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Epileptic attacks in a child - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Child Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2305 Questions
User :   Our son had his first seizure at 1 and a half years old. He is now 2 1/2 and it continues. The neurologist can only tell us that it's probably breathholding spells and he should outgrow the seizures. We are not convinced that this is the issue. Could it have something to do with his heart?
Doctor :   Hi
User :   Thank you
Doctor :   seizures are not due to heart issues
User :   Any suggestions?
Doctor :   and kids of that age do tend to hold their breath on and off
Doctor :   does he have any other issues like shortness of breath, inability to sleep etc ?
User :   It's almost as if he knows it is going to happen prior to...
User :   No issues that you have listed. I have learned to tell when it is going to happen because of his scream.
Doctor :   ok
Doctor :   in that case, it is definitely a form of complex partial seizures
Doctor :   that is epilepsy
Doctor :   the scream that you mentioned, is a classic feature of this conditon
User :   Wouldn't they have been able to tell us that from either the EEG's, CAT scan, or MRI? How do we confirm?
User :   Is there medication or how to treat?
Doctor :   yes they can definitely confirm via an EEG
Doctor :   yes, antiepileptic medications , like carbamazepine or valproate can be used to treat such epileptic episodes
User :   We had a EEG about an hour and another 24 hr EEG andthey found nothing is that normal?
Doctor :   yes,
Doctor :   these should be taken at the time of the episode
User :   How do we manage that? They are so random.
Doctor :   usually epilepsy has been studied and researched extensively
Doctor :   and most of the time, the diagnosis is based on clinical findings and improvement post therapy
Doctor :   diagnostics like EEG, can miss some findings when the episodes do not occur when the kid is being monitored
Doctor :   presence of clinical seizures and co-presentation of behavioral issues like breath holding - is good enough to make a diagnosis and initiate treatment
User :   Will he be ok if he isn't put on any meds? Do we need to worry about any type of lasting effects?
Doctor :   no there will be no effects of any kind
Doctor :   the kids eventually grow out of it , and will not affect any mental or physical developmental aspects of growth
User :   Thank you for your help and time
Doctor :   In case of doubt, you can make a video recording , of the episode
Doctor :   and then your doctor can evaluate it
Doctor :   and this can be reassuring to you
User :   We will try to do that - Thank you again.
Doctor :   you are most welcome
Doctor :   take care and have a good evening
Doctor :   bye for now
User :   You have a good evening as well
Doctor :   thank you very much
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