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Epilepsy after 1 seizure ?

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May 9th, 2010
My step daughter had a seizure in september 12th 2009..this was followed by an abnormal EEG..she had a repeat EEG several days later that was normal...she was put on Keppra 750 twice a day...she has been to the neurologist several times in the past few months..has not had another seizure..but told one of her teachers in school that she had an absesce seizure while taking a test and was allowed to repeat the test..she was not told by the Dr. that she has epilepsy..yet that is what she tells her teachers as well as her friends...At her last appointment, she litterally threw a fit because the Dr. would not tell her she had epilepsy.The Dr. did however put on her visit summary sheet that her diagnosis was Gen.Convulsive Epilepsy with intractable epilepsy. She has not had a seizure in 8 months.She is now undergoing an 24 hour ambulatory EEG ? Can she have epilepsy after one seizure and no corelation on an EEG?


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replied May 10th, 2010
Epilepsy Answer A11930
Hi, welcome to the ehealth forum and I am glad to help you.
You seem concerned about the seizures in your step daughter.
You want to know if your daughter can have epilepsy after one seizure and no correlation on an EEG.
Epilepsy by definition is characterized by recurrent unprovoked seizures so single seizure is not sufficient to label the patient as epileptic. Further workup is necessary to reach a definitive cause for the seizures and you must continue follow up with your neurologist for the same. The other possibility in females to rule out is the hysterical attacks as you have described in your step daughter who threw a fit in doctor's office as she wanted to be told by the doctor that she had epilepsy.24 hour ambulatory EEG and MRI with epilepsy protocol can help the diagnostic workup.
Hope this helps. Take care.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.




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