Seizures - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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	Specialist Answers
Question Category : Seizures
If a child, who is on valproate therapy for his seizures develops jaundice, should one need to stop valproate immediately? (and then which antiepileptic drug to start?) What if this jaundice is infective hepatitis only? One may not be able to afford hepatitis serology diagnosis. How to proceed? Check Out the Answer
Question Category : Seizures
12 year old child admitted with high fever convulsions pn consolidation lt apex.unconscious. Prov.diag,probable antibiotic. Check Out the Answer
Question Category : Seizures
In a case of idiopathic epilepsy disorder (>2 unprovoked seizures), who is seizure free on certain anti-epileptic, if now develops "break- through" seizures because of inter current illness, what should we do? Are there any evidence based guidelines? Check Out the Answer
Question Category : Seizures
My wife (21 years old) had high fever before 5 months. It was diagnosed as Typhoid fever. During this high fever, she threw fits (that was the first seizure in her life). Took CT and MRI scan, they found inactive calcification in her brain that triggered the seizure attack. My question is, are there any chances of getting another attack in future because of the inactive calcification. I respect your valuable inputs. Thanks in advance. A loving husband. Check Out the Answer
Question Category : Seizures
My 5 year old daughter recently had an abnormal EEG. She has these quick staring spells. I've been told she has some sort of seizure, but I'm not sure what it's called. Could you give me some kind of idea? Thanks, Tina. Check Out the Answer
Question Category : Seizures
What if any relationship would elevate liver enzymes, enlarged pineal gland, and seizures have in common? The Neuro Surgeons and neurologist have not found anything that they are concerned with. Thanks Kelly Bernabei. Check Out the Answer
Question Category : Seizures
Sir my father told I was given the medicine Gardinal when I was 2or 3 years old. For what purpose is this medicine used? He said I was having a severe fever and the doctor prescribed it for me. Now I am 20 years old. Please tell me what actually convolution means. Check Out the Answer
Question Category : Seizures
My four month old had rotavirus with a febrile seizure. The doctor has assured me that the seizures are an isolated event. My child had an EEG and CAT scan. Should I be worried? Check Out the Answer
Question Category : Seizures
18 mo / f child came to me h / o of Lt side focal seizure 5 days back for 2 min? Seizure same type 3 more days back. On history no consanguity, antinatal WNL, growth and development normal at this age, no h / o of febrile illness, no any other history significant .ON EXAM-1 hypopigmented patch at neck since birth ,non progressive, no another lesion in family also, no focal neurological deficit. EEG abnormal done on same day of seizure.MRI done at 5 tesla WNL. Now pt is on carmezepine 10 mg/kg. No seizure after that, I kept the possibility of TUBEROUS SCLEROSIS, ADV rept MRI AT 1.5 tesla, plan to change to valproate in seizure not controlled on cbz. What cud be the possibility, ca was WNL, ANY OTHER INVESTIGATION MODALITY THAT CAN HELP TO MAKE OUT DIAG? Check Out the Answer
Question Category : Seizures
My 7 month old grandson is in the hospital receiving meds to try to control seizures and convulsions. they worked to a point but he is still having problems. They have done spinal tap which came out ok, EEG's which show his brain is still firing off these signals, they have done MRI's and there is no swelling of the brain. He had turned blue while in day care and at the nearest emergency room had to be bagged and they gave him fluids intravenously and tylonol for a temp, them shipped him to Duluth where he is now. My question is what happens if these seizures can't be helped by meds, what comes next? Some where in the phone calls I am picking up thoughts that this little guy could die because of this. Is that a distinct possibility? I haven't had any experience in this and know very little about this type of situation. Thank you. Check Out the Answer
Question Category : Seizures
My nephew has breath holding spells since he was a few weeks old. My sister has got used to them and handles them quite well. He does it 3 to 4 times a day. Recently they seem to be worse and 10 days ago he had one where he went into convulsions for 5 minutes. They rushed him to the children hospital in Toronto and he has been there ever since. While in the hospital they did a blood test along with countless other tests and they found his CPK levels were at 7000 then dropped to 6000 and they proceeded to rise to 30,000. They have found nothing conclusive in any test why this level is so high. They say they have never had a case like this one and have nothing to compare it with. He is only one and a half year old. They won't let them out of the hospital until they get this figured out. They have not done a biopsy yet but that is a last resort. My sister has had so many different doctors and some are totally focusing on the breath holding spells which are the worst they have ever come across. Others are baffled with this high CPK levels. Some even think they are somehow related. Do you have any leads as to what might possibly be wrong with my nephew? Check Out the Answer
Question Category : Seizures
I had a fit and was taken to hospital for tests. I had a blood test. What would they check in my blood? Check Out the Answer

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