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Suggest Treatment For Symptoms Of Subtle Seizure In A Child

Posted on Tue, 12 Jan 2016

Question: Hi I have 8 months old boy suddenly he is doing weird behaviour like taking his mouth towards shoulder and rotating his hands is that seizures and he is active playing taking regular feed he done sday and not today

Answered by Dr. Dr. Pradeep Kumar Jain (1 hour later)

Brief Answer:
I would like to observe

Detailed Answer:
Hello

Welcome to HCM

I can understand your concern.
Subtle seizure like cycling movement,paddling of limb,chewing,smacking all these are more common in early infancy.
In later half of infancy (after 6 months) seizure usually present with jerky movement,up rolling of eye ball,tightening of limbs,frothing from mouth may be associated with involuntary passage of stool and urine.
I don't think the movements you have mentioned are suggestive of seizure. Still possibility should be kept in mind.Seizure is usually associated with rapid heart rate and sometimes rapid respiration too.
As today there is no abnormal movement and baby is otherwise active and playful;I would like to observe the baby.I would like to know whether there is any past history of seizure or if there is any developmental delay.
I suggest you to make a video if the episode recurs.With the help of video your doctor would be better able to diagnose the condition.

I hope this helps.
Please let me know in case you have any more doubts.
Thanks and regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (13 minutes later)

Thanks Doctor will baby be active if seizure comes there is no previous history of seizures he has completed 8 months and he able to sit n move everywhere but he is not crawling is that developmental delay

Answered by Dr. Dr. Pradeep Kumar Jain (6 hours later)

Brief Answer:
There is no developmental delay

Detailed Answer:
Thanks for writing back

Not crawling by this age is not a sign of developmental delay.
Usually babies learn to start crawling from 7-10 months. I won't get worried as he has started sitting and there is no past history of seizure.
Baby may remain active after or before seizure.
So observe him closely and if you notice any abnormality consult your pediatrician.
Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Pradeep Kumar Jain (43 hours later)

attached eeg report doctor please check

Answered by Dr. Dr. Pradeep Kumar Jain (21 hours later)

Brief Answer:
close observation and evaluation by a neurologist is needed

Detailed Answer:
Sorry for delayed reply.
I have seen the EEG report.Abnormal EEG in the form of sharp and slow waves in normal background suggests there is underlying seizure activity.
Still clinical correlation is also needed as EEG is not always diagnostic and may give false positive result in few conditions.
Here I would suggest you to observe him closely and get an expert opinion from neurologist for the need of anti epileptic medications.

Thanks and regards

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Above answer was peer-reviewed by : Dr. Yogesh D