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Which diagnostic imaging might be good for MRI-negative suspected focal/temporal epilepsy?
Tue, 06/26/2018 - 11:51I have had two 20min scalp EEG and one plain MRI which were normal. We suspect there might be something epileptic going on.
I have never had traditional seizures. But fits of rage, uncontrollable weeping spells with depression, rising feelings in stomach accompanied by unimaginably euphoric hypersexual feelings which are distressing as I'm a orthodox Christian. I sometimes have deja vu but not so frequently that I consider it abnormal but maybe it is related. when these symptoms started for two years i had dysarthria and/or dysphonia with transient inability for moments of time where I was unable to recognise what others had just said.
i have the rage of breaking things smashing everything and screaming for hours along with emotional severe depression since 11yrs and risperidone helps control just the anger.
also, heightened senses where smallest of sounds agitate into unimaginably extreme irritability. and i experience unstoppable music playing in thoughts. Since mri is negative, what diagnostic imaging can we look into, assuming nonlesional, Is a PET or qeeg quantitative with evoked potentials of any value?
Comments
20 minutes EEGS can and many
Submitted by just_joe on Wed, 2018-06-27 - 19:10
20 minutes EEGS can and many tome do come back normal. If there is nothing on your brain that is not normal it too will come back normal. What are traditional seizures??? One of the most common seizers are Absence seizures. A person can be having them for years without knowing they had them. They can look like the person in them is daydreaming. Focal seizures can do the same thing. Basically all of the feelings you have been having could be parts or are seizures. You need to see a neurologist that specializes in epilepsy (epileptologist). A longer EEG can be done and if it is a sleep deprived EEG it might show more abnormalities.
though i could not find a
Submitted by jobo_5b325701d515a on Wed, 2018-06-27 - 23:42
though i could not find a actual epileptologist where i live, another continent, i saw an eminent neurologist who said i can do a 3t contrast mri, though 1.5t is good enough, but here long video eeg procedures are not good and they just do it to make money. what kind of eeg would you guys suggest and joe are what you suggesting the same as video telemetry? also, he said one thing that has me confused, i went in thinking rage attacks of smashing things with complete devilpossessed alteration of who u are could occur as interictal dysphoric disorder/subictal affective illness; but he said rage attacks of smashing things as i described does not occur in this way in epilepsy but is a psychotic syndrome which i have doubts. is what he said true?
Epilepsy doesn’t always show
Submitted by Amy Jo on Tue, 2018-06-26 - 21:02
Epilepsy doesn’t always show up on imaging. Few people have access to > 3T MRI and there are times they can see an issue in the tissue after a resection. If you had MRIs done for epilepsy patients, there’s no guarantee other imaging will show more. For epilepsy surgery patients they can often do more but that helps with mapping and connections they need to know for successful surgery, isn’t always about seeing a focus. If your neurologist has a suggestion, that’s the most helpful.