Epilepsy treatment by neurologist Ihor Stanislavovych Shkinder in Dnipro

Patients present with recurrent seizure episodes, impaired consciousness, sudden attacks, or complaints of behavioral changes that cause concern.

The physician conducts a thorough clinical assessment, carefully reviews the symptoms and medical history, and, when necessary, orders additional tests to clarify the causes of the symptoms.

The patient receives a clear and structured action plan: what to do in the current situation, which examinations are important to confirm the diagnosis, and how to monitor changes in their condition over time.

Special attention is given to the differential diagnosis of the causes of the attacks and to adjusting therapy with consideration of possible side effects, which helps maintain quality of life and reduce the risk of exacerbations.

When to See a Doctor

Seeing a neurologist is appropriate when symptoms or situations arise that cause concern and affect quality of life. Sometimes signs of nervous system disorders appear for the first time or change over time, and a consultation is needed to clarify the cause and determine the next steps. You should make an appointment with a neurologist if, with epilepsy, you notice:

• Recurrent seizure episodes or worsening of them
• Loss of consciousness or unusual states with disorientation
• Sudden involuntary movements or muscle jerking
• Feelings of confusion or difficulty concentrating
• Increased fatigue and weakness after seizures
• Symptoms that interfere with work, sleep, or daily activities
• Seizures appearing for the first time or recurring after a long time
• No improvement with self-treatment or after prescribed therapy
• Worsening of symptoms after severe stress or injury
• The need to adjust treatment because of new complaints or side effects
• Symptoms that occur in the context of other medical conditions
• Concern about changes in behavior or memory related to a neurological condition

If the symptoms or situations that arise raise questions, it is recommended not to delay a doctor’s consultation to clarify the cause and determine the best course of action. When you seek care, the specialist will consider all aspects of your condition and help choose further examinations and possible treatment options.

Emergency situations, or when you need to see a doctor urgently

• A sudden and severe deterioration in consciousness or no response
• The abrupt onset of seizures that do not stop or occur one after another
• Seizures accompanied by difficulty breathing or bluish discoloration of the face and extremities
• Sudden speech impairment, weakness, or numbness on one side of the body
• Repeated severe attacks that cannot be stopped on your own

If you have these symptoms, do not wait for a scheduled appointment and seek emergency care. Our clinic offers a doctor home-visit service to assess the condition and provide the necessary support.

Causes and Risk Factors in Epilepsy

In this section, we will discuss possible causes of epilepsy and the factors that may increase the risk of developing it or worsen its course. Understanding these points helps the doctor determine what is important to check and consider when planning treatment.

Main Causes / Mechanisms (Briefly)

• Damage to the brain after injury or infection
• Disorders in the function of nerve cells and their interactions
• The influence of hereditary factors that may increase susceptibility to seizures
• Diseases of the central nervous system associated with changes in the structure or function of the brain
• Metabolic disorders affecting the functioning of the nervous system

Risk Factors

• Family history of epilepsy or seizure disorders
• Previous traumatic brain injuries
• Viral infections or inflammatory processes in the brain
• Chronic diseases affecting the nervous system
• Age — more common in children and older adults
• Stress and prolonged sleep deprivation
• Use of certain medications or substances that affect brain function
• Presence of other neurological disorders or episodes of loss of consciousness

Reversible Causes That Need to Be Ruled Out

• Electrolyte imbalances (for example, low calcium or sodium levels)
• Acute infection or inflammation of the brain
• Side effects of certain medications or discontinuation of treatment
• Acute intoxication with substances affecting the nervous system

Epilepsy is a complex condition with many possible causes and contributing factors. A doctor’s consultation and the necessary examinations are required for an accurate understanding of the situation.

Diagnosis

The diagnosis of epilepsy is aimed at identifying the causes of seizures and understanding the specific features of each patient’s condition. This process helps shape a plan for evaluation and follow-up without rushing or causing unnecessary worry.

Diagnostic approach

• Taking a detailed medical history, including a description of seizures and symptoms
• Neurological examination to assess nervous system function
• Ordering basic tests as indicated to clarify the condition
• Additional studies when needed for a more accurate understanding of the situation
• Reviewing the results and forming a preliminary plan for further evaluation and treatment
• Discussing possible directions and next steps in diagnosis with the patient
• Monitoring changes and adjusting the plan during follow-up

Typical tests as indicated

• Electroencephalography (EEG) to assess the brain’s electrical activity
• Brain MRI to detect structural changes
• Blood laboratory tests to rule out metabolic disorders
• Sleep monitoring and video EEG in complex cases
• Other methods at the physician’s discretion depending on the clinical situation

What to bring to the appointment

• Results of previous examinations and imaging studies, if available
• A list of medications currently being taken, including dosages
• Notes or descriptions of seizures, if a symptom diary is being kept
• Medical records related to coexisting conditions
• Questions and points you would like to discuss with the doctor

Diagnosis of epilepsy is a comprehensive, step-by-step process that requires attention and time for accurate assessment and selection of further management.

Treatment

Treatment for epilepsy is aimed at reducing the frequency and severity of seizures, improving quality of life, and preventing possible complications. The treatment plan is selected individually and depends on the specific features of the condition, requiring a doctor’s evaluation and adjustment as indicated.

Goals of therapy

• Reducing epilepsy symptoms and seizure frequency
• Correcting possible causes or associated disorders
• Preserving or improving brain function and daily activity
• Preventing complications and worsening of the condition

Main treatment approaches

• May include medication therapy to control symptoms
• Possible use of rehabilitation and physiotherapy methods as indicated
• Non-drug approaches tailored to the patient’s individual characteristics
• Support and lifestyle adjustments to reduce triggering factors
• Assessment and treatment of associated problems in view of the overall clinical picture

What the doctor does

• Selects and adjusts treatment based on the patient’s response and tolerability
• Takes into account comorbidities and the specifics of the condition
• Monitors side effects and changes the treatment strategy if necessary
• Explains the criteria for evaluating treatment effectiveness to the patient
• Coordinates care with other specialists if needed

What to expect: plan and follow-up

• Assessment of treatment effect depending on individual characteristics
• Adjustment of the treatment plan if the desired result is not achieved or if side effects occur
• Regular follow-up visits to monitor changes in the condition
• Individualized approach to the timing and extent of follow-up as indicated

To create an individualized plan, please schedule a consultation with Dr. Igor Stanislavovich Shkinder.

Prevention

Prevention is important in epilepsy to reduce the risk of seizures and improve overall well-being. The prevention plan is selected individually, taking into account the patient’s characteristics and the course of the condition.

Main measures for primary prevention

• Reducing exposure to stress factors and getting adequate rest
• Controlling and promptly treating comorbid conditions
• Avoiding head injuries and other situations with a high risk of trauma
• Giving up harmful habits that affect the nervous system
• Maintaining a regular sleep schedule and allowing sufficient time for recovery

Screening and secondary prevention / regular monitoring

• Regularly monitoring the effectiveness of the prescribed treatment as indicated
• Discussing with a doctor the need for periodic examinations
• Monitoring changes in condition and the appearance of new symptoms
• Assessing factors that may affect the course of epilepsy, according to the specialist’s recommendations

Practical tips

• Carefully record any symptoms and seizures to discuss with your doctor
• Maintain a healthy lifestyle and moderate physical activity as appropriate
• Discuss medication adjustments with your doctor if side effects occur
• Avoid situations that may trigger a worsening of the condition
• Seek medical advice promptly if your health changes

Preventive measures help maintain a stable condition in epilepsy and reduce the risk of complications through an individualized approach and regular medical follow-up.

Important to Know

Treatment for epilepsy requires a comprehensive approach and an understanding of each patient’s individual characteristics. It is important not only to reduce symptoms, but also to identify the causes and factors that influence seizure occurrence. Early assessment helps determine the right treatment strategy and reduce the risk of complications. In some cases, long-term monitoring and adjustment of the treatment plan may be necessary, taking into account changes in the patient’s condition and external factors. Treatment follow-up and general recommendations help maintain quality of life and reduce risks.

• Identifying the cause and triggering factors helps choose an effective treatment strategy
• Early consultation reduces the risk of complications and disease progression
• Ongoing monitoring is important for adjusting the treatment plan and assessing effectiveness
• Factors such as stress, physical exertion, and sleep disruption can affect the course of the disease
• Self-treatment can complicate diagnosis and lead to unwanted effects
• The doctor takes into account comorbidities and individual characteristics when selecting treatment

Detailed information about the causes, diagnosis, and treatment options for epilepsy can be found on our general page. If you have any questions or notice any changes in your condition, it is recommended to consult a specialist for evaluation and treatment adjustment.

Self-Help Before the Appointment: What to Do and What Not to Do

Before an appointment for epilepsy, it is important to follow safe measures that will help you prepare better for the consultation and avoid worsening your condition. If your symptoms worsen, seek urgent medical attention from Dr. Igor Stanislavovich Shkinder.

What you can do before the appointment

• Write down the time and circumstances when the symptoms began, as well as what makes the condition worse or better
• Keep a symptom diary describing the intensity of symptoms and possible triggers
• Bring a list of all medications you are taking, including dosages if known
• If possible, measure and record your blood pressure, pulse, and temperature
• Rest and reduce physical exertion to avoid provoking seizures
• Drink enough water to prevent dehydration
• Prepare notes about any comorbid conditions and previous examinations
• Maintain a regular sleep and rest schedule in the days leading up to the visit

What not to do before the appointment

• Do not stop or change prescribed medications without consulting your doctor
• Do not start new medications or remedies without discussing them with your doctor
• Do not rely on folk remedies or unverified advice for treatment
• Do not interpret test results or scans on your own
• Do not postpone your visit if symptoms worsen or new symptoms appear
• Do not disregard the specialist’s recommendations or prescribed treatment
• Do not expose yourself to stress or situations with a high risk of injury
• Do not use alcohol or substances that may affect brain function

If signs of an emergency appear, contact Dr. Igor Stanislavovich Shkinder immediately.

How I can help as a doctor with epilepsy-related concerns

During an epilepsy consultation, I can help you in the following ways: understand the causes and characteristics of symptoms, assess the condition, and choose the right management approach. It is important not to focus only on symptom treatment, but to consider all aspects of the illness and the impact of associated factors. Next, we will develop a plan for examinations, treatment, and follow-up that will be safe and effective specifically for you.

• I analyze symptoms and medical history to identify possible causes of seizures
• I assess symptom severity and health risks for the patient
• I review current prescriptions and evaluate medication tolerability
• I create a plan for next steps: indicated tests, treatment, and monitoring
• I take comorbidities and medications into account for a comprehensive approach
• I provide recommendations on routine and lifestyle based on individual characteristics
• I discuss criteria for monitoring progress and when to return for follow-up
• I perform an initial assessment of possible causes to clarify the diagnosis and rule out other options
• I adjust therapy if the effect is insufficient or side effects occur

During the consultation, I focus on comprehensive care and prevention of complications, helping to organize follow-up and timely adjustment of the treatment plan. This approach makes it possible to control the condition more effectively and reduce the risk of recurrence.

What Questions Can You Ask a Doctor About Epilepsy

At an appointment for epilepsy-related concerns, you can discuss with Igor Stanislavovich Shkinder issues such as identifying the causes of seizures and episodes of altered consciousness, assessing the frequency and nature of seizures, concerns about the lack of effect from current treatment, as well as recommendations for lifestyle changes and symptom control. The doctor will help clarify possible associated conditions and provide advice on monitoring and prevention. If there is a sudden worsening of consciousness, frequent seizures, or difficulty breathing, emergency care is needed — do not wait for a scheduled appointment.

• Identifying the causes of seizures and their frequency
• Assessing lost or altered consciousness
• Help with recurrent or worsening symptoms
• Reviewing current therapy if it is not effective enough
• Discussing comorbidities and their impact
• Help with planning recovery and supportive therapy
• Consultation for repeated seizures after injury or stress
• Explaining criteria for symptom control and timing of examinations

A neurologist’s appointment includes a comprehensive review of the situation and selection of the best management strategy within the specialist’s scope. In life-threatening situations or sudden deterioration, referral to a specialized facility for emergency care will be required.

1. What is happening to me, and what could it be?
2. Why did the seizures start now?
3. How can I tell whether this is related to epilepsy or another problem?
4. What examinations do I need specifically?
5. Which tests and investigations are mandatory in my situation?
6. How should I prepare for upcoming tests and the doctor’s visit?
7. What treatment options are available, and how do they differ?
8. Can this condition be fully cured, or will it require lifelong follow-up?
9. Why is the prescribed treatment not producing the expected result?
10. Is it possible to manage without medication or surgery?
11. How long does treatment usually last, and how often are follow-ups needed?
12. What signs indicate that the condition is improving or worsening?
13. What should I do if my condition suddenly worsens or I have a seizure?

Understanding your questions and concerns during the appointment helps you discuss the situation in more detail and develop an action plan. If necessary, the doctor will refer you to specialists in other fields or recommend additional examinations for an accurate diagnosis and effective treatment.

How the Consultation Works

A neurology consultation for epilepsy includes reviewing symptoms, assessing the current condition, and creating a plan for next steps. The scope of any required examinations is determined individually and depends on the symptoms and medical history. During a single appointment, the doctor performs an initial assessment to understand which steps are important for clarifying the diagnosis and treatment.

1. Clarifying complaints and the purpose of the visit: we discuss what exactly is troubling you, when the symptoms started, and what makes the condition worse or better
2. Collecting medical history and risk factors: we identify past injuries, infections, hereditary factors, and other health conditions
3. Reviewing previous treatment and examinations: we ask you to bring test results, scan images, and a list of medications you are taking
4. Performing an examination and basic tests if indicated, to assess the nervous system and rule out urgent problems
5. Formulating a preliminary assessment — determining possible causes and tasks for further clarification
6. Discussing the examination plan, which may include electroencephalography (EEG), brain MRI, blood tests, and other studies as indicated
7. Developing an overall treatment and follow-up plan, with an emphasis on symptom control and reducing the risk of seizures
8. Discussing the timing and format of follow-up visits, as well as criteria for effectiveness and warning signs that require a return visit

If this is the first visit, special attention is given to identifying possible causes and collecting a detailed medical history. If previously prescribed treatment has not been effective, the consultation focuses on analyzing the reasons and adjusting the treatment plan to improve symptom control.

This approach helps build an understanding of the current situation and determine the best next steps without unnecessary haste, taking into account each patient’s individual characteristics.

Preparing for the Appointment

To make a neurology consultation for epilepsy as effective as possible, it is important to prepare in advance and gather the necessary information. This will help the doctor understand your condition more quickly and create a plan for further examination or treatment.

• Bring a list of all current medications, including names and dosages if you know them
• Bring the results of previous examinations, scans, and tests, including MRI, EEG, and laboratory results
• Write down your main complaints: when the symptoms start and what makes them worse or better
• Do not stop taking any medications prescribed by your doctor without consulting them first
• If you have a symptom diary, bring it with you for a better assessment of the situation
• Take your medications as usual unless you have received different instructions
• Come without makeup or jewelry if additional examinations are planned (if needed)
• If you are unsure about preparation, уточните details when booking or at the registration desk
• You may drink water as usual; there are no special dietary restrictions unless advised otherwise

If you have been advised to come on an empty stomach, fast for 8–12 hours and уточните the details when booking. This applies if the doctor orders specific tests or examinations.

When preparing for the appointment, it is important to gather as much information as possible about your condition so that the consultation will be useful and informative. Do not change your medication without first consulting a specialist.

About the Doctor

Igor Stanislavovich Shkinder is a neurologist of the highest category with over 20 years of experience. He specializes in working with patients who need evaluation of both initial symptoms and chronic conditions, support during recurring episodes, and treatment adjustment when the desired effect is not achieved.

The doctor places particular emphasis on the differential diagnosis of the causes of epilepsy and on tailoring therapy with consideration of comorbidities. During the consultation, you will receive a clear explanation of your situation and a plan for next steps aimed at improving control of the condition.

Why Patients Choose Dr. Igor Stanislavovich Shkinder

Choosing a doctor for epilepsy treatment is important for accurately understanding the condition and developing an effective strategy. Igor Stanislavovich stands out for his systematic approach to diagnosing and managing patients with different forms of the disease. He takes into account all factors affecting quality of life and develops treatment plans based on individual characteristics and coexisting conditions. Patients value his ability to analyze complex cases and explain the treatment plan in simple terms. In our clinic, patients may bring the results of previous examinations — the doctor carefully reviews them, which helps speed up the selection of the right treatment plan.

• A clear treatment plan with step-by-step guidance: what is done now, what is monitored, and when the next appointment is
• Tests and examinations only when clinically indicated, which reduces unnecessary procedures and saves the patient’s time
• Consideration of comorbidities and current medications to ensure safety and maximize treatment effectiveness
• Monitoring of the condition’s progression and quick treatment adjustments if there is no effect or side effects occur
• Review of previous prescriptions and assessment of medication tolerance for a more precise selection of therapy
• Explanation of treatment goals and possible risks in accessible language, without excessive medical terminology
• Ongoing patient management with regular monitoring and treatment adjustments as needed
• Experience working with complex and chronic cases, including patients with multiple coexisting health issues

This approach makes it possible not only to treat epilepsy systematically, but also to create transparent and understandable conditions for the patient. This is important for long-term control of the disease and reducing the risk of complications.

Case Studies

Initial Presentation with Recurrent Seizures

A middle-aged patient presented with complaints of episodic convulsive seizures and loss of consciousness. It was important to identify possible causes, including trauma and infections, as well as rule out other neurological disorders. A thorough review of the medical history, physical examination, and a basic set of tests, including electroencephalography, were performed. Over time, it was possible to stabilize the frequency and severity of the seizures. Further follow-up included symptom monitoring and treatment adjustment as indicated.

Treatment Adjustment Due to Insufficient Response

A young woman came in with complaints of ongoing seizures despite previously prescribed treatment. The lack of improvement and possible side effects were concerning. The physician conducted a comprehensive review of the current treatment regimen, assessed drug tolerability, and considered associated factors. After treatment adjustment, the frequency of seizures decreased and her overall condition improved. Regular follow-up with monitoring of progress and additional testing if needed was recommended.

Chronic Epilepsy with Comorbid Conditions

An elderly patient was seen for consultation with a long history of the disease and concomitant cardiovascular conditions. It was necessary to consider the impact of these comorbidities on the overall treatment strategy and safety of therapy. An analysis of the combined risk factors was performed, and the treatment regimen was adapted to account for the associated illnesses. At follow-up visits, the patient’s condition remained stable, and quality of life improved. Ongoing monitoring and maintenance therapy continue.

Exacerbation of Symptoms Under Stress

A middle-aged patient reported a sudden increase in the number of seizures after severe stress. It was important to rule out acute conditions and assess the overall impact of external factors. The treatment plan was adjusted with an emphasis on reducing triggers and increasing monitoring. Based on follow-up, the symptoms became less pronounced. Regular evaluation and supportive management are planned.

Complex Case with Atypical Symptoms

A young man presented with unusual symptoms that required careful differential diagnosis. It was necessary to rule out other neurological and psychosomatic conditions. An expanded history was taken, additional tests were performed as indicated, and changes were monitored regularly. Over time, the cause was identified more precisely, and appropriate measures were selected to stabilize the condition. Follow-up continues with the aim of minimizing risks and improving well-being.

How long does the consultation last?

A consultation usually takes 30–60 minutes; please уточните the exact duration when booking.

How should I prepare for the appointment?

It is recommended to write down your symptoms and questions, and also prepare any documents and a list of medications.

What should I bring to the appointment?

Please bring the results of previous examinations, scans/images, discharge summaries, and a list of the medications you are taking.

Do I need to come on an empty stomach?

Usually not, unless otherwise specified when booking.

How many visits are usually required?

The number of visits depends on the specific situation and treatment plan and is determined individually.

When can I expect the first results of treatment?

This depends on the chosen therapy and the characteristics of the condition; timelines are discussed during the appointment.

What should I do if my condition gets worse before the appointment?

If your symptoms worsen or dangerous signs appear, seek emergency medical care.

Can treatment be combined with my current medications?

We will discuss compatibility and any possible changes safely during the consultation; do not change your medications on your own.

Can I have an online consultation?

Yes, an online consultation is possible provided that the necessary information is available and your condition is stable.

Can I come with tests/examinations already done?

Yes, please bring the results of your examinations to speed up diagnosis and treatment planning.

Do I need to come back for follow-up visits, and how often?

Follow-up visits are scheduled depending on how your condition changes and on the treatment plan.

Can I get a second opinion?

Yes, the doctor is ready to review your case and help assess previous prescriptions.

What should I do if symptoms return after improvement?

It is recommended to schedule a consultation to assess the situation and adjust the therapy.

What tests and examinations are needed?

The list depends on the specific situation; the doctor will prescribe them as indicated after the examination.

Can I refuse examinations?

You can refuse them, but this may affect the accuracy of diagnosis and the effectiveness of treatment.

How can I tell whether the treatment is working?

Effectiveness is assessed by a reduction in the frequency and severity of symptoms, as well as the patient’s overall well-being.

Do I need to report side effects?

Be sure to inform the doctor about any adverse reactions so the therapy can be adjusted.

Can I change the treatment regimen on my own?

No, any changes should be made under medical supervision to ensure safety and results.

How do I make an appointment?

Contact the clinic reception in the most convenient way — by phone or online.