Epilepsy Consultation

  Patient’s question: Name of the drug: sodium promactinate, two tablets a day, twice a day, for 24 years, and other drugs, but no effect. Then I have been taking this medication. Now the bone quality is supposed to be bad because new teeth grew before the milk teeth fell out, my hands can’t hold the bowl and my feet can’t stretch straight.  The patient is my sister, the onset of the disease is irregular, before the teenage years the number of attacks can be 10 to 20 times a day. Now basically once a week, if you catch a cold, the number of episodes will increase. When she has an attack, her limbs twitch, her eyes go white and she drools. I hope the doctor will give me some advice according to her condition. The family is ready to treat her. Is it possible to cure epilepsy in this case? Or can it be effectively controlled? After control. Can the patient return to self-care?  Doctor’s reply: Have you checked the MR of the head and can you upload the images? If the epileptic foci are clear, surgery can be considered.  The patient asked: 09 in the county hospital examination, mr diagnostic report: imaging parameters TSE tra T2.se traT1.flair tra T2. The ventricular system was normal in morphology and size, and the sulcus fissure and brain pools were not wide. In the left occipital region, oval abnormal signal was seen under the scalp, with equal t1.long t2 signal and slightly high signal in the pressurized water, and the rest was not abnormal. Doctor. Please help me to see if I can identify the area of disease?  Doctor’s reply: Hippocampus is the most likely epileptogenic focus, we can go to the hospital to perform long-range video EEG testing to locate the epileptogenic focus.