Investigation
- Hematology
- Biochemical analysis (electrolytes, urea, and calcium)
- Chest X-ray
- Electroencephalogram (EEG)
- CT scan
- MRI
- Positron emission tomography (PET)
- Single-photon emission computed tomography (SPECT)
Medical Management
- If the patient goes 3 years without an attack, withdrawal of therapy should be recommended.
Drug for epilepsy - The commonest drugs used:
- Carbamazepine
- Sodium Valproate/valproic acid
- Phenytoin (chronically produce facial features and hirsutism (looks like man face)
- Phenobarbitone
- Lamotrigine
- Gabapentin
- Topiramate
- Tiagabine
- Zonisamide
- Oxcarbazepine
- Levetiracetam
- Lorazepam
- Diazepam
- Ethosuximide
- Clonazepam
👉The broadest anti-epileptic drug is Sodium Valproate.
Drugs for partial epilepsy
1st – Carbamazepine
2nd – sodium Valproate
Drugs for Tonic-clonic Generalised Epilepsy
1st – Sodium valproate
2nd – Lamotrigine
Drugs for Generalised Absence Epilepsy
1st – Ethosuximide
2nd – Sodium valproate
Drugs for Myoclonic Epilepsy
1st – Sodium valproate
2nd – Clonazepam
Drugs for Status Epilepticus
1st – Diazepam or Lorazepam
2nd – phenytoin or Fosphenytoin
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