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3 month old having seizures - 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 : 2004
Answered : 40 Questions
User :   What are all the causes of infant seizures?                                                       
Doctor :   Hi
User :   hi there
Doctor :   Ok
Doctor :   May I know the specific case?
Doctor :   Are you with me
User :   i'm here, sorry
Doctor :   Ok
Doctor :   I would like to know the specific case
User :   basically, our son started having seizures and we took him to our local hospital who said he had blood in his spinal fluid in his skull
User :   what i'ms curious about is what could be all the causes for that b/c we're not getting many answers here
Doctor :   Ok
Doctor :   May I know his age?
User :   3 mths
Doctor :   Ok
Doctor :   Since when is he having seizures?
Doctor :   Are you there?
User :   yea he started about 3 weeks ago
Doctor :   Ok
Doctor :   Now, whom did you consult neurologist or a Pediatric neurologist?
User :   actually both. we've had a team of extensive doctors
Doctor :   Ok
User :   the thing i'ms confused about is that they are investigating Shaken Baby (b/c its required by law here to do so)
Doctor :   So, I take it as a CSF examination was done by LP method
User :   and they did an MRI this morning on his neck. Am I right assuming that if he had been shaken by a caregiver that his neck would show damage? That its impossible for him to have SBS without a damaged neck?
Doctor :   Neck damage is not likely
User :   what do you mean?
Doctor :   due to shake by a caregiver
Doctor :   It is less likely
User :   but thinking of the physical nature of shaking a baby, if there was enough force for the head has "moderate trauma" that his neck would show some sign as well
Doctor :   Yes, it would show
Doctor :   a swelling in the area
User :   absolutely show? i mean, very apparent?
Doctor :   Yes, it shall
User :   I would agree! I mean, i not a doctor but it just logically makes sense that it would
Doctor :   now, coming to the problem like blood in the CSF
Doctor :   how was the CSF collected?
User :   what we're trying to figure out is how the head could have sustained such an injury but not have the neck show any damage
User :   they found it through CT scans
Doctor :   Ok
Doctor :   Traumatic cause is the likely possibility
User :   like bumping his head?
Doctor :   what was the treatment line suggested?
Doctor :   Yes, in children, that is possible
User :   we haven't got that far yet. he's on anti-sezure meds now but when you're waiting, ya know, you try to figure things out in every aspect before tests come back
Doctor :   it is a trauma
Doctor :   but how in what manner
Doctor :   is difficult to predict
User :   more likely a trauma, not shaken baby syndrome?
Doctor :   trauma in children can be in anyway
Doctor :   whlle sleeping, due to slight injury while handling
User :   they can obtain trauma while sleeping?
Doctor :   Yes, due to movements
Doctor :   not silent sleeping
Doctor :   it could be due to an external person
User :   as if he might've hit his head on his crib bar or something?
Doctor :   or due to the movement of the baby
Doctor :   but since it is 3 months
Doctor :   an external source is more likely
Doctor :   Yes, that is quite possible in crib bar
Doctor :   Rather than trying to figure out the cause
Doctor :   which is not that helpful
Doctor :   I would suggest you to figure out the treatment options
Doctor :   for that I recommend you to consult our Neurosurgeon
User :   ok
Doctor :   You can consult him by mail or phone
User :   ok thank you
Doctor :   and get the query answered more precisely
Doctor :   but you shall need to send the soft copy of the supporting reports as well
User :   ok thank you!
Doctor :   Thanks for consulting, bye for now
User :   i'm confident of the treatment he's receiving here, we're all just confused on what couldve happened
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