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World Epilepsy Day: 72-year-old woman for Recurrent Seizures to Lead a Normal Life


World Epilepsy Day: 72-year-old woman for Recurrent Seizures to Lead a Normal Life
SHARES

A team headed by Dr. Pavan Pai, Consultant Interventional Neurologist, Wockhardt Hospitals, Mira Road gave a fresh lease of life to a 72-year-old woman with Scar Epilepsy. The patient who had recurrent seizures was given prompt treatment at the hospital to improve symptoms of recurrent tingling and numbness in the right upper limb, irritability, and restlessness. Now, the patient has been discharged from the hospital and has resumed her daily routine.

Mrs. Mihira Kumari, a resident of Mira Road, a home maker suddenly experienced symptoms of intermittent right upper limb tingling and numbness with high blood pressure. The patient was admitted to Wockhardt Hospitals, Mira Road for further treatment wherein her life was saved.

Dr. Pavan Pai, Consultant Interventional Neurologist, Wockhardt Hospitals, Mira Road said, “The patient was admitted to the hospital with the intermittent sensation of tingling and numbness in the right upper limb on November 4. On evaluation, she was found to have right focal sensory seizures on Electroencephalogram (EEG). Her MRI of the brain showed a scar of the previous bleed in the left side of the brain area which gives rise to sensations. She was diagnosed to have Scar Epilepsy. This is because of the irritation of the brain caused by a scar in the brain due to previous Haemorrhage in this patient”

Dr. Pai added, “She was treated with a second anti-epileptic intravenously with which her sensory seizures improved. Her repeat EEG done on November 8, was normal. So, we switched to the oral form of anti-epileptic and planned for discharge. But on the same day, she had a generalized seizure with jerky limb movements with irritability and restlessness and was in a prolonged drowsy state post seizure. She was shifted to ICU. A third intravenous anti-epileptic was started after this episode. EEG done again showed changes of slowing after a seizure. CT Brain showed no fresh infarct or bleed. Her cerebrospinal fluid (CSF) analysis was normal. On November 9, she was drowsy, and her anti-epileptic regimen was changed so that she could be more alert. On November 10, she became conscious and started obeying commands and moving her hands and legs. Then the patient was transferred to the ward and discharged on November 12. Not treating her at the right time would have led to decreased oxygen supply to the brain causing permanent damage because of recurrent seizures. She has been told to continue with Anti-epileptics regularly. The patient was promptly managed with pre and post-treatment care at our newly launched Epilepsy Clinic at Wockhardt Hospitals, Mira Road. Our expertise like Critical care, Multidisciplinary approach, and prompt diagnosis helped us treat the patient with ease under one roof.”

“I suddenly got a seizure on 8th November that lasted for a few minutes. It started with tingling and numbness in my right hand after which I became unconscious and confused after that. I don’t remember anything that happened for two days thereafter. When I became conscious on 10th November, I couldn't walk properly due to limb weakness. This affected my quality of life. I was not able to do my daily chores with ease. But, I thank my family members for admitting me to Wockhardt Hospitals, Mira Road on time. I was fortunate to get timely intervention at the hospital. I thank the doctors for saving my life. I have resumed my normal routine and can perform every task without any problem. The seizures have disappeared now,” concluded the patient Mihira Kumari*.

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