How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Mark Your Own Question

Dr. Mark
Dr. Mark, Physician / Surgeon
Category: Medical
Satisfied Customers: 11946
Experience:  U.S. Surgeon / Neurological Surgery
206912
Type Your Medical Question Here...
Dr. Mark is online now
A new question is answered every 9 seconds

What can cause seizure like episodes

Customer Question

My friend has had multiple seizures in the past year, now worse than ever, dilantin and depakote levels are therapeutic, MRI shows a bone spur at the base of her skull, CT was normal, labs are all normal. She has a lot of pain to her spine and legs, when these episodes occur her heart rate generally becomes tachycardic, her O2 sat drops, she draws inward with her hands and feet, sometimes is incontinent, becomes rigid and jerks. Her spouse has been abusive recently though she won't go into detail about that with anyone. We both work in a hospital her an RN and me an LPN, we are all completely stumped with this and the DR's. We have shipped her to other hospitals and no one can figure it out. Please help me I am terribly worried about her.
Submitted: 5 years ago.
Category: Medical
Expert:  Dr. Mark replied 5 years ago.
While it will be impossible to figure this out (especially if the specialists are having a hard time):

Has she had an extended EEG - a 24 hour or longer EEG monitoring at a hosptial?
Customer: replied 5 years ago.
yes she has last week, she has also been recieving ativan iv with seizures and they do not change.
Expert:  Dr. Mark replied 5 years ago.
Did this EEG show areas of abnormal firing in the brain?

Does the ativan stop the seizure activity?
Customer: replied 5 years ago.
normal EEG and the ativan does nothing
Expert:  Dr. Mark replied 5 years ago.
Right there -- that is a problem.

You can't have actual seizures with a normal EEG.

Seizures, by definition, are abnormal firing of the brain electrical signals -- which causes uncontrolled electric discharge of brain cortex - causing the uncontrolled movements of the limbs and unconsciousness.

A normal EEG rules out actual seizure activity.

Perhaps they have considered pseduoseizures:
http://www.associatedcontent.com/article/106466/what_are_pseudoseizures.html

http://www.med.umich.edu/opm/newspage/2003/pseudoseizures.htm

http://www.ouhsc.edu/neuro/division/cope/pseudosz.htm
Customer: replied 5 years ago.
I believe they have considered that due to stress and anxiety but it just seems like nothing is helping. I visited her today and she had a total of 5 episodes in about 3 hours. She nor I believe that this is seizure activity at this point, today a psychiatrist consulted with her and ordered an EMG and an MRI of her lumbar spine and her right hip to check for any type of blockage. This girl is terrified at this point.
Customer: replied 5 years ago.
new symptoms.....she was discharged home last week and an ARNP was able to get her in to see a specialist in a bigger hospital, good right? No, the specialty was epilepsy, we already knew that was not the diagnosis. Now her Lt. arm is drawn in toward the center of her body just like her Rt. leg, her Rt. foot is swelling (2-3+) and turning purple at times. She is also suffering a lot of joint pain now allover joint pain. Can someone PLEASE help me to help her. I am seriously afraid this girl is going to die if the problem isn't found.

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
 
 
 

Meet The Experts:

 
 
 
  • Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
< Last | Next >
  • http://ww2.justanswer.com/uploads/DR/DrThomasMd/2012-7-25_134438_Imagess1.64x64.jpg Dr. Thomas, MD's Avatar

    Dr. Thomas, MD

    Board Certified Physician

    Satisfied Customers:

    46349
    Internal Medicine--practice all of internal medicine, all ages, family, also Integrative, CAM, etc
  • http://ww2.justanswer.com/uploads/MY/mysticdoc/2012-6-8_15615_mysticdoc3.64x64.jpg Dr. D.J.'s Avatar

    Dr. D.J.

    Board Certified Physician

    Satisfied Customers:

    14679
    MD
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2562
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/DrDLove/2009-08-12_141522_DrDLove.jpg Dr. D. Love's Avatar

    Dr. D. Love

    Doctor

    Satisfied Customers:

    11961
    Family Physician for 10 years; Hospital Medical Director for 10 years.
  • http://ww2.justanswer.com/uploads/CO/commissure/2011-4-15_192514_REISD20080926JR1090.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    10667
    Experienced Physician trained in New York City. I'm ready to help.
 
 
 

Related Medical Questions

Chat Now With A Doctor
Dr. Mark
Dr. Mark
M.D. in Neurosurgery
3418 Satisfied Customers
U.S. Surgeon / Neurological Surgery