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Infant on medicines for epilepsy, has excessive sleep, seems to be almost motionless, expressionless. Permanent brain damage?

My son is 8 Kg, 7 months old, having fits from the 2nd day of birth due to hypoglycemia (Ceserian). EEG reports - myoclonic Epilepsy taken a three weeks back. We did MRI for him today & the report is : Mild Defuse Cerebral Atrophy dispropotionate of corresponding age . For fits--- He is on 5 ml debriton (from 1st month of birth) & 3 drops Revatril (3 drops mor/3 drops Eve). The revatril was just added three weeks back. Since then he is all the time sleepy, almost motionless, expressionless and responsless. I don t know what happend to him. He was very very active from birth till 6th month (Depriton: 2ml only) but from the last two months there is no head control. He has delayed milestones. Is the brain demage a permanent one? Is there any way to recover the brain defect? Should we continue with the debriton & revatril? Any specific ketogenic diet or any other usefull information????? Thanks
Asked On : Fri, 1 Feb 2013
Answers:  1 Views:  50
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Sleepiness is because of rivotril (clonazepam). So, the dose should be reduced in consultation with his doctor.

We expect some degree of developmental delay in your child, in view of hypoglycaemia in neonatal period and fits since early days of life. However, with increasing age, he would acquire all the milestones, though he may be behind other children of his age.

At this point, control of fits is the most important, as recurrence of fits may further retard his brain development.

Regular physiotherapy and exercises would also be very useful.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Fri, 8 Feb 2013
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