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Pharma Congress 2018 & Molecular Medicine 2018
& Psychiatric Disorders 2018 Asian Journal of Biomedical and Pharmaceutical Sciences | ISSN: 2249-622X| Volume 8
International Conference on
PHARMACEUTICS AND NOVEL DRUG DELIVERY SYSTEMS
19th International Conference on
CELLULAR AND MOLECULAR MEDICINE
19th Annual Congress on
PSYCHIATRY AND PSYCHIATRIC DISORDERS
&
&
OF EXCELLENCE
IN INTERNATIONAL
MEETINGS
YEARS
Mohammed Zubayer Miah, Asian J Biomed Pharmaceut Sci 2018, Volume 8 | DOI: 10.4066/2249-622X-C3-007
A CASE REPORT OF AN EPILEPSY
PATIENT IN BANGLADESH
Mr. A, 50 years old, graduate,unemployed, middle aged person hailing
from a low socioeconomic family of rural area from a northern District
of Bangladesh. He complaints of convulsion two to three times per week for
about one & halh year. According to care giver(Wife), convulsion is associated
with unconsciousness, trauma in different parts of the body during fall, frothy
discharge through mouth. Convulsion is aggravated during long wakeful night.
There is no family history of any psychiatric or neurological abnormalities. He
was resonably well during childhood. He has two daughters. No significant
history of medical illness. He is smoker but no history of any other substance
use. He is extroverted. He used to play cards in leisure time. General physical
examination was revealed normal. Systemic examinations including nervous
syestem was normal. Routine investigations was normal. CT scan & MRI was
revealed normal. EEG was revealed slow wave. Mental state examinatin was
revealed: Middle aged person with average body build, kempt, appearance &
behaviour was normal, social behaviour was maintained, eye to eye contact
was present, rapport was established. Speech was normal in rate, rythom &
volume. Mood was euthymic. There was no suicidal or obsessional thought.
He was conscious, oriented to time, place & person. His memory was intact,
his gudgement was intact. His insight was present. Diagnosis was Generalized
Tonic Clonic Seizure.
I started oxcarbazepine 300 mg single dose orally for seven days. After one
week, he came to me and complaints that convulsion occured one time only
but experienced no side effects of drug. Then I advised to take oxcarbazepine
300 mg bid & told him to come after one months. There was no history of
convulsion after one month. At the time of third visit, I advised him to take
medications withe 600 mg daily for 3 years. After 2 two years he came to me
& was happy to say that he had no convulsion till now.
In conclusion it is observed that oxcarbazine is also effective in Generelized
Tonic Clonic Seizure as well as Partial Seizure.
Biography
Mohammed Zubayer Miah completed MBBS de-
gree in 2009 from Rajshahi Medical College, Ra-
jshahi, Bangladesh. He completed post-graduation
degree M.Phil (psychiatry) in 2009 from Banga
Bandhu Sheikh Mujib Medical University, Bangla-
desh. He had been serving under Ministry of health
& family welfare of Bangladesh Government since
2003. He worked as a consultant in Mental Hospi-
tal, Pabna, Bangladesh for about 5 years. His pres-
ent position is assistant professor of psychiatry &
serving for about 8 years in Pabna Medical College
& Shaheed Taj Uddin Ahmad Medical College of
Bangladesh. He delivers specialist consultation &
clinical service to the mentally ill patients including
women & children at both tertiary level & communi-
ty level on inpatient & outpatient basis. He organis-
es workshops, seminars & symposium on mental
health issues in home & abroad. He involves in re-
search programs especially on community mental
health issues.
Mohammed Zubayer Miah
Shaheed Tajuddin Ahmad Medical College
Bangladesh