Suspected Infantile Spasm Or Seizure Of An One Month Old
Yes, EEG test will help.
Detailed Answer:
Hi,
Thank you for posting your query.
I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.
I have noted your child's symptoms. EEG will help in detecting epilepsy. Sometimes, low calcium and low blood sugar can also cause spasms or seizure-like episodes. So, blood tests are also helpful, as already ordered.
I sincerely hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
Thanks,
Susovan Saha
Please send the EEG report.
Detailed Answer:
Here, only the graphs have got attached, Please send the EEG report.
Dr Sudhir Kumar MD DM
Thanks,
Susovan
The report depends on the machine, settings, software, etc.
Detailed Answer:
Thank you for getting back.
The report depends not only on the graph. Other parameters such as machine, software settings, technician's input, etc.
Chaotic brain waves could be artifacts, and may not be epilepsy. However, this needs to be confirmed with the settings of the machine, and whether or not the scalp electrodes were properly placed on the child's head, and whether the child had movements of the head during EEG recording at that moment.
Best wishes,
Dr Sudhir Kumar MD DM
Thanks for your explanation.
Nicolet EEG machine with international 10-20 system electrode placement was used.
Yes she moved her head, and hands during the test.
Please note that she was given sys. Pediclosyl 2 ml stats twice before this test, when technicians tried to get the MRI done. Do you think this might impact this test results?
Attached is the doctor's advice.
Pedicloryl does not alter the test results.
Detailed Answer:
Thank you for getting back with more information.
Movement of head and hands can cause artifacts, which can be confirmed with the technologist, who was present during EEG recording.
Pedichloryl syrup will not affect the EEG.
EEG may not show abnormalities in about 50% of cases of epilepsy. This is because epileptic jerks and EEG abnormalities are both episodic (present only for a short duration) and EEG may not pick them if recorded for short duration.
Epilepsy can be diagnosed on the basis of clinical description of jerks/episodes, and sometimes on viewing the video recording of episodes (as recorded by the parents). If in doubt, long term video EEG recording (24 hours or upto 7 days) can be done to confirm the diagnosis.
Best wishes,