Patient's question:
Electroencephalogram, puncture, electrocardiogram, MRI, all done. It's said there's a bit of epilepsy but not confirmed. What's the reason? It's said the white blood cell count is a bit high, around 20, while the normal range is 9.Doctor's answer:
The diagnosis and examination of epilepsy cannot be separated. Epilepsy should be differentiated from syncope, pseudo-seizure attacks, narcolepsy, and hypoglycemia. It is not difficult to distinguish based on electroencephalogram (EEG), medical history, symptoms, and physical signs. Below are three examination methods for epilepsy:1. Lumbar puncture (CSF examination), which may show changes.
2. If it is secondary epilepsy, further examinations such as cranial CT, cranial MRI, MRA, and DSA should be performed to identify corresponding lesions.
3. EEG, BEAM, Holter (electroencephalogram, brain electric topography, ambulatory EEG monitoring): clear pathological waves, spikes, sharp waves, spike-slow waves, or sharp-slow waves can be observed.