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garye
garye

Probable (75%) partial onset (possibly temporal lobe) with secondary generalisation

Background

Male, 42, very active, very healthy. Drink lots
of water.
Non smoker, social drinker, non drug user.

No head injuries in the past. No birth problems.
No family
history of epilepsy.

Fairly stressful period the last 2 years,
relationship breakup.

Have been working shifts the last 2 months,
including nights
with irregular sleep patterns.

I currently live alone.

Symptoms

I have “fainted” twice, once 6 months ago, once
2 weeks ago. Once in the supermarket, once in the street.

No warning signs except feeling a little vague,
difficult to
concentrate, and the second time I felt a little shaky, just like I
needed to
eat something (which is not unusual for me).

No tongue biting and no loss of bladder control.
Witnesses
say they saw a small amount of body shakes while I was on the ground.

Diagnosis from my Specialist

“Probable (75%) partial onset (possibly temporal
lobe)
with secondary generalisation”

Just started taking lamotrigine today. With a
review in a
year or two.

Other relevant info

Blood pressure, blood sugars, CAT, EEG, CT scans
all came
back fine and clear.

A Sleeping EEG is to be booked for me soon.

My Questions

Does this seem to be a fair diagnosis? The
Specialist
admitted it wasn’t a normal case and they were being cautious.

No mention of alcohol intake while on this
medication from
the Specialist or Pharmacist – can I drink? I enjoy an ale and a wine.

Obviously I now cannot drive. I also can’t swim
or
surf alone .. and I have done that a lot in the past.

The Specialist seemed to make a big deal about
the fact that
I’ve experienced a few minor episodes what I call déjà vu – I
thought this was very normal and have confirmed with my friends that
it’s
very common and mostly amusing.

I would be really interested in anyone’s
thoughts,
opinions or kind reassuring words. This is all a bit new to me!

By garye at Thu, 03/18/2010 - 10:32am | 31 views | 2 comments

Recent Comments on this Discussion

I was your age when I had my first seizures, too. Deja vu is a common aura for epileptic seizures, that is why your Neuro focused on it. Combined with witnessed event (falling to the ground, then tremors/shaking) is where partial (aura) went into generalized (both sides of brain) event. Drinking with lamotrogine not a good idea. The meds will probably cause other side effects (cognitive) and the alcohol will complicate adjustment for your body. My personal experience has been a stable schedule reduces the severity/frequency of the seizures, so shift work may not be a good option as you adjust to the meds. A stable work routine will also be easier for transportation for you. The cavalier 'come back in a year or two' attitude?! Is that your interpretation, or did a neurologist really tell you that? It takes a few months to adjust/fine tune the meds so there should be at least a 6-month checkup??

pkstinn

Thanks for your response, much appreciated.

I have an appointment for 6 months time to check the meds are working, and the Specialist said that in one year he'd review the possibility of driving, etc.

Shift work has only been the last 2 months, with only another 4 months to go of my current contract (IT Support).

garye