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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sinus Infection And Facial Numbness

My son is 11 years old. He recently had a seizure. The eeg was normal. Almost one month later he had another seizure, and then 4 days later. The immediate answer has been medication. (We have not started the medication yet.) He has had a sinus infection both times. When he is breathing through his nose, you can hear him breathing. He was borderline dehydrated on the second seizure but was not checked on the 1st or 3rd. His seizures are short. He draws into a fetal position with some shaking such as an intense bad cold chill. He remembers everything. He has not bit his tongue, vomited, or lost control of his bowels. He has had drooling and numbness on one side of his face (the numbness switched sides with the 2nd and 3rd seizure). He appeared to have bells palsy immediately after but it went away rather quickly. I am concerned that maybe the underlying cause of the seizures is being overlooked. Thank you.
Wed, 29 May 2019
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General Surgeon 's  Response
Hi,

Sudden onset of facial numbness needs neurological evaluation. This could be related to either minor problems like even migraine variant or even desalinating disorder. You need a detailed neurological examination to see if there are other neurological signs or not.

This will help us guide you regarding the requirement on a brain scan. The management will depend upon the cause identified.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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Suggest Treatment For Sinus Infection And Facial Numbness

Hi, Sudden onset of facial numbness needs neurological evaluation. This could be related to either minor problems like even migraine variant or even desalinating disorder. You need a detailed neurological examination to see if there are other neurological signs or not. This will help us guide you regarding the requirement on a brain scan. The management will depend upon the cause identified. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon