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Dr. Rick, MD
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 11414
Experience:  20+ years as a doctor. Internal Medicine Internship in NYC
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Can juvenile myoclonus epilepsy be prevented if the patient

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Can juvenile myoclonus epilepsy be prevented if the patient does not suffer any further sleep deprivation? My son is 17 and after a 26 hour flight without sleep had a seizure. The EEG,ECG, bloods & ruined were all normal. On return from the trip he had another episode 2 months later after lack of sleep. Both episodes have happened in the morning after a twitching sensation in the arms. However I have read that if the first EEG is normal a sleep deprived EEG should be performed. As an EEG was performed after the first episode which was normal , is this not the same as having a sleep deprived EEG? Therefore could the suggested diagnosis be inaccurate?
Could his medication for acne have contributed? Lymecycline 408 mg daily.
My son plays at least 90 minutes of sport a day, doesn't drink or take drugs. His diet is extremely healthy as he's studying sports nutrition. His first episode was concluded as severe exhaustion & dehydration.
I've read that low sodium can cause vasovagal syncope & that low sodium can be a side effect of Lymecycline so he has stopped this medication , which he had taken for 6-12 months and we have increased the salt in his diet.
Hi. My name is***** and I am online and available to help you today. Thank you for your patience.
Do you have any medical problems or take any medications?
This is not an answer, but an Information Request. I need this information to answer your question. Please reply, so I can answer your question. I look forward to helping you.
Customer: replied 3 years ago.
The only medicine taken was that for acne which has already been mentioned
Thank you for that extra information.
You are correct in that a sleep deprived EEG is not the same as the EEGs your son has already had.
From what you have posted I do believe more information might be obtained by doing not only a sleep deprived EEG but a sleep study as well.
Does this meant that his current diagnosis is in error? That is hard to say but, from the data you have presented, I don't think so.
Juvenile myoclonus epilepsy can not be prevented, only treated, many times requiring some type of anti-seizure medication for the life of the patient.
Does this make sense to you?
I hope this information was helpful for you. But I do work for tips so I want to make sure you are happy with me before rating me. If you have another question on this or a related issue feel free to fire away. You may also receive an email survey after our chat, if you can please give me a “10” rating in all areas. It has been a pleasure to assist you today.
Thanks in advance,
Dr. Rick MD FACS
Dr. Rick, MD, Board Certified MD
Category: Medical
Satisfied Customers: 11414
Experience: 20+ years as a doctor. Internal Medicine Internship in NYC
Dr. Rick, MD and 4 other Medical Specialists are ready to help you
Customer: replied 3 years ago.
I'm disappointed for the following reasons;
1. I told you the query was about my son & I received a generic response asking if I was taking medication. If I was that would be irrelevant it was my son I was asking about.
2. Juvenile MYCLONIC epilepsy is the term not juvenile myoclonus epilepsy.
3. My question was whether if he wasn't sleep deprived could he still have another seizure. Not being a practitioner I didn't separate MYCLONIC which I now know is muscle twitching with a full blown seizure-( tonic clonic). I hoped you would have explained this.
4. How can an ophthalmologist credibly provide a response about epilepsy
I am sorry that you are disappointed.
I will opt out so that another expert, perhaps one with extensive experience in this issue, can assist you.
I wish you the very best.
I would be glad to help you, but you have already given a positive rating
Would you like to continue and rate positive as satisfied?
Customer: replied 3 years ago.
Your last sentence makes no sense!
We are only paid by ja for a positive rating.
You have already done that, so I would be glad to help with this as long as you know we are only paid per positive rating by ja, that's all.
Customer: replied 3 years ago.
if I ask for clarity I will be charged again?
Any charge problems can easily be sorted by you and customer service, as we have nothing to do with that.
This is a different expert; I am ready to work with you on this, and I am board certified in both internal medicine and integrative medicine, so I cover a lot of emerging science as well.
But I don't want to start on a post that is going to wind up having me work unpaid. It would be better if you found me my request on a new post if you don't want to rate gain on this one.
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