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What causes absent seizure in an infant?

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Posted on Sat, 23 May 2015
Question: my infant is 57 days old and we fed her around 7 bottle on nan pro baby feed in a month.she had absent seizure yesterday and her blood report shows hyperkalemia and all other reports are within normal range.what do you think the cause of absent seizure?
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Answered by Dr. Pradeep Kumar Jain (50 minutes later)
Brief Answer:
Please attach the reports

Detailed Answer:
Hello

Thanks for the query

The common causes of seizure in a well child(not sick) of this age group are hypocalcemia,hypoglycemia,epileptic syndromes.Inborn error of metabolism,vitamin B6 deficiency and cerebral dysgenesis are other uncommon causes.
The assessment should start from clinical examination and then battery of investigation is needed to know the cause.
You have mentioned that apart from hyperkalemia other tests are normal.
Please attach the reports so that I may be better able to help you out.

I want to know whether blood sugar,serum ionised calcium,arterial blood gas(includes sodium,potassium and blood acid base),routine urine test and ultrasound head has been done or not when she was symptomatic.

The most common type of seizure in this age is subtle seizure(staring look,jerking of eyes,flickering of eye lid,pouting of mouth,chewing/sucking/smacking movement,paddling of limbs etc.
Other common types are multifocal clonic(jerky movement of various part of body),focal clonic or tonic(tightening of body).Absent seizure is a kind of seizure observed in older children.
I would like to confirm whether it was absent seizure only.
If all the reports are normal EEG or video EEG may be needed.
Waiting for follow up.
Regards
Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2051 Questions

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What causes absent seizure in an infant?

Brief Answer: Please attach the reports Detailed Answer: Hello Thanks for the query The common causes of seizure in a well child(not sick) of this age group are hypocalcemia,hypoglycemia,epileptic syndromes.Inborn error of metabolism,vitamin B6 deficiency and cerebral dysgenesis are other uncommon causes. The assessment should start from clinical examination and then battery of investigation is needed to know the cause. You have mentioned that apart from hyperkalemia other tests are normal. Please attach the reports so that I may be better able to help you out. I want to know whether blood sugar,serum ionised calcium,arterial blood gas(includes sodium,potassium and blood acid base),routine urine test and ultrasound head has been done or not when she was symptomatic. The most common type of seizure in this age is subtle seizure(staring look,jerking of eyes,flickering of eye lid,pouting of mouth,chewing/sucking/smacking movement,paddling of limbs etc. Other common types are multifocal clonic(jerky movement of various part of body),focal clonic or tonic(tightening of body).Absent seizure is a kind of seizure observed in older children. I would like to confirm whether it was absent seizure only. If all the reports are normal EEG or video EEG may be needed. Waiting for follow up. Regards