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My son is 6 months old. He began having seizures

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Posted on Sun, 17 Mar 2019
Question: My son is 6 months old. He began having seizures when he was 2 months old, 10 days after his two month vaccinations. His first hospital visit they did a spinal tap and MRI which came back normal. They also performed an EEG (after giving him medication to stop the seizures) which showed mild activity. They did metabolic testing which came back normal. We also did genetic testing through Invitae which came back negative. During his episodes usually his eyes roll to the side or up, his body gets stiff, his arms go up, sometimes he has chewing motions with his mouth or twitches. He doesnt lose consciousness or stop breathing. They typically last 10-30 seconds. He takes 1.9ml of Keppra 3 times per day and 2ml of Trileptal 2 times per day. We also give him CBD oil once per day. His seizures have gone from 30 per day to 10-15 per day since being on the medication but have not shown improvement since. We are at a loss. His doctors seem unconcerned and as first time parents we are very concerned for our son. I%E2%80%99m looking for recommendations on where to go from here.
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Answered by Dr. Erion Spaho (7 hours later)
Brief Answer:
Seems a case of benign childhood seizures.

Detailed Answer:
Hello and welcome to " Ask a Doctor" service.

I have read your query and here is my advice.

It is normal to be concerned especially when you are first time parents, however, those seizure types (partial complex seizures) are not caused by an important brain lesion such hemorrhage, vascular malformation, tumor, etc. and this was confirmed by the tests that came back negative for these conditions.

So, this fact should comfort you, and these types of seizures in most of the cases, improve with age.

So, keep following up with the Doctor. If there is no sufficient control of seizures with the current medication, new possibilities (valproate for example) may be considered.

Hope you found the answer helpful.

Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 800 Questions

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My son is 6 months old. He began having seizures

Brief Answer: Seems a case of benign childhood seizures. Detailed Answer: Hello and welcome to " Ask a Doctor" service. I have read your query and here is my advice. It is normal to be concerned especially when you are first time parents, however, those seizure types (partial complex seizures) are not caused by an important brain lesion such hemorrhage, vascular malformation, tumor, etc. and this was confirmed by the tests that came back negative for these conditions. So, this fact should comfort you, and these types of seizures in most of the cases, improve with age. So, keep following up with the Doctor. If there is no sufficient control of seizures with the current medication, new possibilities (valproate for example) may be considered. Hope you found the answer helpful. Let me know if I can assist you further.