Douglas had his first tonic-clonic seizure at 14. The initial CT showed a small abnormality in the anterior left temporal lobe, probably caused by bleeding from abnormal blood vessels. The doctor decided to wait and see what would happen. Six months later Doug began to have complex partial seizures, and he was referred to us. We began administration of carbamazepine (Tegretol) and discussed the option of surgical removal of the malformation both for the control of seizures and because the malformation might bleed again.
The lesion was removed when Douglas was 15, one year after his first seizure. He is now completing high school. He’s on the basketball team, and he lives without seizures and without medication.
When we recently asked Doug how he felt about all that had gone on he replied, “It wasn’t any big deal. I didn’t like having my beautiful hair shaved off, but that’s all behind me now.”