anticonvulsants are what we use for that. Any of them are worth a try. Lyrica, trileptal, lamictal, gabapentin, zonegran, topamax, etc. Ask your doctor or CRNP or PA

I dont know and I really cant make a diagnosis over the internet. I would start with maximizing your keppra up to 1500mg bid. We always hate to change a seizure medication if someone seizures are under control and we usually use anticonvulsants for lancinating pain. If your MRI and all lab is normal and that does not work, we would normally add another anticonvulsant like trileptal and try this keppra and trileptal combination. find a good epileptologist, usually a Neurologist at your local University good luch

@@ThebraindoctorMD thanks doc

There are so many symptoms that can be seen with a focal aware seizure or focal impaired awareness seizure( previously classified as simple partial seizures or complex partial seizures) "you name it" and it can be associated with a warning or automatism seen with these seizures Lip smacking, eye blinking, impaired consciousness, twitching, dizziness, numbness and it goes on and on

good luck. Long term as I have said before, Lamictal and Keppra are my favorites, but yes they have their baggage too.Side effects are just that.... side effects, but not everyone gets the side effects. I suspect a million patients are taking these two drugs with great success. You have what sounds like a very good, University level Neurologist Good luck

there is no question that there is a future for the use of cannabis for epilepsy. Numerous studies are ongoing. Split the THC out from the cannibis and it is very useful. I am not where I can use this but I refer to UAB or Vanderbilt for this option

@@ThebraindoctorMD After I had 2 brain surgeries to reduce my seizures that's when my Epileptologist told me to start using the medical marijuana for my seizures and there is no THC in it. Also as crazy as it sounds I was taking 2 tablespoons of apple cider vineger with mother in it to lose weight and that lowered my seizures even more. My Dr. told me it was either the good protein or the good bacteria in the acv that lowered the seizures. They are doing a study on it now.

definitely worth a try if no contraindications: mainly glaucoma and kidney stones

you need to go to a University Epilepsy clinic and get inpatient EEG videotelemetry and look at all of you options. Get your provider to refer

@@ThebraindoctorMD Yes sir, thank you for that suggestion. I did a week long stay and monitoring on an EEG, seizures were attempted to induce, with minimal or no result after the week. While asleep they’ve been more violent, on 6/30 my brother walked in to find me flopping around the restroom. The blood and bathroom mess had the new ambulance medic taking instruction from my brother who’s become experienced and assigned as caregiver to me, because of the situation and where were at in it all. I’m currently on Epidiolex (Cannabidiol), which we haven’t seen too much difference the past few months on the oil. We’re discussing another possible stay and monitored attempts. - Thank you for any and all suggestions that you or your colleagues might have for a guy. Wow, it must really be a weird-tough life for you to have these social interactions of your profession and something very important to you on a daily basis. Then to have these conversations with complete strangers and offering help or advice. Thanks again sir. If anything ever pops in that you think may help, please I’m all ears. Have a great summer and year. Hope you and everyone around you is well. ✌️🧠, thank you. Good Journey - L7

good luck

thank you

it is time for a new anticonvulsant. Lamictal or Keppra are my first choices, but so many good anticonvulsants. Trileptal, topamax, and more. Good luck.

you should never take it again. Maybe try a Medic alert type necklace with this on it as an allergy

So, my dad has been having seizures for 3 years now. They always happen from 4 am to 9am in morning before getting out of bed, with the exception of last one in early that happened at 5pm. I think these are being cause by a lack of electrolytes. He drinks probably too much water. He does drink an electrolyte drink packet mixed in a bottle water usually early morning. However, I don't know how much he is absorbing the electrolytes. I have a feeling that most of it is being washed through without absorbing. I base this on my on tests on myself. It's good but not that great. That leads me to electrolyte pills. I've been taking these and it makes me more alert and keeps my energy levels very strong throughout the day. Now I don't have seizures though. Anyhow , since giving him electrolyte pills I've noticed he has less moments of staring out into space. The month of May was really bad for him doing this. Almost that dementia look. Now a month after his worst seizure yet and he is better that he has been this last year. We have been taking the tablets 1 in morning , 1 in afternoon , and 1 before bed. We are in a serious heat wave so if they have been out or I'm out or working I might take an extra 1 some days. We are using electrolyte hydration tablets from Nutra Harmony. We got them on Amazon. They are pretty cheap and come in 120 black bottle. I'm sure there are other ones just the same. The dose calls for 2 but 1 most of the time seems to work great. So, a long way to say, if you have seizures or really for everyone take electrolyte tablets. . I notice they are way better than the packets. I like the packets too but I know the absorption from tablets are way better. I think at least for my dad , the seizures are from a lack of electrolytes. It's worth the try. I think everyone is so dehydrated and don't realize it. Hydration isn't just water drinking.

@@ThebraindoctorMD This is actually a great idea thanks for the help Good Sir. I appreciate ya stopping by with some advice Doc means a lot.

@@Detailingcrazy I can say that one of my episodes bout 2 months ago I was told in the ER I seized up due to low sodium! My wife went online bought a bottle of electrolyte tablets, she was super excited that’s what the only root cause of my seizures were. Definitely worth a shot, however mine occur at least once a month. From like 23rd-28th of each month they seem to happen. Regardless of what medicine and how much I’m prescribed they still occur like clock work! I served a bit over a decade and when I was discharged I wanna say my first episode happened about 1-2 years after I had been out. It’s been about 4 years now. I miss being able to do what I used to. Now I feel like a huge burden on my family, friends and those closest to me. I’m able to get a small Aura effect before them but I can get out maybe 1-2 words Which is usually FUCK BABE then I’m stuck staring into nothingness, licking my lips, and I wake up a day later in the ER with hardly no recollection of what happened. Teeth are getting chipped more and more , each time and somehow I dislodged an entire tooth! They really drain the life and motivation out of me I pray the best for those who have to deal with similar issues like me. I couldn’t wish this on my worst enemy! Still to this day I wonder what I did to bring this on. Was it a decision I made ? A medication I was given? Many meds in the Army had side effects of seizures. Wish you and your loved ones the best! I guarantee he appreciates the love and support!

@@Detailingcrazy I cannot recommend this. Be careful with potassium. i would discuss this with his internist and have frequent chem profiles, calcium, phosphorus and magnesium levels done if you are convinced this works. a young person with good kidneys probably would be a less risk. Good luck. Its good to have a child who cares about his/her daddy

be very careful with Vitamin B6. it can cause neuropathy at high dosages. I am not aware you need to take it with any anticonvulsant. There are some drugs that cause vitamin B6 deficiency(i.e . TB drugs) but it is a vitamin you should clearly have instructions from your doctor. Ask you doctor about this.

Vitamin B1 is good to nerves calm down.

it is a great drug. As I have said, keppra and lamictal are by far my favorite anticonvulsants. Every drug has "skeleton's in the closet" but side effects are just that, but it doesnt mean a patient will get them. In this rare side effect, patients just need to be aware

almost none. we do wean off of it to be safe, but it does not cause withdrawal or withdrawal seizures like some of the old anticonvulsants To be safe, wean one a week till off is usual

@@ThebraindoctorMD Thank you,but im still getting dizzy spells ,tingling sensations 2 weeks later.👌

its impossible to give advice over the internet, but keppra should be out of your system in five half lives, so less than a week. you need to go see your doctor

@@ThebraindoctorMD Thanks again.x.

I’ve been on Keppra for 8 years and it’s never made me violent. It has ensured no more grand-mals , but down side however is that it still leaves me with absences and feelings of anxiety / dread, about once a fortnight. I’d do anything to get rid of them.

I tell every patient that Keppra has an idiopathic reaction where it can cause very bizarre irrational behavioral changes. It has not, to my knowledge, been described to cause violent or homocidal tendencies but just very bizarre behavior. I warm people of this because families just think they are going crazy. For example, i had one patient who was getting more and more bizarre and his wife sent him to the grocery store for milk and cream and he went to the post office. He argued with the postmaster and would not leave until he was sold milk and cream. He was not violent just crazy. I really think when bad it reminds me of an early schizophrenic. Every time i see this it is just bizarre thought processes. It is very rare but very bad. We actually use keppra in agitated alzheimer's patients to calm them done so the is clearly an idiosyncratic reaction. Keppra and Lamictal are my favorite two antidepressants because they are so safe but each drug has its own "skeleton in the closet"

it is an unfortunate uncommon side effect. What I hate in a patient like you is that the next drug we try might not control your seizures. So if your doctor stops keppra for this the next anticonvulsant may not work or you may have break through seizures then you cant drive again for 6-12 months. you might ask your doctor is something like effexor, paxil, or cymbalta might work. NOT wellbutrin since it can cause seizure. good luck

@@ThebraindoctorMD Thanks for that What would you suggest for my residual (mild) absence seizures and occasional feelings of deja vu / impending doom? GP was going to give me serotonin, then noticed it lowers the seizure threshold, so told me to go and cope with them. They only happen about twice a month, but can be very unsettling.

@@ThebraindoctorMD Your advice is appreciated. Thanks

unfortunately a CT can miss the majority of acute strokes and you need a MRI with DWI(diffusion weighted imaging). DWI shows an acute stroke in 9 minutes. It can take 2-3 days for CT to show a stroke unless it is massive. Always to MRI For stroke. CT shows hemorrhage much better than MRI, intracerebral hemorrhage, subdural hematomas, epidural hematomas and subarachnoid hemorrhage. If we see an hemorrhage on MRI, the old school neurologists get a CT too. You see the blood delianation better particularly if you are worried about hemorraging into a tumor

@@ThebraindoctorMD your explanations are so much appreciated. I am so confused why they waited so long for the mri to be done. My Dad went into the ER, they tried to have him climb up into the MRI machine asap but he was in an incredible amount of pain to even move his body an inch, let alone trying to climb up into the machine ( there was no way) so they waited from Thursday into Monday morning because they used the reason he needed to wait to get transferred to a more advanced MRI machine where they roll you under it, where you don’t need to be lifted. In the mean time, they ended keeping him in the hospital he was in, gave him anesthesia and did the MRI in that same original hospital! 😢 Just doesn’t make sense. So Thursday, Friday, Saturday, Sunday then by the time Monday morning rolled around they found the MRI he had an intense brain bleed. Why did they wait so long, geez. How did his stroke begin and how long did my Dad have it? Rest in peace Dad. My world will never be the same.

@@peacelovejoyandhappiness its a tough time. i hope this doesnt offend you, but I just said a prayer for you Ive lost two brothers so i feel your loss

@@ThebraindoctorMD I am embracing your prayers. I walk with God each day and I love that you are so kind. I am sorry you lost your family members. I’m saying prayers for you as well. Thank you again.

I just did a video on this. We could talk about this all day long. Such a huge debate. But i think a good healthy diet is best: fatty fish like salmon or tuna green leafy vegetables, fruits, nuts, olive oil, limited whole grains, rare but good red meat. Though I dont like it full time, I still think the Meditaranean Diet is the best "brain diet". And dont poison your brain with too much ETOH and nicotine. Healthy exercise increases your norepinephrin and endorphins, increasing serotonin too.

It’s definitely going to be an adjustment for us fans to see these on the field but I guess we will see how it benefits the players after this season

I really think CTE is a much bigger problem than we realize. It also seems worse in NFL players who played in little league. The shearing effect of contact football has a negative effect. I think it is very telling that the NFL allowed players to wear these in specialty practices in 2022 and 2023 and were shocked that concussions were down 50%. Yes, until more players wear these and we have years on our belt, the verdict is out, but I would be wearing one if I was playing now and put away my pride that I look "stupid" in it. Thank you so much for your comment

I would not take it again without talking to your doctor. Allergic reactions are rare but can be serious. They next time could be worse Talk to your doctor

it may not be academic but as a Neurologist I ALWAYS get a MRI of the brain if someone is worried about having a brain tumor. I can tell people all day long they do not have one, but you cannot get that thought out of your head until you see MRI is normal. Brain tumors rarely cause headaches because the brain has NO pain fibers. It perceives pain, so you can have a large brain tumor and not have headaches. Usually they present with focal symptoms, mental status changes, ect. I cant remember a migraine patient I have seen in 40 years who had a brain tumor unless it was incidental(like a small meningioma). Brain tumors cause headaches when they get so big they press on something outside he brain that feels the pain. I hope this helps ask you doctor

Explanation I have ever heard too.

Yes hydrogen I said electrons but call it Telluride spontaneous Altitude sickness! Thanks for correcting

lol, I understand. Thanks for this video.

thank you

You really only need 30-60 mg per day to block cycloxeginase everywhere in the body so 80 mg enough for stroke prevention. Plavix and ASA a good combination We dont use Xarelto unless an embolic stroke or DVT. We like Eloquis better.

CT will show the stenosis but worthless to see the discs or spinsl cord or nerve roots UNLESS you have a myelogram first so the dye is still there when you have the CT. CT alone is 1980’s . Orthopedic guys do a CT before surgery to look at bone structure if a fusion is needed. Do MRI or CT/Myelogram Ask your doctor This is the Standard of care everywhere

no one. Just a private practicing Neurologist I have no sponsors.

did you have trouble finding it?

great

thank you.

Thank you so much!!

send me the link thanks

“Look it up”😭

all we can do is try hard. Good luck