Hi Ian Dumasia Is Having History Of Febrile Convulsion .
Ian Dumasia is having history of febrile convulsion. first episode in 2017 & recently he was admitted for 3rd episode of Atypical febrile convulsion on 28/8/2018. EEG is normal.MRI shows Leucomalacia , Choroid fissure cyst , sequela of perinatal hypoxic ischaemic Insult.
we require your help to understand followings :
1, What is Leucomalacia , Choroid fissure cyst , sequela of perinatal hypoxic ischaemic Insult.
2, What is prognosis of above diseases ?
3. Are above diseases cause of convulsion or it is due to fever ?
4, what is treatment of above disease ?
5, what is impact of these diseases on physical/neurogical/mental health of child.
Explained below.
Detailed Answer:
Hello and welcome to "Ask a Doctor " service.
I have read your query and here is my explanation.
1- Leukomalacia refers to a form of white matter brain injury mainly caused by impaired blood and oxygen supply.
Choroid fissure cyst refers to a cyst ( in most of the cases benign ) located inside the brain.
Sequels of perinatal ischemic hypoxic insult refers to brain damage remnants from a past stroke caused by lack of oxygen.
2- These changes are permanent, however, due to brain plasticity in children there are chance of improvement.
3- These brain damages may cause convulsions, fever also may result in febrile convulsions.
4- Treatment depends on the degree of the impairment and may include behavioral therapy.
5- There may be impairment in the neurophysiological development, neuropsychological tests are necessary to assess the degree.
Hope you found the answer helpful.
Let me know if I can assist you further.