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What causes absence seizures after adenoid and tonsil removal?

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Posted on Fri, 19 Jun 2015
Question: My son XXXX got his first seizure when he was 1 year old. It was diagnoised as non febrile one, and was on Eptoin for 3 years. He got his second seizure when he was 3 years old, and same medication was continued for 2 more years and stopped. Now for last 1 year, he is getting absence seizure episode for 10-15 seconds, and he gets normal back. Just 2 years back he has undergone adenoid and tonsil removal. And after 6 months, of this event, we have observe absence seizures. The question is, when he was young he has full genreralized seizure and later now he is seeing absence seizures, what is the reason ? He is currently using Oxetol 150 MG once daily in morning. We had taken MRI with epilepsy protocol and all tests with EEG, which has shown evidence of epileptic waves.

He is now 8+ years, and absence seizures is making us concerned. Is there any specific diet recommendation to be taken up. He has also put significant weight after the adenoid and tonsillitis removal and now weight is 35 kgs.

What is the suggested plan of action?
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Answered by Dr. Archana Verma (34 minutes later)
Brief Answer:
Absent seizures have good long term prognosis if well controlled

Detailed Answer:
Hi,

There are various types of epilepsy in childhood. And cause of non febrile seizure is unknown. However a thorough investigation need to be done to rule out a few specific causes such as brain scan and EEG. I hope they were done.

The drug of choice depends upon the type of epilepsy a child suffers from. If your child was seizure free for 2 years and then started having absent seizures, then the medications should be appropriate to this epilepsy type. EEG is a good diagnostic tool. If its clearly showing 3 Hz spike and slow wave discharge, then the preferred drugs should be either Ethosuximide, Sodium Valproate or lamotrigine instead of Oxetol 150. If you have EEG and other investigations can you upload it here for my reference.

Absence seizures usually occur when a child is 4 to 12 years old. Your child may have 10, 50, or even 100 absence seizures in a given day. Sometimes absence seizures can happen so subtly and so quickly that you never even notice them.
Absence seizures may occur along with other types of seizures, which can result in muscle jerking, twitching, and shaking.

Although most children who have typical absence seizures are otherwise normal, absence seizures can hinder learning and affect concentration at school, so treatment must be prompt.

Taking the medications exactly as your doctor prescribed is one of the best ways to manage absence seizures. But you can also make some changes in his life to help prevent absence seizures from happening:

1.Get plenty of sleep each night.
2.Find ways to manage stress.
3.Eat a healthy diet.
4.Exercise regularly.

Absence seizures rarely continue into adulthood. This type of epilepsy is not usually associated with any other neurological (brain) condition. Children with this type of epilepsy have the same range of intelligence and other abilities as other children. Treatment usually controls the seizures so that education and other aspects of life can be normal. Treatment can often be stopped in the late teenage years.

His weight is fine. Don't worry. Avoid high carbohydrate and fat rich diet.
No other specific diet plan is required at present.

For further questions, do contact us.
Take care
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Archana Verma

Pediatrician

Practicing since :2006

Answered : 1129 Questions

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What causes absence seizures after adenoid and tonsil removal?

Brief Answer: Absent seizures have good long term prognosis if well controlled Detailed Answer: Hi, There are various types of epilepsy in childhood. And cause of non febrile seizure is unknown. However a thorough investigation need to be done to rule out a few specific causes such as brain scan and EEG. I hope they were done. The drug of choice depends upon the type of epilepsy a child suffers from. If your child was seizure free for 2 years and then started having absent seizures, then the medications should be appropriate to this epilepsy type. EEG is a good diagnostic tool. If its clearly showing 3 Hz spike and slow wave discharge, then the preferred drugs should be either Ethosuximide, Sodium Valproate or lamotrigine instead of Oxetol 150. If you have EEG and other investigations can you upload it here for my reference. Absence seizures usually occur when a child is 4 to 12 years old. Your child may have 10, 50, or even 100 absence seizures in a given day. Sometimes absence seizures can happen so subtly and so quickly that you never even notice them. Absence seizures may occur along with other types of seizures, which can result in muscle jerking, twitching, and shaking. Although most children who have typical absence seizures are otherwise normal, absence seizures can hinder learning and affect concentration at school, so treatment must be prompt. Taking the medications exactly as your doctor prescribed is one of the best ways to manage absence seizures. But you can also make some changes in his life to help prevent absence seizures from happening: 1.Get plenty of sleep each night. 2.Find ways to manage stress. 3.Eat a healthy diet. 4.Exercise regularly. Absence seizures rarely continue into adulthood. This type of epilepsy is not usually associated with any other neurological (brain) condition. Children with this type of epilepsy have the same range of intelligence and other abilities as other children. Treatment usually controls the seizures so that education and other aspects of life can be normal. Treatment can often be stopped in the late teenage years. His weight is fine. Don't worry. Avoid high carbohydrate and fat rich diet. No other specific diet plan is required at present. For further questions, do contact us. Take care