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Suggest Treatment For Myoclonic Seizures In A 3 Year Old

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Posted on Thu, 4 Jun 2015
Question: My 3 yrs son have myoclonic seizures since last 1 years. He is under medical. But no use what to do
doctor
Answered by Dr. Dr. Pradeep Kumar Jain (4 hours later)
Brief Answer:
Please provide details of treatment and investigations

Detailed Answer:
Hello

Thanks for the query

Among all the types of seizures(like generalized tonic clonic.absence,focal,myoclonic)the myoclonic seizures are most difficult to control.
The main management of myoclonic seizures are valproate and benzodiazepines. The management also depends on the underlying condition.In some cases it is benign and can be controlled with the medication but when it is associated with some syndromes or metabolic disorder then the prognosis is not very good. Please let me know about the investigations done(like EEG,MRI,any genetic or other blood test).

I would like to know what medication he is getting as some anticonvulsant like phenobarbitone,lamotrigine and carbamazepine may worsen the seizures.

Sometimes when myoclonic seizure is not responding to high dose of combination of antiepileptics ketogenic diet may provide some relief.

So I would request you to provide me details of treatment and investigation so that I better able to help you out.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Dr. Pradeep Kumar Jain

Pediatrician, Cardiology

Practicing since :2006

Answered : 2073 Questions

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Suggest Treatment For Myoclonic Seizures In A 3 Year Old

Brief Answer: Please provide details of treatment and investigations Detailed Answer: Hello Thanks for the query Among all the types of seizures(like generalized tonic clonic.absence,focal,myoclonic)the myoclonic seizures are most difficult to control. The main management of myoclonic seizures are valproate and benzodiazepines. The management also depends on the underlying condition.In some cases it is benign and can be controlled with the medication but when it is associated with some syndromes or metabolic disorder then the prognosis is not very good. Please let me know about the investigations done(like EEG,MRI,any genetic or other blood test). I would like to know what medication he is getting as some anticonvulsant like phenobarbitone,lamotrigine and carbamazepine may worsen the seizures. Sometimes when myoclonic seizure is not responding to high dose of combination of antiepileptics ketogenic diet may provide some relief. So I would request you to provide me details of treatment and investigation so that I better able to help you out. Regards