What causes absence seizures and day dreaming in a child?
10 year old child with LD in reading, over last few years has gone from outgoing and energetic child to quiet and awkward socially. Daydreaming spells for about 2 years. Two weeks ago began having noticable absence seizures . EEG shows almost continuous partial seizure activity in all areas of brain. MRI shows atrophy in right frontal lobe and softening in right temporal horn. The radiologist said these changes are most likely due to trauma but the only significant trauma she has had is a concussion after tripping. She had oxygen for 2 minutes at birth with an apgar of 2 and 6. She is a hard working, happy child who tires easily and has a history of amblyopia (surgery correction), tonsillectomy and adenoidectomy, and surgical removal of stye on eye. Any ideas or suggestions of questions we should as the neurologist when we see him?
First of all there is confusion with seizures and EEG; you said absnce attacks of seizures but EEG is partial seizures activity; anyhow on safer side, start her on valproate 250 mg 2 times a day and start adjusting the dose depending upon her seizure control to a maximum of 600-800 mg per day. Atrophic changes could not be corrected and she needs continuous rehab for the LD she has.
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