Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Encephalomalacia
Question: My son is 7 months old. A large portion of His right brain has encephalomalacia. He has seizures twice/thrice daily. Doctor has prescribed valparin 200 mg. Please advise. Left side of brain is fine.
He is one of the twins and on birth he suffered from RDS. Doctors told us that he had a small infarction in his brain but did not show any symptoms since 4 months of birth.
He is one of the twins and on birth he suffered from RDS. Doctors told us that he had a small infarction in his brain but did not show any symptoms since 4 months of birth.
Brief Answer:
Anti epileptic medications need to be adjusted.
Detailed Answer:
Hi,
Thank you for posting your query.
Seizures are due to the encephalomalacia- which refers to brain damage on one side due to old infarction (lack of blood supply to brain). This would not lead to any other problem than seizures. In some cases, there may be weakness of one arm and leg.
The anti epileptic medications need to be adjusted. The dose of valparin can be increased upto 30-40 mg per kg body weight. If fits continue, additional medications such as oxcarbazepine or levetiracetam may be added.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Anti epileptic medications need to be adjusted.
Detailed Answer:
Hi,
Thank you for posting your query.
Seizures are due to the encephalomalacia- which refers to brain damage on one side due to old infarction (lack of blood supply to brain). This would not lead to any other problem than seizures. In some cases, there may be weakness of one arm and leg.
The anti epileptic medications need to be adjusted. The dose of valparin can be increased upto 30-40 mg per kg body weight. If fits continue, additional medications such as oxcarbazepine or levetiracetam may be added.
I hope it helps.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi doc. Thank you for your response.
Just wanted to know whether or not this is life-threatening. We are very worried. Please help.
Regards,
Ankush
Just wanted to know whether or not this is life-threatening. We are very worried. Please help.
Regards,
Ankush
Brief Answer:
Not life threatening.
Detailed Answer:
Thank you for getting back.
I would like to reassure you that this condition is not life threatening and there is no need to worry.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Not life threatening.
Detailed Answer:
Thank you for getting back.
I would like to reassure you that this condition is not life threatening and there is no need to worry.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you so much dr. XXXXXXX I appreciate all your help.
Just one more thing, i am assuming that you also saw the MRI report i attached along with this question. Just wanted to confirm that you saw my report.
Regards,
Ankush
Just one more thing, i am assuming that you also saw the MRI report i attached along with this question. Just wanted to confirm that you saw my report.
Regards,
Ankush
Brief Answer:
Yes I saw the report.
Detailed Answer:
Thank you for getting back.
I saw the MRI brain report you attached with this mail.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Yes I saw the report.
Detailed Answer:
Thank you for getting back.
I saw the MRI brain report you attached with this mail.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Bhagyalaxmi Nalaparaju
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
