Community Forum Archive

The Epilepsy Community Forums are closed, and the information is archived. The content in this section may not be current or apply to all situations. In addition, forum questions and responses include information and content that has been generated by epilepsy community members. This content is not moderated. The information on these pages should not be substituted for medical advice from a healthcare provider. Experiences with epilepsy can vary greatly on an individual basis. Please contact your doctor or medical team if you have any questions about your situation. For more information, learn about epilepsy or visit our resources section.

4 Different Doctors, 4 Different Diagnoses. 0 Answers.

Sun, 03/31/2019 - 03:58
So, my history with seizures is a long (and confusing) one. I had my first grand mal seizure when I was 2, and they happened many other times until I was 14. Then just...stopped. Fast-forward to 21, when a new series of shaking episodes started. They happened once a year, gradually increasing over a decade to happening multiple times per day. I don't lose consciousness. I'm 100% aware of my surroundings. I can talk and move and function just fine. These shaking episodes can happen at any time, day or night, sick or healthy, stressed or not stressed. There isn't really a way to predict when they will happen, apart from feeling...jittery and/or nervous beforehand. (Maybe compared to having the jitters before giving a speech, or flying for the first time, or something of the sort.) The shortest episodes last about 10 minutes. The longest episode was 8 hours, non-stop. What they look like isn't easy to describe, but there are some YouTube videos that are similar (the people in them are either experiencing pre-seizure shaking episodes and/or focal motor seizures). Now, in the last 5 years, I've seen 4 different neurologists about these shaking episodes. (Why 4? It's a long story, but to sum up: the first neurologist switched to a different hospital, no one told me and I was surprised with the introduction of the second neurologist. That one--the second neurologist--I met once and she told me to go elsewhere for help. The third neurologist said that their hospital didn't specialize in the care I needed, and recommended a different hospital. So, now I'm with the fourth.) In the span of time that I've seen those 4 doctors, the following things have happened: -Switched from phenobarbital to lamictal -Clonazepam was added to the medication list -Ropinirole was briefly tried (and was the worst experience of this whole mess). -Several regular EEGs were done. -2 Long-term (video monitored) EEGs were done -1 MRI -1 EMG -1 Sleep Study -6 months of therapy And I'm currently doing neurofeedback therapy. That (the neurofeedback) plus the medication (lamictal and clonazepam) has been the biggest help, in that they've reduced the frequency of my shaking episodes significantly (from multiple times per day, to a couple times per week). The thing with all of the tests is they all came back with normal results (including the long-term EEGs, during which I did have some of these shaking episodes). The thing that really frustrates me is, despite all of these tests, therapies, and medications, I still don't know what I have, what my condition or disorder (or whatever you want to call it) is. Those 4 doctors I mentioned each had a different diagnosis: 1. "Localization-related (focal) (partial) epilepsy and epileptic syndromes, with complex partial seizures, without mention of intractable epilepsy" and "Spells" 2. "You don't have epilepsy. You have some kind of movement disorder and we don't specialize in that here. You'll have to get a second opinion elsewhere." (Not really a diagnosis, but that's what she told me.) 3. "Periodic Limb Movement Disorder" 4. "Conversion Disorder" (this is the most recent one) (It should also be noted that the neuropsychologist--the neurofeedback therapist--insists that it is a type of seizure, but doesn't specify what type.) What do you do when all of your tests come back with normal results, and every doctor you've seen tells you that you have something different (or to see someone else because they can't help you)?

Comments

Sounds like they are telling

Submitted by Patriotrehab on Mon, 2019-08-26 - 22:05
Sounds like they are telling you they either don’t know what it is or that they are suggesting that it is PNES - psychogenic non-epileptic seizures also known as conversion disorder and “movement disorder that is not epilepsy that they don’t specialize in here” and “a type of seizure but that they don’t specify”. I once treated a patient with psychotherapy who came to me stating that she had seizures since childhood, but that she switched neurologists because he told her that her seizures were psychological. I told her the truth about psychotherapy, especially if it focuses on resolving unconscious anger and forgiving someone...research shows that it can help people improve their psychological and physical health too. She became seizure free in less than a year. I don’t know if they were psychological or not, maybe the doctor was right, maybe not. Either way, psychotherapy or forgiveness work may help you. I hope that helps. 

Sign Up for Emails

Stay up to date with the latest epilepsy news, stories from the community, and more.