Your child is suffering from both agyria and pachygyria , hence the term Agyria Pachygyria complex
.This is diagnosed radiologically by MRI brain .
Pachygyria is a congenital malformation of the cerebral hemisphere
. It results in unusually thick convolutions of the cerebral cortex
. Typically, children have developmental delay and seizures, the onset and severity depending on the severity of the cortical malformation. Infantile spasms
are common in affected children, as is intractable epilepsy.
Agyria is the congenital malformation or absence of the convolutions of the cerebral cortex. Also called lissencephalia.This also produce intractable epilepsy
Your child is already on 2 antiepileptic drugs .Dose has to be titrated as per his body weight , once dose reached at the maximum then third drug to be added.Clobazam will be the next drug of choice.For all these you need to consult Neurologist/ Pediatric neurologist.Dont worry ,hope his seizures are controlled.Meantime start him on ketogenic diet
( diet with low carbohydrate and high fat content)
Dr Sandhya Manorenj
Hi Tech city Hyderabad