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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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1 Year Child, Suffering From Fits For 3 Time. Normal MRI,EEG. Should We Meet Neurologist Or Pediatric Neurologist?

My daughter Aradhya (Age - 1 Year) is having fits for the third time. First time happend when she was 6 months old. First time when it happend she was not having any fever. So doctors suggested to take EEG and MRI. When last time it happend we took EEG at Lourdus Hospital, Vaduthala and MRI at amritha institute of medical scinence. Both were normal at that time. Dr's advised us to keep her under observation. After that yesterday it occoured 2 times. This time she was having slight fever. They Didn't give any medications. Whome should we meet neuroligist or pediatric neurologist ?
Thu, 2 May 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query on Healthcare Magic.

As she already developed 3 episodes of seizures at various ages which are associated with mild fever once and the other 2 episodes not associated with fever, it requires your child require further evaluation and medication to prevent seizures on long term basis.

In addition to MRI brain and EEG, she needs metabolic evaluation like serum calcium, glucose, electrolytes, and other metabolic profile after consulting the Pediatrician.

And consult a Pediatric neurologist for the detailed review of her complaints, examination and treatment.

Hope I have answered your query.

Regards.
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Pediatrician,  Dr. Y V Siva Sankara Murty's  Response
Hi,

Thanks for writing to health care magic.

Seizures occurring with fever in children are called febrile seizures and do not require continuous medication. But if seizures occur several times with out fever then continuous antiepileptic medications may be required.
Clobazam and paracetamol are prescribed normally to be used during a episode of fever in a child with febrile seizures.
Continue to ask further queries as required.
Hope this helps.
Take care.
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1 Year Child, Suffering From Fits For 3 Time. Normal MRI,EEG. Should We Meet Neurologist Or Pediatric Neurologist?

Hi, Thank you for your query on Healthcare Magic. As she already developed 3 episodes of seizures at various ages which are associated with mild fever once and the other 2 episodes not associated with fever, it requires your child require further evaluation and medication to prevent seizures on long term basis. In addition to MRI brain and EEG, she needs metabolic evaluation like serum calcium, glucose, electrolytes, and other metabolic profile after consulting the Pediatrician. And consult a Pediatric neurologist for the detailed review of her complaints, examination and treatment. Hope I have answered your query. Regards.