Nearest hospital is 1.30 hrs from my chamber. Often a case of seizure becomes a matter of investigations which requires hopitalisation.But if I give anticonvulsants in my chamber & the seizure ceases, there is often hospital refusal on the ground that there is no indication to admit the child. Shall I allow the convulsion to persist for hospitalisation only?     Check out the answer

To controll refractory seizure diazepam is better or epsolin for infant when other not available during episode.     Check out the answer

A small girl who has been diagnosised as childhood epliseys does not have any attack in daytime but at night when she goes to sleep after half an hour in sleep she gets the attack , this happens when she is sound sleep and she keeps staring will not response ? but in 15-20 mins she then says she wants to sleep after that she comes to normal . is there any solution or comment?     Check out the answer

15y old female ,epileptic for 10y.She is on double therapy,tegretol 800mg+clonazepam 2mg/day.FH is +ve for epilepsy&MR.No dramatic responce to that treatment,,...what to do...?CAT scan is -ve..     Check out the answer

Hi sir , what is physiology and patogenesis of febrile seizures? what are predsiposing factors for febrile seizures? which viral and bacterial agents mainly cause them     Check out the answer

What is the role of using ACTH in treatment of infantile spasm? what are the new generation of anticonvulsant drugs? & what is the advantages above the old one ?     Check out the answer

A 7yrs old child a known case seizure disorder was on oral phenytoin from some local practioner for one year,seven months back he had a episode of gen seizure and was in status. was managed coservatively and was noticed that he was having inadequate dose of phenytoin.A repeat EEg was done which showed a seizure activity,neuroimaging was normal study.HE was started on sod;valporate in stead of phenytoin ( valporate dose-25mg/kg/day),he remained seizure free for seven months after that but now again had a gen;seizure but not status. do i need to start any other add on drug like Lamotrigine? I simply increased the dose of valporate to (30mg/kg/day) with which seizures are well controlled.     Check out the answer

In surgical management of epilepsy for presurgical evaluation,wada(intracarotid injection of ambrotone to locate dominant hemisphere)is mentioned. Can you please explain what it is? 2)what is functional mri?(ref for both nelson page 2005)     Check out the answer

MYOCLONIC jerks treatment please     Check out the answer

Dear sir I will tell you some of the problems ,i face in iraq. most of the epileptic pt. are on valproate and now it is not available in iraq what to do...?     Check out the answer