Thursday, January 2, 2025

22F With Focal Sensory Seizures Telangana PaJR

 



30-12-2024

This is n Online E Log Book to discuss our patient's de-identified health data shared after taking her signed informed consent. Here we discuss our patient's problems through series of inputs from available global online community experts withan aim to solve those patients clinical problems with collective current best evidence based inputs.

PPM 1 - OPD right now:

22F with sensory seizures manifesting as tongue and peri oral tingling with first episode at 2014 and second episode since last three days. 2014 CT head attached

She was on anti convulsants since 2014 and initially it was carbamazepine which she took 20 together 8 months back as a suicidal bid and then she was switched to levetiracitam and when she complained of giddiness after one month she was switched to Valproate 200 mg twice daily!


PPM 1 - CT head from 2014 showing a suspicious focal edema consistent with neurocystocercosis which is the number one cause of symptomatic epilepsy in India

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