Abstract

Frontal lobe epilepsy (FLE) is a type of epilepsy in which recurrent seizures arises from the frontal lobes. It is important to characterize frontal lobe epilepsy and distinguish it from non epileptic seizures. In order to investigate therapeutic comprehensions of focal lobe epilepsy this case study was conducted. A 2 year old boy was presented in a private hospital, Islamabad, Pakistan with frontal lobe epilepsy. Chief complaint was fever and recurrent seizures, with the history of left sided focal fits. On the basis of his medical investigation the physician prescribed him ceftriaxone 100mg/Kg/day; acyclovir 100mg/Kg/day; Panadol suspension ( Paracetamol) 120mg/5ml/4hrs; phenytoin 180 mg diluted in 100cc Normal Saline over 1 hr as a loading dose; phenobarbitone 200mg diluted in 100cc Normal Saline over 1/2 hrs. Vital signs showed HR 136/min, RR 36/min and 101 °F temperature. Although therapy was effective in dealing with the chief complaint, but certain avoidable clinical errors were observed that required further optimization of the regimen.