Overcoming Seizures In A History Of Severe Head Injury?

Hello doctor. R nI had an accident at the end of 2008, which resulted in my shoulder joint loose, ear bleeding and chin torn. R nAt that time, almost 2 years I experienced continuous oyong. R nAfter all these years I never relapse, in May 2017 the feeling of gut relapsed for a long time. r nFrom the results of a neurologist’s diagnosis, I was diagnosed with non-vestibular vertigo. r nAnd the doctor advised me to undergo Visiotherapy. r nIt has only been 2 weeks of undergoing treatment. My body was having a seizure. r nThe doctor recommended an EEG examination, from the EEG results it was stated that the electric waves in my head were not as stable because the graphics at some points were too high. r nI was declared to have post-traumatic epilepsy, even though I had never been a child have a history of epilepsy. r nAfter 10 months of taking phenetoin, the doctor suggested catheterization of my brain nerves. r nMy questions. r n risation is needed? r nAnd what are the side effects of the catheterization. r nThank you

1 Answer:

Hello good morning Abdul.

Injury to brain tissue occurs when brain cells (called neurons) are damaged or destroyed. This can be caused by internal or external mechanisms, namely the result of physical injury (such as a head hit) known as Traumatic Brain Injury (TBI) / brain damage due to trauma / injury.

The neurological symptoms that can occur due to TBI include paralysis, hydrocephalus (fluid buildup in brain tissue), changes in behavior, and seizures. These seizures can occur immediately (within a week of injury), known as early seizures or a long time after the injury, or are called late seizures. Late seizures have a tendency to recur and are thus classified as Epilepsy (posttraumatic epilepsy). So, posttraumatic epilepsy is not characterized by a history of epilepsy in childhood, due to differences in mechanisms, wherein in posttraumatic seizures epilepsy occurs due to brain damage that occurs due to injury to the brain.

Regarding cerebral angiography, usually using the DSA (Digital Substraction Angiography) method, it is used to see abnormalities of blood vessels in the brain, for example whether there is narrowing of blood vessels, blockage of blood vessels, or dilated brain blood vessels. Regarding whether this action is needed or not, we cannot provide a definite explanation. Because only the doctor who treats you who knows why this action is recommended. The possibility of this action is recommended because seeing the evaluation of treatment with phenytoin has not been optimal, so your doctor needs additional investigations in the form of brain catheterization to find out other possible causes of seizures. In addition, other reasons might be for example the doctor who treated you to find other conditions (eg dilated blood vessels / aneurysms) that require action, which can be performed with brain catheterization. And there are many other possibilities.

We suggest that you consult again with the doctor who treats you about the reasons for the recommended action and how much action is needed, as well as the pros and cons of this action. If you feel that you are not satisfied enough, you can ask for a second opinion from another doctor who is an expert in that field (specialist doctor).

Side effects of brain catheterization using the DSA method that can occur include nausea, allergic reactions (due to allergies to contrast agents), headaches or a feeling of warmth (due to a contrast agent being injected into a vein) and dizziness. You should immediately notify the doctor or staff who assisted with the procedure if you feel weakness or numbness in the facial muscles, arms or legs, speech becomes unclear / rero, vision problems, and shortness of breath.

So, hopefully it can be understood.

dr. Denisa

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