Question: hi
my son is 4 1/2 yr old, he had 3rd episode of fits last sunday 19-jan-14 midnight 1.30am
first time on 19-july-2012 at 12.30 am
second time 19- may-2013 at 12~1 am
he blinks his left eye, head towards left & his left hand shakes.
first time he had mild fever, he had only secretions from his mouth,
second & third time he vomited
we had done his EEG & MRI
normal wake & sleep EEG
MRI report is as bellow, (exactly as what is written in report)
*******
* Right inferior and temporal gyrus focal corticallaminar architectural abnormality with loss of normal gray white interface, blurring with thinning of subcortical white matter with subtle T2/FLAIR hyperintensity-Focal cortical ddysplasia type-IB with no transmantel sign
* No heterotopias.
* No foci of gliosis/ encephalomalacia
*******
doctor has given triptal susp.
my question are
1) is there any side effect on his brain development , will it affect his studies?
2) (at all three times he had attack in night while in sleep) will he get it in day time
3) how long he has to take the medicine?
4) will his fits stop coming?
5) any precaution we can take so as he do not vomit?
6) any factors which trigger the fits?
Brief Answer:
My reply is below.
Detailed Answer:
Hi,
Thank you for posting your query.
First of all, I would like to reassure you that there is no need to worry about the MRI abnormalities seen in your child.
It is good that he has fits in nights, as the risk of injury after fits is more in daytime. There is a slight risk of him getting fits in the daytime too.
The abnormalities are minor and would not lead to any problems in brain development.
The medication is correct and it should be continued for at least three seizure free years.
The medicine is safe and there are no severe side effects.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Hello Sir,
Thanks for your reply. i have few more doubts as below..
1. As the seizure come on left side , Is there possibilities of paralysis.
2. Is it hereditary, As his paternal uncle also had seizure in his childhood around 12-13 years of his age, but only 2 times.
3. Is there any food which he should avoid.
Thanks.
Brief Answer:
Thank you for getting back.
Detailed Answer:
My replies are below:
1. There is no risk of paralysis.
2. It could be hereditary, but difficult to prove, as both the parents do not have epilepsy.
3. He can take normal food and there is no need to avoid any thing.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
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Can Seizures Lead To Paralysis?
Brief Answer:
My reply is below.
Detailed Answer:
Hi,
Thank you for posting your query.
First of all, I would like to reassure you that there is no need to worry about the MRI abnormalities seen in your child.
It is good that he has fits in nights, as the risk of injury after fits is more in daytime. There is a slight risk of him getting fits in the daytime too.
The abnormalities are minor and would not lead to any problems in brain development.
The medication is correct and it should be continued for at least three seizure free years.
The medicine is safe and there are no severe side effects.
I hope it helps. Please get back if you have any follow up queries.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad