Hello doctor, An 18-year-old female lying in bed with no stimulus like TV and has a laughing fit. She cannot stop laughing, then could not breathe, so she had a panic attack and began crying. She has had similar situations about once per year for the last four to five years. Can this be a gelastic seizure? She is underinsured and would like to do nothing, but if it is likely something dangerous causing it she will have to see someone. Medications: Depo shot q three months for birth control, Vyvanse (Lisdexamfetamine) for ADHD taken in the past sometimes prescribed as high as 90 mg per day. She is not taking now as she has graduated high school and does not think she needs it when not in school.
Hello. I would like to know if she has strange behavior during all the time, fluctuations in her mood, sometimes cries and sometimes feels euphoric? If she stays alone time after time feeling depressive and other times trying to attract the other's attention, being euphoric and impulsive? In such a case, I would think about a psychiatric disorder. Otherwise, I would recommend performing an EEG (electroencephalogram) in order to exclude possible elastic seizures. A brain MRI (magnetic resonance imaging) would be necessary too. I hope this helps.