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Medical Forum / Diseases and Disorders / Epilepsy / October 2006

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Temporal lobe epilepsy

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hoorayf@gmail.com - 23 Oct 2006 17:20 GMT
I have had TLE all my life (I am 47 now).  I was taking dilantin until
I was 10 or 11.  Before they took me off dilantin I was a straight A
student, able to do math a year or two ahead of other students.  When I
went off the dilantin it was because they thought I didn't need it
anymore.  I think back then they really didn't have a good idea of TLE.

But since then until a few months ago, life has been hell for me.  The
siezures have always been bad and constant everyday.  I have had, every
day since 10 years old, paranoia, deja vu, jamais vu, voices, devils
and angels visiting me, dissociative states, etc.  I was sometimes
questioned by people if was schizophrenic, but I have never really lost
any touch with reality, just that there was always these symptoms but I
was still aware of my own being and cognizant all the way around.
sometimes I could write the most beautiful poetry, though, from these
experiences.  About 6 or 7 years ago I started looking up my symptoms
along with epilepsy on the Internet and discovered that I probably had
TLE.  Since "self diagnosing" it made it easier knowing that it was a
real problem.

When I was first off the dilantin, I remember laying on the couch and
staring at my hot wheels track on the floor.  The orange track seemed
to be moving along the floor, even though it was staying still.  I
started thinking of these experiences as normal for me.  After a while
it just got more and more depressing.  I made into college and things
got better as long as I was in school (outside of going to high school,
which was terrible for me).  I stayed in school till I had my Masters
in German.

I have moved since to Germany where I found a neurologist  that
understood what I was saying.  He put me on valproate at first and I
worked up to 1000 mg.  at 1000 mg I started to eat like a horse.  I
felt a lessening of the TLE symptoms, at least my mood was getting
stabilized, but I was shoveling food into my mouth faster than I could
swallow it.  I didn't even care how it tasted.  He then started
titrating me on Lamotrigin (not sure what it is called in the States).
I slowly decreased on the Valproate while increasing the Lamotrigine.
It took several months but I am now taking 350 mg of Lamotragin per day
and 250 mg of valproate.

I have found that I am losing weight now.  About 3 or 4 pounds per
week.  There was a severe compensation for the epilepsy that I could
only sooth by eating.  Since I have been taking the Lamotrigin at 350
mg I am feeling like I am high all the time and I only eat when I'm
hungry, since I don't feel the need for compensating any more.

I asked the neurologist if Lamotrigin was an amphetemine, but
apparently it isn't.  It is weight neutral, so all in all this is a
great thing, since I am 6'1 and was over 300 lbs - but have a really
large frame, so even at 250 to 275, I look pretty good.

I seem to cycle with the Lamotrigine now between the "high" feeling and
just a little under that, about 80-90 percent, with just a hint of the
old symptoms coming back.  I don't know if I already wrote this yet,
but the neurologist told me I wasn't high, it was just what normal
people feel like.

It has been so long since I have felt this way.  I hardly even know how
to deal with it.

Sorry if I have put this in the wrong forum.  The one thread I found on
TLE was closed, so I thought I would just start a new one.
David Ruether - 24 Oct 2006 16:26 GMT
>I have had TLE all my life (I am 47 now).  I was taking dilantin until
> I was 10 or 11.  Before they took me off dilantin I was a straight A
[quoted text clipped - 57 lines]
> Sorry if I have put this in the wrong forum.  The one thread I found on
> TLE was closed, so I thought I would just start a new one.

I was on 3500mg/day of Depakote (makes your dose seem rather
small, especially since you were heavier), and it has made me
also want to eat everything in sight. It also made my hands shake
while at the same time quelling my jitters-'n'-jerks, though it did
nothing for ongoing speech and "spacies" problems. I tried
Topamax, which at very low dose caused my speech to collapse,
so I discontinued it after reaching only 50mg/day - though it
also stopped the "jitters-'n'-jerks". Lamotrigine (Lamictal) didn't
do anything for me but it did make me feel slightly nauseated
all the time, leading me (oddly...;-) to want to be eating something
all the time, so I quit it. I've reduced the Depakote to 2000mg/day
but old problems have returned, so I'm about to head back at least
to 2500mg/day. Bleah!
Specifics of medications, combinations, and doses appear to be
person-specific, so what works (or not) for one for a particular
condition may unfortunately not work the same way for another.
Sounds like you have fortunately found a good "place", with
(unfortunately) a lot of bad in between - and, yes, this is the right
group...
--
David Ruether
hoorayf@gmail.com - 26 Oct 2006 17:19 GMT
> >I have had TLE all my life (I am 47 now).  I was taking dilantin until
> > I was 10 or 11.  Before they took me off dilantin I was a straight A
[quoted text clipped - 79 lines]
> --
>  David Ruether

Thanks, Dave,

I am fortunate that in 6 months I have found a good combination of meds
that works for me.  I have read a lot of forums and it is the number
one common problem for epileptics.

I know what you mean by the "spacies;"  I hardly have them at all
anymore.

The only time any of the symptoms come back is when I hear an
unexpected loud noise, like a door slamming.  I almost instantly go
into that spacy place and it takes me about 10 minutes before I am back
to normal. My hands also lock up, which is kinda freaky.

I was taking a shower at about 1 in the morning a couple of nights ago
and the toilet lid fell down and it sent me  back to paranoia land.  I
could feel the ghosts in the bathroom with me.  It only lasted a few
minutes, thank God.

I also had a false stroke, which sent me to the hospital for a week.
One afternoon the left side of my body lost its relexes and I told my
wife about it.  She called a taxi and we went to the ER.  Every test
they did was neg. My neurologist later told me it was the epilepsy.  I
think it had something to do with the sudden increase in doses of
Lamotrigin.  I also get the jitters in my hands whenever I up the dose.
I am going to ask about going up to 400mg, since this stuff works
great for me.

I hope no one gets upset by my success with this.  I really, really
know how bad TLE can be and I wouldn't wish it on anyone.  I will be
happy to listen or help anyone with my experiences or just wants
someone to understand what others can't.

Rob
David Ruether - 26 Oct 2006 18:59 GMT
>> I was on 3500mg/day of Depakote (makes your dose seem rather
>> small, especially since you were heavier), and it has made me
[quoted text clipped - 16 lines]
>> group...
>> --DR

> Thanks, Dave,
>
> I am fortunate that in 6 months I have found a good combination of meds
> that works for me.  I have read a lot of forums and it is the number
> one common problem for epileptics.

Yes, that is what I've gathered here, too...

> I know what you mean by the "spacies;"  I hardly have them at all
> anymore.

You are lucky!

> The only time any of the symptoms come back is when I hear an
> unexpected loud noise, like a door slamming.  I almost instantly go
> into that spacy place and it takes me about 10 minutes before I am back
> to normal. My hands also lock up, which is kinda freaky.

I lose muscle strength and ability to talk, but remain conscious
(sight and sound perceptions get odd though). Periods "under"
can vary a LOT, but generally are a few minutes, with great
variations in frequency.

> I was taking a shower at about 1 in the morning a couple of nights ago
> and the toilet lid fell down and it sent me  back to paranoia land.  I
> could feel the ghosts in the bathroom with me.  It only lasted a few
> minutes, thank God.

I'm lucky in having no strong feelings during my events - they
just happen (though just after eating, petting *one* of two cats
we had, and during conversations are the more common times
for them than just randomly, oddly).

> I also had a false stroke, which sent me to the hospital for a week.
> One afternoon the left side of my body lost its relexes and I told my
[quoted text clipped - 4 lines]
> I am going to ask about going up to 400mg, since this stuff works
> great for me.

Maybe I should not have quit using it so soon - and should have
decreased the Depakote at the same time as the Lamictal was
increased. Who knows... You were lucky in finding someone who
could manage yours with what would work for you - but too bad
it took so long though...

> I hope no one gets upset by my success with this.

????!!   I think ALL would be happy for you!!!!

> I really, really
> know how bad TLE can be and I wouldn't wish it on anyone.  I will be
> happy to listen or help anyone with my experiences or just wants
> someone to understand what others can't.
>
> Rob

Thanks. There are times if I wonder if I am "nutty", but I continue to
be aware, connected with reality, and "settled" even in the midst of
my "oddities", so I guess I'm OK...;-)

--DR
hoorayf@gmail.com - 27 Oct 2006 15:22 GMT
> >> I was on 3500mg/day of Depakote (makes your dose seem rather
> >> small, especially since you were heavier), and it has made me
[quoted text clipped - 81 lines]
>
> --DR

>Maybe I should not have quit using it so soon - and should have
>decreased the Depakote at the same time as the Lamictal was
>increased. Who knows... You were lucky in finding someone who
>could manage yours with what would work for you - but too bad
>it took so long though...

I'm not a doc, but I would definitely give the lamo another try.  It
took me a long time to dose up to 350mg - about 6 mo. and it kept
getting better and better.  The way I did it was with valporate and the
combination worked so I wasn't hungy.  I was taking 12.5 mg lamo at
first with the 1000 mg valproate and worked down with the valproate and
increased the lamo.   Another thing with the lamo is that you have to
watch out for rashes, especially in combination with valproate.  I
experienced a very pleasant itching feeling with the first few
increases.  Once you titrate up to 250 mg, then doses can go up by 50
mg steps.  I stopped having the itchiness at about 250 mg.  I was
scared I was going to get the "rash" when I got the itchiness, bet my
neuro didn't seem to concerned. I'm not saying don't be concerned to
anyone taking lamo, I'm just relating my experience.  If you itch or
get a rash - see a doc.  If you can't see your doc right away, don't
wait, go to an ER right away and take the lamo with you.

> I lose muscle strength and ability to talk, but remain conscious
> (sight and sound perceptions get odd though). Periods "under"
> can vary a LOT, but generally are a few minutes, with great
> variations in frequency.

I always kept the ability to talk, but mostly it was just mumbling.
I'm glad I've met someone who knows what this "odd" place is. I go
there now only when I up the dose of lamo, and then for only a few days
after and then everything smooths out.  I am especially glad I am
almost 100% free of the paranoia.  That is the worst.  I constantly
thought people were talking about me or spying, etc, except I was still
able to function and have a normal life, unlike schizophrenics.  I was
able to have friends and get along, but outside of being around friends
and familiar situations, it would take over in public spaces and when I
was alone.  It was a paradox to be normal and paranoid at the same
time.  Actually, I am slightly ashamed and afraid to talk about it
(ironic, eh?) since I fear someone will misjudge the experience.  The
first people I have been able talk about the paranoia with are my wife
and the neurologist.  I've tried talking to my older sister about it,
but she could never get what I was talking about.  Actually, I dreaded
being around family for the holidays; I much prefered just being with
friends.
David Ruether - 27 Oct 2006 16:35 GMT
[...]
>>Maybe I should not have quit using it so soon - and should have
>>decreased the Depakote at the same time as the Lamictal was
>>increased. Who knows... You were lucky in finding someone who
>>could manage yours with what would work for you - but too bad
>>it took so long though...

> I'm not a doc, but I would definitely give the lamo another try.  It
> took me a long time to dose up to 350mg - about 6 mo. and it kept
[quoted text clipped - 11 lines]
> get a rash - see a doc.  If you can't see your doc right away, don't
> wait, go to an ER right away and take the lamo with you.

>> I lose muscle strength and ability to talk, but remain conscious
>> (sight and sound perceptions get odd though). Periods "under"
>> can vary a LOT, but generally are a few minutes, with great
>> variations in frequency.

> I always kept the ability to talk, but mostly it was just mumbling.
> I'm glad I've met someone who knows what this "odd" place is. I go
[quoted text clipped - 13 lines]
> being around family for the holidays; I much prefered just being with
> friends.

Thanks for the further info. I have other "weirdities" going on at
the same time in addition to the "spacies" and "jitters-'n'-jerks"
(like speech stops, stuttering, cluttering, sound swaps, etc.; endless
word/sound repetitions until I wear out and sleep; unintended
nonsense speech; Tourettes-like brief outbursts [with jerks]; and
unintended movements [I feel like a puppet on strings sometimes...]).
The high dose of Depakote made it hard to hold food on a fork or
liquids in a spoon, but I managed to eat too much anyway...;-) It
appears that the right compromise dose of Depakote will give me
control over the jitters, jerks, and hand-shaking, I think, but not
the other things. Fortunately all of this does not go on continuously
(as the jitters did before starting Depakote). BTW, I wrote you
an email asking if you would continue this outside this NG. Let
me know...
Thanks.
--David Ruether

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