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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Blackouts. Done Epilepsy Tests. What Is The Reason?

My daughter has approx 10-15 of the following a day. She has blackouts where she cant see and they last about 10 seconds and her pupils go small while she has these, She is 14 and has been having these for about 2 years.We have seen doctors about this and had epilepsy tests, but nothing has come up..Does anyone have any idea on this?
Mon, 6 May 2013
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Neurologist 's  Response
Hi,
Based on your history it seems that your child had repeated episodes of occipital seizure(Benign occipital epilepsy) where child can have black outs and pupil go small at that time .EEG can be normal in 50% cases.MRI brain epilepsy protocol to be done .She also requires evaluation from cardiologist for 2D echo and ECG.Also complete blood picture with ESR also needed to rule out anemia, polycythemia and leukemia.Once cardiac and blood parametes are normal she can be empirically started on oxecarbamazepine after consulting neurologist and see for the response to it.
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Has Blackouts. Done Epilepsy Tests. What Is The Reason?

Hi, Based on your history it seems that your child had repeated episodes of occipital seizure(Benign occipital epilepsy) where child can have black outs and pupil go small at that time .EEG can be normal in 50% cases.MRI brain epilepsy protocol to be done .She also requires evaluation from cardiologist for 2D echo and ECG.Also complete blood picture with ESR also needed to rule out anemia, polycythemia and leukemia.Once cardiac and blood parametes are normal she can be empirically started on oxecarbamazepine after consulting neurologist and see for the response to it.