Question
My sister contracted encephalitis at the age of 6 and was left with post-injury epilepsy. She is now 21 years old. Recently, she experienced repeated seizures of epilepsy that caused high fever and coma. After treatment in the hospital, the fever slightly decreased, but she is still not very conscious (able to recognize people but talking incoherently). Three days ago, her condition worsened with deep coma. A brain MRI showed brain edema. Now, her eyes can briefly open when taking medication, but she has little consciousness. Most of the time, she remains in a comatose state without medication. What should we do now?
Answer
Epilepsy is a common neurological disorder that can occur at any age. The causes of epilepsy are very complex and may involve factors such as genetics, trauma, environment, mental health, endocrine disorders, medications, and immune system dysfunction. Currently, most epilepsy treatments are based on Western medications to control seizures. In the treatment of epilepsy, it is essential to tailor the treatment according to specific conditions and individual characteristics of the patient, particularly focusing on regulating effects and treating from multiple layers and points. This involves using pharmacokinetics and clinical pharmacology principles to target the lesion based on the patient’s clinical characteristics, designing individualized medication plans to improve therapeutic efficacy, avoid adverse reactions, and achieve ideal healing goals. In terms of medication use, it is still recommended to use traditional Chinese medicine for treatment.