Hello Doctor,
I recently visited my primary care physician and the ER, and they both mentioned that I likely have seizure activity. If I meet the criteria for focal epilepsy, can I still be diagnosed without an EEG or MRI? I don’t have the financial means to afford these tests, and I’ve heard that EEGs don’t always capture focal seizures. Also, an MRI is mainly for assessing brain structure. I’ve already had a CT scan, and it came back normal. What are my options for getting a diagnosis?
Hello,
Thank you for reaching out to Dr. Galen. Please find the below response to your query.
1. Your seizure type and localization can often be diagnosed clinically based on a detailed medical history and physical examination by a neurologist. While EEG and MRI/CT scans are commonly used to confirm the diagnosis, some cases of questionable epileptiform activity may require an EEG for better detection. However, an EEG may not always capture focal seizures, and an MRI is primarily used to assess structural abnormalities in the brain.
2. Given your financial concerns, it is essential to discuss alternative diagnostic approaches with your neurologist. They can determine the best course of action based on your symptoms and medical history. It is always advisable to follow the recommendations of the neurologist who evaluated you, as they can guide you on the most appropriate steps for diagnosis and management.
Thanks
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