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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes The 15-30 Seconds Unresponsive Episodes For A 11 Years Old?

A school teacher informed me that my daughter who is 11 and has had difficulty with regular schooling, is having 15 - 30 sec unresponsive episodes. She is having them I understand once every few days. I have never seen this myself. What is the fist thing I should be thinking?
Fri, 22 May 2020
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Neurologist,  's  Response
Hi,

First of all, you should do some investigations such as an EEG with hyperventilation to exclude petite mal epilepsy. If your daughter had this type of epilepsy, she would take Ethosuximide 250 mg and she should take 250 mg for three days then 250 mg for three days then 250 mg three times per day. Then she should do liver function test, serum drug level and CBC in the first week of the treatment then every 3 months to monitor the drug level, besides an EEG every 6 months. The normal serum level of Ethosuximide is: 40-100 microgram/ml. After 2 years, if the EEG is normal, the doctor will withdraw the drug over 6-12 months.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Mustafa, Neurologist
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What Causes The 15-30 Seconds Unresponsive Episodes For A 11 Years Old?

Hi, First of all, you should do some investigations such as an EEG with hyperventilation to exclude petite mal epilepsy. If your daughter had this type of epilepsy, she would take Ethosuximide 250 mg and she should take 250 mg for three days then 250 mg for three days then 250 mg three times per day. Then she should do liver function test, serum drug level and CBC in the first week of the treatment then every 3 months to monitor the drug level, besides an EEG every 6 months. The normal serum level of Ethosuximide is: 40-100 microgram/ml. After 2 years, if the EEG is normal, the doctor will withdraw the drug over 6-12 months. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist