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Suggest Treatment For Fibril Convulsions, Seizures And Tingling Of Right Hand

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Posted on Wed, 9 Sep 2015
Question: Hello, My Daughter is suffering from fibril convulsions, since the age of 1 year and 6 months now she is 5 years old. The last seizure attack was at exactly 5 years and 4 days of age. It was lasted for almost 3 minutes with tingling of Right hand,closing her eyes and biting her teeth. Then our pediatric doctor suggested us for the EEG. We have took her for the EEG on 22/08/2015 and consulted the neurologist. As per the neurologist its a Abnormal EEG showing Rt c4 f4, FP2 f4 and f8 with c4 reversed and its a Generalized spike. And suggested us to go for MRI scan. The drug of the choice is XXXXXXX pill Syrup with 2ml twice a day for 2 years. My confusion is does convulsion with fever is considered as a Epilepsy?. Does XXXXXXX Pill has any side effects. Why the fibril convulsion with fever considered as a epilepsy?. My child will only have convulsions if she has only high fever. Please advice
doctor
Answered by Dr. Sumanth Amperayani (2 hours later)
Brief Answer:
SUGGESTIONS ON FEBRILE CONVULSIONS

Detailed Answer:
Hi... I have just read through the history you have provided regarding your kid. I have a few questions for you -

1. How many time has she had these febrile convulsions till now?

2. Can you quote the ages at which she had these convulsions (all till now - like for example 1year 6 months 1st convulsion, 2 years 2nd convulsion like that?

3. How is the attaining of developmental milestones (very very important information)?

4. Does anybody in the family have seizure disorder or febrile convulsions?

5. Till now have you been on any regular daily medications for seizures or febrile seizures?

6. I would like to know if you can upload the MRI report (Not images)?

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sumanth Amperayani (42 minutes later)
Hello Dr. XXXXXXX

Thanks for the Reply.

These are the answer's for the questions which you have asked for.

1. How many time has she had these febrile convulsions till now?
4 times so far, since her age is 1 year and 6 months

2. Can you quote the ages at which she had these convulsions (all till now - like for example 1year 6 months 1st convulsion, 2 years 2nd convulsion like that?
1st= 1y and 6 months, 2= 2y and 3 months, 3=4year and 6 month 4=5 years (if she has a high fever which is < 38 centigrade.

3. How is the attaining of developmental milestones (very very important information)?
She is good in studies, attaining very good mail stones.

4. Does anybody in the family have seizure disorder or febrile convulsions?'
Yes, her maternal Aunts had the same issue in their childhood

5. Till now have you been on any regular daily medications for seizures or febrile seizures?
If she is having fever then she would be given 5mg of presium tablet,then she will not have convulsion but if forget then if the temperature increases above 38 then she will have convulsions.

After EEG neurologist suggested us to have levipill syrup 2ml twice a day (started on 22/8/2015).

6. I would like to know if you can upload the MRI report (Not images)?
No MRI has taken yet. Waiting for 1 month with the medicine as, suggested by doctor.

Please answer my last question about taking XXXXXXX pill is any side effects?.
doctor
Answered by Dr. Sumanth Amperayani (12 minutes later)
Brief Answer:
Side effects of Levetiracetam

Detailed Answer:
Hi....thanks for the reply..

As per the latest consensus - the drug of choice for febrile seizures will be Valproate.

As to your query about side effects of Levetiracetam -

1. Mild drowsiness.
2. Somnolence.
3. Weakness.
4. Headache.
5. Sometimes vomiting.
6. May rarely predispose to infections.

But these side effects occur only about 10% of kids using this drug. The advantage of Levetiracetam is that it doesn't react much with other antiepileptic drugs... Not in this case it doesn't come into picture as the kid is not on other antiepileptic drugs.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Sumanth Amperayani (7 minutes later)
Hello Dr. XXXXXXX
Thanks for the answer, Will you please let me know, After reviewing the report will you please let me know whether my child is suffering from epilepsy or its a mild seizure due to high fever?. And whether we should give her the XXXXXXX pill every day as suggested by the neurologist?.
doctor
Answered by Dr. Sumanth Amperayani (12 minutes later)
Brief Answer:
This is not epilepsy - use Levetiracetam

Detailed Answer:
Hi.... I have already reviewed your reports. It is my opinion that the kid us not having epilepsy. This is febrile seizures but as the frequency is more definitely - a regular antiepileptic medicine is required to prevent further febrile seizures.

I suggest you go ahead with Levetiracetam.

But this cannot be labelled as epilepsy... That too when there is strong family history and the aunts being normal now, same will be the csee even with this kid. She's going to be normal.

I am happy to he'll anytime. If you are happy with our interaction and don't have any further queries, close the discussion and rate the answer. I wish the kid a bright future and health.

Next time if you went only me to answer your queries, you can pistta direct query directed only to me.

Regards - Dr. Sumanth
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. Sumanth Amperayani

Pediatrician, Pulmonology

Practicing since :2003

Answered : 8339 Questions

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Suggest Treatment For Fibril Convulsions, Seizures And Tingling Of Right Hand

Brief Answer: SUGGESTIONS ON FEBRILE CONVULSIONS Detailed Answer: Hi... I have just read through the history you have provided regarding your kid. I have a few questions for you - 1. How many time has she had these febrile convulsions till now? 2. Can you quote the ages at which she had these convulsions (all till now - like for example 1year 6 months 1st convulsion, 2 years 2nd convulsion like that? 3. How is the attaining of developmental milestones (very very important information)? 4. Does anybody in the family have seizure disorder or febrile convulsions? 5. Till now have you been on any regular daily medications for seizures or febrile seizures? 6. I would like to know if you can upload the MRI report (Not images)? Regards - Dr. Sumanth