It's interesting to see how common it is for neurological disorders like epilepsy to be co-morbid with psychiatric illness. Lucky bipolar & epilepsy often have the same medication treatment! I think TLE is actually a differential dx for bipolar?
I'm going to try to get my MRI & take it in for my pdoc to view.
The weirdest thing is the neurological sx I had were not consistant with the site of the lesion but more indicative of migraine, visual to motor to verbal sx matches the theory for cortical spreading depression, which is a type of electrical discharge in the brain spreading from the occipital to parietal to frontal lobe that some suggest is the cause of migraine aura (I've like self researched this so I'm not sure if I've understood everything 100%).
The neurologist thought the finding was incidental & older, I may have had it since birth.
__________________
Dx: Bipolar II, GAD, past substance abuse, temporal lobe epilepsy.
Rx: Lamotrigine 125mg, Sertraline 50mg, Clonazepam 0.5mg prn.
|