The epileptologist I recently went to wanted to switch me to Lamictal and
take me off of tegretol. While this sounds great in principal it is a huge
risk. I have 2 small kids and am divorced so knowing that I won't have a
Grand mal is important. As my ex will and has used my epilepsy against me in
court.
I think rather than going the route of lamictal, which I may do at some time
I would like to try the VNS. If I could lower my meds or get off one all
together it may make a huge difference.
> Hello, I'm an epileptologist, so I don't have the problem you describe
> but I know a lot of people who have it. There are different reasons for
[quoted text clipped - 25 lines]
>
> So I hope, I was a little helpful...
Christian Peters - 06 Nov 2005 20:27 GMT
But the VNS doesn't help very much - and for absence epilepsy there is
not much evidence...
And Tegretol doesn't help in your syndrome - so the risk is not so
big...
Patsy and Darryl - 06 Nov 2005 23:57 GMT
Can you please elaborate on your statement: "But the VNS doesn't help
very much....."
Darryl.
> But the VNS doesn't help very much - and for absence epilepsy there
> is
> not much evidence...
> And Tegretol doesn't help in your syndrome - so the risk is not so
> big...
Mike Kelliher - 07 Nov 2005 03:45 GMT
I don't think you quite understand my position. What if someone offered you
a new drug but said "However if you do have a grand mal seizure you will be
dragged through court so that you won't see your kids without supervised
visitation." I have an ex in that league. She already had gone to my PA to
get her to write a letter of her concern of me having the kids for
visitation. The fool wrote the letter for her and it went into court and the
judge allowed it even though he knew she was going to be in deep trouble and
had broken a law as she gave her recent medical info without my consent. I
didn't sue but did get some cash for it.
I thought the VNS works well for generalized seizures.
Do you know of any recent research I could read up on pertaining to the VNS.
I work in an EEG/Sleep lab so I have quite a few resources, but we don't do
long term monitoring or anything other than basic EEGs.
Thank you for your help!!!!
> But the VNS doesn't help very much - and for absence epilepsy there is
> not much evidence...
> And Tegretol doesn't help in your syndrome - so the risk is not so
> big...
I inserted comments of my own experience/ understanding of mine at **s. I
was told at first in 1993, mine were Tonic Clonic, then Complex Partial
based on tests and MRIs. G.
> Hello, I'm an epileptologist, so I don't have the problem you describe
> but I know a lot of people who have it. There are different reasons for
[quoted text clipped - 5 lines]
> 2. Seizures lead to memory problems: If you have an absence, you don't
> hear what happens - so this is obvious.
** I had memory problems from Encephalitis in 1979 to past 1993 when my
seizures started. That's where the Right Temporal Lobe damage came from that
affected my short term memory throughout the 1980s. From 1993, after 2
years on Dilantin, the Tegretol CR then Tegretol and Frisium (Clobazam)
greatly improved my short term memory function. Since my Memory was so bad
through start of seizures, I didn't notice any *damage from them (about 12
Complex Partials in all, over 4 years, until I was fully controlled). I
also had many Absences as I got closer to full control with above 2 meds.
mostly when we were Near to final control. Those stopped 1998 too. G./
But sometimes you might have
> 3/s spike-wave and your brain can not follow what heppens, but it is
> not a real seizure - so it's just a very short time - but for the
> memory it can be a big problem.
> 3. The drugs can produce memory problems: The very old ones (e.g.
> barbiturates) do it regularly, also carbamazepine and valproate do this
****************************************
> (by the way: carbamazepine isn't a good drug for your syndrome - it
> will lower the valproate level and it doesn't help against absence
> seizures and primarily generalized tonic-clonic seizures - do you have
*******************************************
> a good neurologist who knows about epilepsy?). There are modern drugs
*****G.** In my case, yes I do, and my szrs. are controlled. I didn't know
though from his initial post if they had established if there was other
internal damage until the tests were finished, that might show if some of
his problems also came from the Temporal Lobes (like mine), or from the
info. he provided above, if his was a different area of the brain than mine.
G./ ******
> like lamotrigine or levetiracetam (these would be a good option for you
> maybe) and gabapentin (this is not useful in absence seizures), who
[quoted text clipped - 5 lines]
> have a depression and this make memory disturbances also),
> social-factors and more.
*** But if his were as severe as mine were at first, it's almost a chicken
and egg thing, unless he has tests to tell if one caused the other. If my
Memory is messed up so I need notes to do simple things like Shopping,
finding my way home, or functioning in Social Settings, those can produce
depression without it needing to be Organic from the seizures? I* had that
for so long before I was using any Anti Ep Drugs, I'd almost have had
trouble noticing if Tegretol had caused some of them. In my case the
improvement in seizure control had quite the Opposite effect, from boost in
confidence, control of my szrs. and the lack of 'brain fog', my memory
started then to improve. G./
> So I hope, I was a little helpful...
Christian Peters - 09 Nov 2005 15:30 GMT
To the topic VNS: It can help, of course. But unlike operations (which
can not be made in generalized epilepsies but in many focal epielpsies)
where you have seizure freedom rates of up to 80%, the benefit of a VNS
is in general not better than that of a new drug: maybe 5% seizure
freedom. Seizure reduction of course more, but that doesn't help much...
G.Ross - 12 Nov 2005 17:01 GMT
> To the topic VNS: It can help, of course. But unlike operations (which
> can not be made in generalized epilepsies but in many focal epielpsies)
> where you have seizure freedom rates of up to 80%, the benefit of a VNS
> is in general not better than that of a new drug: maybe 5% seizure
> freedom. Seizure reduction of course more, but that doesn't help much...
Thanks for posting above. There are only about 3? people around the group
who have experiences with the VNS (counting you now), and several people
reading or who used to read had asked about those things. Any information
and experiences like above help all those people to better understand if
that might help their type or if it is an Operation that has a low chance of
helping.
Your experiences are Useful for them to make those kinds of decisions.
Thanks again, Gordon./
MIKEJ - 05 Apr 2006 23:45 GMT
Hi yes I have had major problems with memory expesially after a
seizure. Recentley I have had a temporal lobe seizure and have
virturally forgoton the major events of the last six months including
my mothers death. It slowly comes back but i feel a deja vu feeling
for about a week and seem to relive emotional feelings from 20 - 35
years ago, I am currently 39. If this sounds familar pls reply.
Mike
Dave Keays - 06 Apr 2006 10:20 GMT
> Hi yes I have had major problems with memory expesially after a
> seizure. Recentley I have had a temporal lobe seizure and have
> virturally forgoton the major events of the last six months including
> my mothers death. It slowly comes back but i feel a deja vu feeling
> for about a week and seem to relive emotional feelings from 20 - 35
> years ago, I am currently 39. If this sounds familar pls reply.
That sounds like exactly what I went through from my early 20s until I was 40.
Although I thought it was a result of both seizures and the medication I was
taking at the time (DOPE-A-MAX ... uh, I mean TOPAMAX)
My way of handling it was to be sure to write anything down on paper anything I
thought was important to remember. Many people thought I was a detail freak but
it got the job done.
It is hard to keep your long-term memory when your short-term memory is being
dumped on a regular basis. It is also hard to remember what you have forgotten.
Then with those feeling deja-vu, you don't know what to believe or not. What you
now have is memory that is so flaky that you can't rely on it. But you can't
live without it either.
Another feeling I had was that it was a future dream I was "reliving". Was I
looking into the future?
> Mike

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Dave Keays