Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
148 Doctors are Online

Woke up unresponsive. MRI showed nothing. Suggested to visit geneticist with blood test report. What could have happened?

Feb 2013
User rating for this question
Very Good
Answered by

Practicing since : 2002
Answered : 3176 Questions
My son is 7 years old and had been transported to our local ER after becoming unresponsive after waking up in the am. When we were at the hospital they ran stat blood work and an MRI . He woke up out of the blue over 1 hour later. They released us that same day after observation with the instructions to go see a geneticist. I'm very confused...why unresponsive and why a geneticist . The MRI showed nothing but the blood work is what they gave us to give to the doctor at Nemours hospital for children. Any clue what happened?

Lipase Level L 8, Alkaline Phosphatase H 203, UR ketone 4+, UR Protein 1+, UR mucus trace, WBC H 19.5, Seg% H 65, Bands% H15, Lymphs % L 13, Monos% H 1.4, Chloride L 97, Co2 L 16, Anion Gap H 26, BUN H 27, Creatinine L 0.3, Neutrophils absolute H 15.6, and last MonosH 1.4.
Posted Tue, 19 Nov 2013 in Child Health
Answered by Dr. E Venkata Ramana 3 hours later
Brief Answer:
Needs further evaluation

Detailed Answer:

Thank you for your query on Healthcare Magic.

The unresponsive episode of the child in the morning looks like a seizure episode or a hypoglycemic episode.

Seizures usually presents with involuntary movements or unconsciousness depending on the type of seizure followed by a state of unconsciousness and unresponsiveness(postictal state).

Whereas hypoglycemic episode (low blood glucose) will present with an episode of unresponsive state with or without seizures.

In some disorders like glycogen storage disorders children present with low blood glucose especially in the early morning because of over night fasting.

And seizures, hypoglycemic episodes tend to occur during sleep in the nigh times.

My opinion of cause for his unresponsiveness is a seizure episode or an episode of low blood glucose.

Presence of 4+ ketones in urine is abnormal and it denotes ketosis in the body which is seen in starvation, diabetic ketoacidosis, and glycogen storage disorders.

The raised WBC count and high neutrophil count is suggestive of infection or stress related.

The idea behind referring the child to geneticist could be for the evaluation to look for inborn errors of metabolism such as glycogen storage disorder or other problems of metabolism.

He needs further evaluation like blood glucose, EEG, enzyme assays, and screening for other metabolic problems to look for the cause for this episode.

Therefore I suggest you to consult Nemours Hospital for children for further evaluation and management of the problem.

Hope I have answered your query, if you have any clarification please let me know.

Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Topics

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor