The brain has a cerebral cortex which looks like the wiggly lines over the entire brain, covering all the lobes (frontal, temporal, parietal and occipital). The cerebral cortex controls thinking and voluntary movements begin in the cortex.

The frontal lobe is the part of the brain that controls important cognitive skills such as emotional expression, problem solving, memory, language, judgement, and sexual behaviours. It is the “control panel” of our personality and our ability to communicate. The right hemisphere of the frontal lobe controls the left part of the body, and vice versa.

The below link is a diagram of the human brain and and explanation of its structures.
https://www.webmd.com/brain/picture-of-the-brain#1

For your diagnosis, it sounds like they are talking about frontal lobe epilepsy which means you have focal/partial seizures that originate from your frontal lobe. I don't know if it means the seizures stay there as a partial seizure or continue to a generalised/tonic-clonic seizure. A tonic-clonic seizure is when you have a convulsion. You would know if you were having them. (I get them)

https://www.epilepsyqueensland.com.au/focal-sei...

https://www.epilepsy.com/learn/types-epilepsy-s...

"Epilipic potiential" is another way of saying seizure potential. Everyone, whether they have epilepsy or not, can potentially have a seizure under sufficient stress. People with epilepsy have a lower seizure threshold so they are more likely to have a seizure as we have more triggers than a standard brain.

"Focal cortical irritability" is another way to say focal/partial seizure onset ie. the seizure is about to begin.

Below is a link to information about EEGs and what it all means.
https://www.epilepsy.com/learn/diagnosis/eeg/ho...

Regarding the medication it is normal to wean off one as you go off another, or sometimes just remove it all together. It is seen as better to be on monotherapy (ie. one medication only) as there are less drug interactions and therefore potential side effects.

Vimpat is a brand name for Lacosamide, which is used to treat partial/focal seizures.
TroKendi is a brand name of Topamax (Topiramate) which is used to treat partial/focal seizures and primary generalised tonic-clonic seizures (ie. convulsions).

I hope this helps :)

I enjoy learning tidbits on Epilepsy. I do know a lot about it . But, I do find a little something I didn’t before. Like I tell may people . I’ve live Epilepsy my whole life, but I still find something new about it , here and there

I also enjoy researching certain topics of my interest.

@A MyEpilepsyTeam Member i like to learn stuff. my mom always said (and that was from an ad or something) 'knowledge is power'.

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A MyEpile...

ok ... if i am hearing you wright the 'intermittent and elipitform spike and sharp waves ' means epilepsy on a eeg or mri or something. bilateral means 2. frontal regions is your frontal lobe. more on the left is exactly that, more on the left side then the right. Intermittent is stopping for a certain time. Intermittent is stopping and starting.sharp contoured mean sharp marks. and the centropartietal head region is a part of the back lobes. morew on the left is just that, more on the left then the right.
so you have seizures and epilepsy 2 hemispheres frontal lobes but more on the left. sharp off and on marks (seizures) on the centro parietal lobe, mostly on the left.
focals (partial) seizures is one side is affected and not the other. cortical irritability is night time seizures. and epilipic potiential means a trigger or what starts the seizure.clincial significance means treatments to get back to normal. is recommended is the drs advice.
so you have focals (partials) seizures at night. the dr wants to treat you until you get back to normal or almost normal.
i am guessing you already started the treatment of weaning one med and adding another.

It sounds like there were some abnormal brain waves, even if you didn't have a seizure. When medication dosages are being lowered and new meds are being introduced, sometimes we don't have enough of the "best" medicine in our brain to control what's taking place. Write down your questions & concerns (about EVERYTHING!) and don't let your MD escape without escaping from the room! Shalom. Maire'