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Suspected Infantile Spasm Or Seizure Of An One Month Old

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Posted on Wed, 6 Nov 2019
Question: Suspected infantile spasm or seizure of an one month old female baby. She is my daughter. Will EEG test help? Whether she actually has any neurological problem or early signs of epilepsy?
doctor
Answered by Dr. Sudhir Kumar (6 hours later)
Brief Answer:
Yes, EEG test will help.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted your child's symptoms. EEG will help in detecting epilepsy. Sometimes, low calcium and low blood sugar can also cause spasms or seizure-like episodes. So, blood tests are also helpful, as already ordered.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,     
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Sudhir Kumar (3 days later)
We have got the EEG test done. My daughter is still continuing to have jerky movements followed by crying. That moment she looks like chocking/suffocating. I am attaching the scanned report for your reference. Please check and suggest if she is having seizures or if there is any abnormality of any kind or signs of epilepsy. The chaotic brain waves are my concern.
Thanks,
Susovan Saha
doctor
Answered by Dr. Sudhir Kumar (6 hours later)
Brief Answer:
Please send the EEG report.

Detailed Answer:
Here, only the graphs have got attached, Please send the EEG report.

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (2 hours later)
Sure. But I want to understand the explanation of those three pages of chaotic brain waves. The impression on this EEG test was written by an MD (Paed. Neurologist), so I though an MD, DM would be able to comment by seeing the graph.

Thanks,
Susovan
doctor
Answered by Dr. Sudhir Kumar (28 minutes later)
Brief Answer:
The report depends on the machine, settings, software, etc.

Detailed Answer:
Thank you for getting back.

The report depends not only on the graph. Other parameters such as machine, software settings, technician's input, etc.

Chaotic brain waves could be artifacts, and may not be epilepsy. However, this needs to be confirmed with the settings of the machine, and whether or not the scalp electrodes were properly placed on the child's head, and whether the child had movements of the head during EEG recording at that moment.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (1 hour later)
Hello Sir.

Thanks for your explanation.

Nicolet EEG machine with international 10-20 system electrode placement was used.

Yes she moved her head, and hands during the test.

Please note that she was given sys. Pediclosyl 2 ml stats twice before this test, when technicians tried to get the MRI done. Do you think this might impact this test results?

Attached is the doctor's advice.
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Follow up: Dr. Sudhir Kumar (6 minutes later)
If there is no abnormality- how can we explain this kind of jerky body movements and crying? When this happens she looks like gasping, breathing very fast initially and then looks as if she is chocking. What is causing this? Will this cure over time?
doctor
Answered by Dr. Sudhir Kumar (5 hours later)
Brief Answer:
Pedicloryl does not alter the test results.

Detailed Answer:
Thank you for getting back with more information.

Movement of head and hands can cause artifacts, which can be confirmed with the technologist, who was present during EEG recording.

Pedichloryl syrup will not affect the EEG.

EEG may not show abnormalities in about 50% of cases of epilepsy. This is because epileptic jerks and EEG abnormalities are both episodic (present only for a short duration) and EEG may not pick them if recorded for short duration.

Epilepsy can be diagnosed on the basis of clinical description of jerks/episodes, and sometimes on viewing the video recording of episodes (as recorded by the parents). If in doubt, long term video EEG recording (24 hours or upto 7 days) can be done to confirm the diagnosis.

Best wishes,
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suspected Infantile Spasm Or Seizure Of An One Month Old

Brief Answer: Yes, EEG test will help. Detailed Answer: Hi, Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and would try my best to help you. I have noted your child's symptoms. EEG will help in detecting epilepsy. Sometimes, low calcium and low blood sugar can also cause spasms or seizure-like episodes. So, blood tests are also helpful, as already ordered. I sincerely hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/