Sleepiness
Is There a Connection Between Dizziness and Lower Back Pain?
Is there a connection between dizziness and lower back pain? Hello Doctor: I have experienced lower back pain three times in the past five years, each lasting two to three days. The pain occurs when I bend my back slightly. During the first two episodes of back pain, I fainted on...
Dr. Jiang Junyi Reply:
Hello, based on your description, we can divide it into two parts: first, let's discuss the possible causes of syncope (fainting). Common causes include: 1. Neurogenic reflexes leading to decreased peripheral vascular tone, resulting in blood pooling in peripheral tissues an...[Read More] Is There a Connection Between Dizziness and Lower Back Pain?