Conversation: The conversation between human and AI assistant.
[|Human|] Hi dr.! A 33 years female patient present a complain of sudden falling to the ground and with no loss of counsciousness....she falls and wakes up within a minute..no presence of aura.The problem started since she was 10 years old and there is no a family history of epilepsy or hx of head trauma. Doctors diagnosed it to be epilepsy and the patient was receiving phernobarbitone and carbamazepine! But now the patient reports of increased episodes of falling to the ground and inability to concentrate. All cranial nerves are intact. What could be the diagnosis to this??
[|AI|]  Here you have mentioned only one symptom that patient used to have a fall but It's difficult to say anything only from 1 symptoms so I would like to know further about her reports I suggest going ahead with MRI as well as ct of brain and check the report if that is normal then you also go ahead with electroencephalogram of brain to know the brain activity. Now suppose all reports are normal then it can also be related with low blood pressure or low sugar, so you may need to do a complete blood count test and check her blood pressure regularly. If your patient is not recovering with one particular doctor then I suggest to take a second opinion with one more euro physician.I have given general guidelines since the proper history of the patient is not available as well there is no report given here. Take care.