2. PASSPORT DATA
Name : John Pattison
Age : 35 Years
Gender : Male
Address : Khotenska,ivano frankivsk
3. PATIENT COMPLAINTS
John presents to emergency department as he had seizures which lasted for 2 minutes
and was having rhtmic , jerking muscle movements of limbs,,eyeballs,fasicial muscle,
salivation.
4. ANAMNESIS OF DISEASE AND ANAMNESIS
OF LIFE
The patient had seizures with lasted for 2 minutes while he was working at office. The
patient had some rhythmic jerking movement of limbs,facial muscles.Patient was
admitted to emergency department.
The patient has a family history of epilepsy,his sister has the same condition.
Patient had his first seizure when he was 32 years old and since then,he has been
experiencing seizures every 2-3 months.
The seizures are usually generalised and he also experiences convulsions and jerking
movement of his arms and legs during seizures.
The patient has been prescribed antiepileptic drugs by his neurologist to treat seizures.
THe patient has not missed any doses and also made some lifestle changes such as
getting enough sleep,avoiding alcohol and caffeine and managing stress.
5. PHYSICAL EXAMINATION
The patient was alert and oriented on examination.
There are no signs of trauma or injury.
Vital signs are within normal limits.
7. DIAGNOSTIC TESTS
Complete blood count,electrolye balance,LFT were done
EEG , Mapping of biochemical activity,DETERMINING 3-D imaging of localised
epileptic activity, MRI CT SCAN OF BRAIN
All blood tests including LFT,CBC ,electrolyte levels were all within normal limits.
A head CT SCAN was performed and showed no acute abnormalities.
An EEG(ELECTROENCEPHALOGRAM)was performed which showed evidence of
generalised epileptiform discharges consistent with a diagnosis of genearlised
epilepsy.
8. DIFFERENTIAL DIAGNOSIS
Paroxysmal dyskinesias
Hyperventilation
Prolonged QT syndrome and other arrythmia
Metabolic disorders
Pseudoepileptic seizures or non epileptic seizures
Encephalopathie
10. TREATMENT
Antiepileptic drugs daily dosage,
Valproate—20/30mg/kg
Topiramate –- 3-6--(9)mg/kg
Lamotrigine --- 1-5---(10)mg/kg
Phenytoin---5-7mg/kg
Ketogenic diet should be followed
Physiotherapy and psychotherapeutic sessions
In case of vagus nerve stimulation,surgical care is needed.
Avoid alcohol,caffeine and stress management.
11. FOLLOW UP
The vitals were stable and no seizure was reported further so patient was
discharged.
The patient was called for a follow-up next week
The patient has been advised to take daily dosage of AEDs and visiting
neurologist every two month.
Maintaining a healthy life style was recommended and diet modifications were
made for avoiding future complications.
