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Should I continue giving seizure medicine to my daughter?
Answered by : Dr RK Sabharwal
Senior Consultant, Child Neurology & Epilepsy, Sir Ganga Ram Hospital, New Delhi
Q. My 9 years old daughter had a seizure 4 years back. It was diagnosed as neurocysticercosis (ring lesion in the parasagittal area and occipital lobe) and she was put on medicines. The last attack occurred 18 months ago. The doctor took an MRI 5 months ago, which was normal. After the MRI, her doctor discontinued all her medications. I have recently shifted to another city and consulted a doctor here. He told me to put my daughter back on her medication. I am quite confused after consulting this new doctor. Could you please tell me what to do now?
A.  I can understand your dilemma. Medicine is one field where divergent views are given occasionally, and these add to the confusion.

I would tend to agree with your first doctor. In any case, nowadays, we generally, barring special cases, give medicines for 2 years "fit-free" period and then gradually withdraw it.

In the case of neurocysticercosis (NCC), there is no requirement to continue treatment for 2-3 years if the MRI appears normal. Thus, in your child's case the 5 months old MRI is normal, and the last fit occurred 18 months ago.

My suggestion would be to contact your first doctor, thank him for the good advice, and plan to withdraw the medicine.
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