Question
The patient has developed particularly low platelet levels after taking medication, despite other physiological functions such as normal deep sleep, urination, and a slightly underweight condition. The symptoms, including tongue protrusion, difficulty breathing, and purple discoloration, first appeared nine years ago after an outburst of anger. In September this year, the symptoms recurred frequently, and acupuncture treatment was received during the episodes. Laboratory tests showed normal urine, but the name of the medication was not specified; it was a white tablet, initially taken at one tablet per day, later increased to two tablets. After recurrence, the platelet levels were abnormally low. Assistance is sought to control tongue protrusion symptoms and to assess the possibility of epilepsy.
Answer
It is recommended that the patient go to the hospital for a detailed examination, including an electroencephalogram (EEG), brain electrical activity mapping (BEAM), and dynamic EEG monitoring (Holter) to clearly determine the presence of pathological waves, spikes, sharp waves, spike-slow waves, or sharp-slow waves. If secondary epilepsy is found, further examinations such as cranial CT, cranial MRI, MRA, and DSA should be conducted to find possible lesions. Epilepsy is closely related to chemical substances in the human body, and neurobiochemistry plays an important role in elucidating the pathogenesis of epilepsy at the molecular level.