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Medical Forum / Diseases and Disorders / Epilepsy / June 2005

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Deja Vu's - help please

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Fishbone - 09 Jun 2005 09:15 GMT
Hi,

I get struck with a vivid Deja Vu about every 4 weeks.  They are so weird.
I can be anywhere doing anything when all of the sudden a feeling that
somehow I recognize this, I've dreamed about this.  Whether I'm sitting in
my office, driving, at the computer, I'm sure I had dreamed that exact
moment, in the exact way I was doing it.  As the sensation peaks, I find
myself looking around, desperately trying to find something NEW, something
that I have never seen before, something that I can focus on to pull myself
out of this state.  Then the Deja Vu slowly fades away. It's sometimes
accompanied by very slight nausea.  The whole episode lasts about a minute
or so.

My doctor is trying to suppress these sensations with Dilantin, with
Zonegran, and now with Trileptal without success.  Has anybody been able to
control these Déjà vu's successfully with medication?  What is the drug that
has worked for you?

Thank you in advance,

-Fishbone
Mary Fisher - 09 Jun 2005 09:44 GMT
> Hi,
>
[quoted text clipped - 9 lines]
> accompanied by very slight nausea.  The whole episode lasts about a minute
> or so.

Hello Fishbone,

I get exactly this - although only lasting about ten or fifteen seconds -
about every four weeks. I've had it for about fifteen years and don't take
any medication.

In my opinion I can't see the point in adding another drug to my daily
intake (for pain control, mostly, nothing to do with epilepsy) since the
deja isn't debilitating and never leads to any other condition.

I understand that sometimes, in some people, the deja comes before a bigger
fit. If this is the case you might feel happier trying to control it but
just trying to be rid of the deja itself seems to be cracking a nut with a
sledgehammer.

Epilepsy drugs tend to be quite powerful tools which are good for preventing
harm to a subject but what harm is the deja doing? Apart from being a bit
uncomfortable you seem to be worried about it. Don't be. No-one can see it,
you're functioning normally and you'll get used to it.

I used to think, "Oh no, not again!" when I felt it coming on, now I try to
follow its progress! I'm confident that mine are just remnants of some brain
damage from a long time ago and that it's one of the things I have to live
with. There are many worse conditions - and the alternative is even more
unacceptable :-)

Mary
G.Ross - 09 Jun 2005 22:10 GMT
>> Hi,
>> I get struck with a vivid Deja Vu about every 4 weeks.  They are so
[quoted text clipped - 38 lines]
> even more unacceptable :-)
> Mary

We don't have his full Doctor's assessment.  The fact that he? still gets
Petit Mals (Deja Vu)  while taking their medication, is not a sufficient
reason to throw out all the pills.
  They might still be controlling a far *worse Grand Mal or Complex Partial
(like I had) and the occasional Deja Vu might just be a sign where their
blood levels of medication get too low, or other outside influences are
bringing them on.  Without the medications, the Deja can be a precursor to a
stronger seizure.   Mine were, before they were controlled.
  I think this was the thread where they listed 3 seizure medications
they're using? although it's not on this message I hooked onto.   I've only
used Dilantin (without success) of the 3 listed, if this is the message I
saw.    The other 2 I'm not familiar with.   But their Doctor is.  Some of
the meds. (like Tegretol) can produce worse seizures if someone were to
promptly stop them, just because someone told them to.
  When I was close to full control (1996/7) I had periods where I'd get the
odd Deja Vu once or twice a week, over a period of 1-2 months, but we kept
at the same dosing rate, and over time they reduced and then stopped.   I
haven't needed to adjust the dose levels I'm using since then.
   Stopping taking my pills, 'just because' isn't a reasonable risk for me,
imo. I've spent my last trip (I hope) to Emerg.  G./
Mary Fisher - 10 Jun 2005 15:12 GMT
> We don't have his full Doctor's assessment.  The fact that he? still gets
> Petit Mals (Deja Vu)  while taking their medication, is not a sufficient
[quoted text clipped - 4 lines]
> are bringing them on.  Without the medications, the Deja can be a
> precursor to a stronger seizure.

That's not what he said.

Even if we did have his full doctor's assessment it wouldn't make us
qualified eitherto recommend medication or to stop taking it. I didn't
suggest that.

>  Mine were, before they were controlled.

Mine aren't and they're not controlled. So what does that prove?

Nothing.

Mary
Bev Thornton - 09 Jun 2005 10:35 GMT
> My doctor is trying to suppress these sensations with Dilantin, with
> Zonegran, and now with Trileptal without success.  Has anybody been able to
> control these Déjà vu's successfully with medication?  What is the drug that
> has worked for you?

Valproic acid, sodium valproate or divalproex for me.

Signature

<bevthornton@despammed.com>                Support: <http://www.rawa.org/>

              It is better to travel well than to arrive.

Patsy and Darryl - 09 Jun 2005 12:27 GMT
>> My doctor is trying to suppress these sensations with Dilantin, with
>> Zonegran, and now with Trileptal without success.  Has anybody been able
[quoted text clipped - 4 lines]
>
> Valproic acid, sodium valproate or divalproex for me.

I take sodium valproate (epilim), but still get them about once a month or
sometimes more often, exactly as Fishbone (strange name ;-) ) wrote. The
epilim doesn't seem to suppress them at all for me.
They're often very detailed and I even had one whilst listening to
somebody's conversation and told my wife exactly what the other person was
going to reply and then what would be said back to them. Was 100% correct.
Now THAT was weird.
It doesn't bother me having them though. They don't cause any harm, present
any danger or discomfort and aren't visible to those watching, so whenever
they occur I just think to myself "whoa, that's odd".
As Mary said, there are a lot worse things to be experiencing.

Cheers,
Darryl.
Patsy and Darryl - 09 Jun 2005 12:37 GMT
>>> My doctor is trying to suppress these sensations with Dilantin, with
>>> Zonegran, and now with Trileptal without success.  Has anybody been able
[quoted text clipped - 19 lines]
> Cheers,
> Darryl.

Isn't Valproic Acid the same as Sodium Valproate?

Darryl.
Bev Thornton - 20 Jun 2005 05:23 GMT
> Isn't Valproic Acid the same as Sodium Valproate?

Not exactly.

An explanation: <http://www.crazymeds.org/valproate.html>

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<bevthornton@despammed.com>        Support: <http://www.sudan-relief.org/>

                 Thoughts well guarded bring happiness.

Wygtya - 21 Jun 2005 00:09 GMT
> > Isn't Valproic Acid the same as Sodium Valproate?
>
> Not exactly.
>
> An explanation: <http://www.crazymeds.org/valproate.html>

I shoulda started a new thread, but Lamictal <genuflection> is also
there. Way stupid name for a website with excellent information.

http://www.crazymeds.org/lamictal.html

Turbinado, I went to your website. You rock! That was me in the guest
book.

Email addy: Wygtya = Wherever You Go There You Are
Waitt.com = Who Am I This Time
Organization TEIAANB = The End Is Always A New Beginning
Patsy and Darryl - 21 Jun 2005 01:00 GMT
>> > Isn't Valproic Acid the same as Sodium Valproate?
>>
>> Not exactly.
>>
>> An explanation: <http://www.crazymeds.org/valproate.html>

Thanks, I had a look at that and it's very informative.
Cleared it up and gave me a few other things to think about.

Cheers,
Darryl.
Mary Fisher - 09 Jun 2005 20:06 GMT
"Patsy and Darryl" <patsyanddarryl@xtra.co.nz> wrote in message
news:XIVpe.6194>>

> I take sodium valproate (epilim), but still get them about once a month or
> sometimes more often,

So why take the drug?

> exactly as Fishbone (strange name ;-) ) wrote. The epilim doesn't seem to
> suppress them at all for me.
> They're often very detailed and I even had one whilst listening to
> somebody's conversation and told my wife exactly what the other person was
> going to reply and then what would be said back to them. Was 100% correct.
> Now THAT was weird.

Indeed!

> It doesn't bother me having them though.

So why take the drug?

That's not deja, I said it before :-)

Mary
Patsy and Darryl - 10 Jun 2005 00:08 GMT
> "Patsy and Darryl" <patsyanddarryl@xtra.co.nz> wrote in message
> news:XIVpe.6194>>
[quoted text clipped - 20 lines]
>
> Mary

Lol, I take it for the complex partials, not for the deja's.
Still, it doesn't stop them either, just slows them down a little.

Darryl.
Wygtya - 09 Jun 2005 15:57 GMT
> Hi,
>
[quoted text clipped - 17 lines]
>
> -Fishbone

Sorry, but you're way wrong. I _had_ DejaVu seizures. I'm post-op now.
No amygdala, no problem. No hippoocamus, No problem. I described mine as
more of a "pre-load" occuring. Even deja-vu's cause sclerosis (dead
neurons)with each new seizure, further weakening the brain's defenses
for preventing/minimizing the next one, as well as exacerbating memory
loss and emotional lability. When you have a MRI/head study and they use
the epilepsy protocol (there ARE others) when they "slice" you, the
mesial temporal lobe damage is very evident. If you think you're
unscathed, wait till you have a Wada test. I only had DV's for 4
decades. 6 years ago after I dropped 150 pounds and my energy level went
through the roof, so did the strength and frequency of my seizures
<spit>. I was also losing the ability to recognize people, or getting
the feeling that everyone looked familiar, some of the time. Quote from
neuro: "That makes perfect sense. That's right where your seizures
are." <grrr>  My "nausea" (aura) tasted like a combination of old sock,
raw potato, and cardboard, in addition to that feeling in the pit of the
stomach. Seizures now past tense. My e-mail address means "Wherever You
Go There You Are" & Who Am I This Time.
Patsy and Darryl - 09 Jun 2005 16:29 GMT
In article <TtWdna8WbOguZzrfRVn-3w@comcast.com>,
da_fishbone@yahooNOSPAM.com says...
> Hi,
>
[quoted text clipped - 20 lines]
>
> -Fishbone

Sorry, but you're way wrong. I _had_ DejaVu seizures. I'm post-op now.
No amygdala, no problem. No hippoocamus, No problem. I described mine as
more of a "pre-load" occuring. Even deja-vu's cause sclerosis (dead
neurons)with each new seizure, further weakening the brain's defenses
for preventing/minimizing the next one, as well as exacerbating memory
loss and emotional lability. When you have a MRI/head study and they use
the epilepsy protocol (there ARE others) when they "slice" you, the
mesial temporal lobe damage is very evident. If you think you're
unscathed, wait till you have a Wada test. I only had DV's for 4
decades.
<snip>

I guess that rules me out - I've only been having deja-vu's three decades.

Darryl.

<unsnip>
6 years ago after I dropped 150 pounds and my energy level went
through the roof, so did the strength and frequency of my seizures
<spit>. I was also losing the ability to recognize people, or getting
the feeling that everyone looked familiar, some of the time. Quote from
neuro: "That makes perfect sense. That's right where your seizures
are." <grrr>  My "nausea" (aura) tasted like a combination of old sock,
raw potato, and cardboard, in addition to that feeling in the pit of the
stomach. Seizures now past tense. My e-mail address means "Wherever You
Go There You Are" & Who Am I This Time.
G.Ross - 09 Jun 2005 17:54 GMT
I just did a post on this thread about what a Simple Partial aura to a Right
Temporal Lobe-based seizure is like.
  Where did you get the reference below about the 'dead brain cells' (below
**s below) ?

In article <TtWdna8WbOguZzrfRVn-3w@comcast.com>,
da_fishbone@yahooNOSPAM.com says...
> Hi,
> I get struck with a vivid Deja Vu about every 4 weeks.  They are so weird.
[quoted text clipped - 17 lines]
> Thank you in advance,
> -Fishbone

Sorry, but you're way wrong. I _had_ DejaVu seizures. I'm post-op now.
No amygdala, no problem. No hippoocamus, No problem. I described mine as
more of a "pre-load" occuring.

*** G. *** Below is what I asked for reference to.  Deja Vu is an electrical
Simple Partial Seizure starting in the Right Temporal Lobe.  It doesn't
involve the other brain parts you quote?
  Most of my seizures were in 1993-7.  They're controlled now by pills and
haven't 'degenerated further' as you suggest in next paragraph.   Quite the
reverse, I have little to no auras or any of the 'brain fog' that were part
of the period quoted above when the seizures were most disruptive. /

Even deja-vu's cause sclerosis (dead
neurons)with each new seizure, further weakening the brain's defenses
for preventing/minimizing the next one, as well as exacerbating memory
loss and emotional lability.

**G.***  Memory loss can come from pre-existing damage to either of the
Temporal Lobes (mine is Right T.Lobe).  Seizures aren't producing the memory
effects, the damage (pre-existing?)  to the T.Lobe can produce memory
effects, and trigger seizures if the electrical firing is not controlled. /

When you have a MRI/head study and they use
the epilepsy protocol (there ARE others) when they "slice" you, the
**mesial temporal lobe damage is very evident. If you think you're
unscathed, wait till you have a Wada test.

***G.* An MRI measures damage down to fractions of a mm. Mine measured
damage to Rt. T.Lobe done by Encephalitis, which later was where my Complex
Partial seizures started.
 Isn't the mesial area a separate part *from the Temporal lobes?  This is
the first post (since 1998) I've seen it used at the same time as references
to temporal lobes. (**s I put above). /

I only had DV's for 4
decades. 6 years ago after I dropped 150 pounds and my energy level went
through the roof, so did the strength and frequency of my seizures
<spit>. I was also losing the ability to recognize people, or getting
the feeling that everyone looked familiar, some of the time. Quote from
neuro: "That makes perfect sense. That's right where your seizures
are." <grrr>  My "nausea" (aura) tasted like a combination of old sock,
raw potato, and cardboard, in addition to that feeling in the pit of the
stomach.
**G.*** The aura you describe above (sometimes with a Jamais Vu sensation)
is listed as one of the possible symptoms of a Simple Partial aura (seizure)
that is starting in the *left side Temporal Lobe, as opposed to its twin the
Right T.Lobe that produces a sour, lemon taste and **deja vu.
  'grrrr'  all you want, but the symptoms you had the Dr. said? were
confirmed by the tests they ran.

 The Temporal Lobes are the 'short term memory buffers' where new learning
and experiences go first.  *If that area is disrupted it will affect
learning, recognizing friends, etc. you list in para. above.  The part above
between <spit> and <grrr> was a perfectly accurate assessment of where your
seizures likely occur.  It's a **far less invasive way to assess internal
electrical activity than putting you into the Operating Theatre to have a
look.  I don't see why that becomes a 'grrrr' treatment.

   What stopped your seizures you mention below, the surgery at top?  They
removed 2 parts of your brain to treat the type of seizures you were having
and now they're gone? -- your comment below.   So while someone might be
able to use pills to treat their type, you and your Doctor chose a surgical
solution.   That doesn't make either one 'better'  than any other.
Whatever works is good for me.  Your's might have been a more invasive type
that required more extensive treatment than some of the rest of us need, for
full control.    G./

Seizures now past tense. My e-mail address means "Wherever You
Go There You Are" & Who Am I This Time.
Mary Fisher - 09 Jun 2005 20:12 GMT
> -Fishbone

> Sorry, but you're way wrong. I _had_ DejaVu seizures. I'm post-op now.
No amygdala, no problem. No hippoocamus, No problem. I described mine as
more of a "pre-load" occuring. Even deja-vu's cause sclerosis (dead
neurons)with each new seizure, further weakening the brain's defenses
for preventing/minimizing the next one, as well as exacerbating memory
loss and emotional lability.

I'm not sure what you're meaning when you saysomething is wrong.Yes, sure,
every episode in the brain causes sclerosis: drinking (I'm not giving up my
wine with my evening meal): thinking; working; living ... So?

None of us is immortal, we have to live every minute to the full. Well, I
do, having had three brushes with the Grim Reaper and staring him out ...
I'm certainly not going to take drugs to stop something the effect of which
is as unimportant as, say, running to catch the post or staying up until
4.30 am after a very grown up party as I did last weekend. Up at 8 and loved
every minute of it.

If it affects my future reasoning, well, so be it.That bus might get me
before I forget it.

Mary

When you have a MRI/head study and they use
the epilepsy protocol (there ARE others) when they "slice" you, the
mesial temporal lobe damage is very evident. If you think you're
unscathed, wait till you have a Wada test. I only had DV's for 4
decades. 6 years ago after I dropped 150 pounds and my energy level went
through the roof, so did the strength and frequency of my seizures
<spit>. I was also losing the ability to recognize people, or getting
the feeling that everyone looked familiar, some of the time. Quote from
neuro: "That makes perfect sense. That's right where your seizures
are." <grrr>  My "nausea" (aura) tasted like a combination of old sock,
raw potato, and cardboard, in addition to that feeling in the pit of the
stomach. Seizures now past tense. My e-mail address means "Wherever You
Go There You Are" & Who Am I This Time.
G.Ross - 09 Jun 2005 17:14 GMT
> Hi,
> I get struck with a vivid Deja Vu about every 4 weeks.  They are so weird.
[quoted text clipped - 18 lines]
> Thank you in advance,
> -Fishbone

 The Deja Vu is an Aura from a Simple Partial seizure that is starting in
the *Right Temporal Lobe (Left side produces a Jamais vu, never seen --  
where your own place can seem like a stranger's).

  You didn't mention if you were a woman -- if you were some 'around here'
have had auras or seizure onset on occasion once a month (every 4 weeks you
said at line 1 above).
  The Aura you'll find described under sites as Simple Partial seizures, or
Complex Partial (new name) or Temporal Lobe (old name)  seizure Onset Aura.
It's the feeling as a seizure is about to start, and the Deja Vu is a
non-invasive way a Doctor can determine your's are happening in the Right
Side.
   Do you get a Taste or Aroma of Lemon, or 'sour' that's not there too?  I
got that with Deja above.  Usually the 'old sock' or other tastes others
described on this thread, are part of an aura usually attributed to the Left
Temporal Lobe (some types of seizures can start in one, and migrate to the
other lobe, as the seizure generalized before they lost consciousness).

   Do you *not lose awareness or consciousness during these?  If you're not
you might not need as strong a pill or treatment as some of the rest of us
do.   Usually Dilantin is tried first, as it's older, more studied and
cheaper than the newer pills.   After Dilantin didn't work for me, we moved
on the Tegretol CR and Frisium (2 years after that with reduced Tegretol),
to get control.   I don't get either auras or the full 'drop down' seizures
I used to get in 1993-7.
   As someone else said (I think on this thread), if you're not in danger,
or losing consciousness when these progress from the 'deja' phase,  except
for the discomfort that sometimes happens, adding a 'passle' of extra pills
is kind of like opening a Jam Jar with a Sledge Hammer, but that's just me.

   How many of these do you get a Month? (each 4 weeks when they happen)
Is it one or two? or 8-10?  What does it do to your lifestyle during the
time these are happening?
  That might give others some idea how these are happening and how
disruptive they're proving to be for you.     G./
G.Ross - 09 Jun 2005 22:30 GMT
> Hi,
> I get struck with a vivid Deja Vu about every 4 weeks.  They are so weird.
[quoted text clipped - 18 lines]
> Thank you in advance,
> -Fishbone

Did they give you a 'name' for your seizure types, and do you lose
consciousness when you weren't using the medications?  If you were, the Deja
is usually a precursor to a Right Temporal Lobe based seizure.  New sites
list those under Complex Partial Seizures, if you look at any information
sites.
  Mine weren't controlled by Dilantin (my Dr. said that's usually
prescribed first since it's oldest, most studied and cheapest for people who
can use it).  We slowly reduced the Dilantin and replaced it with Tegretol
Controlled Release that gave improved control but still with sporadic
'breakthrough seizures'  (my name since they'd come on rapidly without much
aura or warning).   After ~2 years on just Tegretol and above problems, we
slowly removed the night dose of Tegretol (over 4+ weeks) and replaced it
with Frisium (Clobazam) that had just been approved in Canada.
   Subsequent seizures at this point went from 2-3 a month to one each 2-3
months.  They were still disruptive, and after a few more, we added some
Frisium with the AM dose of Tegretol, then a full tablet (of Frisium).
Last seizure I had was 1998 -- I had been told in 1993 that, based on MRIs
and EEGs I might 'hope for'  2-3 seizures per month as a target.
  Technically, they're probably not just trying to 'suppress the
sensations', that others have replied about targeting those.   The
'sensations' you are getting (deja vu) are a footprint of some seizure
activity that's still happening.   They're trying to get control of those.
  P.S.  You didn't indicate if you're a 'boy fishbone' or a 'girl
fishbone'...  If the latter, some women can get seizure activity at that
frequency (4 weeks) for other reasons that affect some  pill's operation and
blood levels.     G./
CyberCafe - 09 Jun 2005 22:46 GMT
> Hi,
>
[quoted text clipped - 12 lines]
> Zonegran, and now with Trileptal without success.  Has anybody been able to
> control these Déjà vu's successfully with medication?

Yes.  Feels good to be rid of it.

 What is the drug that
> has worked for you?

Tegretol, the first drug I used, and now Dilantin.

Did your doctor tell you that you had epilepsy?

Barb

> Thank you in advance,
>
> -Fishbone
 
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