Patient's question:
During episodes, the facial expression resembles crying and laughing, accompanied by head shaking, and both hands may be raised to wipe the face or bite the lips and fingers. Sometimes laughter is also emitted, and the eyes may roll back and blink. Episodes can occur while lying down, sitting, or standing, mostly before falling asleep and immediately after waking up. They may also occur during sleep. Upon waking, the person becomes highly agitated and stays awake for several hours. The episodes have been ongoing for about six months, initially occurring once a month, but now daily. The person has taken Topiramate, but it has been ineffective. Could this be epilepsy? If so, why hasn't the medication worked? If not, what other conditions could cause such symptoms?Doctor's answer:
Medical Analysis: The preliminary consideration is that the adverse behavior is caused by issues related to cranial nerves. It is often associated with factors such as cold exposure and infections. It may also be due to imbalances in daily diet and lifestyle. Additionally, it is necessary to rule out factors like cold exposure.Advice: Pay attention to strengthening exercise to enhance physical fitness. Also, properly regulate daily diet and lifestyle. Opt for a light and balanced diet, consuming more fresh vegetables and fruits. Minimize the intake of spicy, fried, and other stimulating foods. It is recommended to have a check-up at the Neurology Department of a children's hospital.