1. ORGANIC PSYCHIATRY PRESENTATION BY DR. PERVAIZ AHMAD

2. CASE HISTORY Miss. Sadia Aslam, 12 years of age, a student of class 7 th un-married, R/O Shahdara Lahore, was referred to OPD, PIMH, Lhr. by a local family Physician for expert management. Before coming to this Institute she was seen by a number of local family Physicians, who diagnosed her a case of Epilepsy and every body started some anti-epileptic drugs but she deteriorated. When she presented in the OPD of PIMH she was having Epileptic fits daily.

3. GENERAL PHYSICAL EXAMINATION  A thin lean girl, with pale colour, rapid pulse, low grade fever and enlarged left sided cervical lymphnodes.  Tonic colonic grand mal epileptic fit.

4. INVESTIGATIONS  Hb12.00gm%  ESR (78mm/1 st HR)  Biopsy cervical lymphnodes chronic grannulomatus lymphadenitis chronic grannulomatus lymphadenitis  CT Scan brain left frontal neoplastic lesion. left frontal neoplastic lesion.  MRI acute haemorrage in left frontal region. acute haemorrage in left frontal region.  No fundoscopic abnormality.  No Neurological deficit.

5. DIAGNOSIS Tuberculoma causing epileptic fits. TREATMENT  ATT  Anti-epileptic drug (Carbamazepine)

6. CONCLUSION Epilepsy is a SYMPTOM not a disease.