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Rakesh Kumar, Puja Bhagat Department of Pediatrics, Katihar Medical College, Katihar, Bihar, India ...

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	Specialist Answers
Question Category : Seizures
A 6 month old male presented with 2 months history of seizures. He was thoroughly investigated with neuroimaging (mri) which was normal. Biochemical parameters (rbs, calcium, magnesium,potassium,chlorides) repeatedly normal,ecg was normal done twice during interactual period. The boy was born of a ceaserean section with normal apgar. Had one episode of seizure on 4th day of life which was due to hypoglycemia since the mother was known to be diabetic and was on insulin since the second trimester. The boy had an uneventful recovery following treatment with glucose at that time and was apparently normal for 4 months with normal growth and milestones. Phenytoin was started at 7mg/kg dose and was increased to 10mg/kg/day because of recurrent episodes of seizures. Has seizures every 10-15 days which are serial seizures and is being admitted into nicu for phenytoin loading dose which he received thrice till now in the span of 2 months. Then phenobarbitone at 5mg/kg has been started after the recent serial seizures which occurred on phenytoin 10mg/kg. Seizures are generalized with loss of consciousness. Never had a status epilepticus. Occurs even during sleep and also during activity. General examination is unremarkable. All systems are normal. Check Out the Answer
Question Category : Seizures
Drug of choice in treatment of seizures in sturge weber syndrome? Check Out the Answer
Question Category : Seizures
Diagnosis of 8 month old with febrile convulsion lasting for about 5 mins. stopped breathing, turned blue and twitching. admitted to hospital with drip (glucose) as levels keep getting low. Check Out the Answer
Question Category : Seizures
What is the pathology of todd's palsy? How long it will last maximally? Check Out the Answer
Question Category : Seizures
What will be the CSF finding in DPY induced seizures? How to confirm the DPT induced seizures? Is there any need to treat DPT induced seizured with anticonvultions;if so how long? Check Out the Answer
Question Category : Seizures
Q.1).A 15mnt.old male child,with uneventful birth history and normal development till 9mnt of age, now cannot walk independently,cannot stand holding objects for a sufficient time and cannot say words except bablings.On nerological exam., no significant hypotonia, neither spasticity detected.How to proceed for management?(Baby is vegetarian). Q.2.How long to continue antiepileptics in children if remain free from seizure? Check Out the Answer
Question Category : Seizures
A 13 year old male child has been on Sodium Valproate for 5 years for an episode of seizure. His E.E.G showed abnormal record consistent with grand mal epilepsy. C.T scan was normal. He never had another seizure while he was on A.E.Treatment. E.E.G repeated after 5 years is reported as grossly abnormal record. Should this child be continued on Epilex or should it be stopped now by slowly tapering it off as he never had convulsion again ? Check Out the Answer
Question Category : Seizures
Role of biotin in seizures?? Check Out the Answer
Question Category : Seizures
12 yr girl presented with persistent generalized seizures and later develops oedema,hematuria,and hypertension. pt was a febrile for 2 days before onset of seizures.can AGN present with seizures? Check Out the Answer
Question Category : Seizures
2month female child presented with GTC ,4 episodes for 12 hrs.no h/o fever ,cough & cold,vomiting,loose motion.no h/s/o IU infection,On examination- conscious child ,no features of Dysmorphism,AF-normal,sutures normal,HC-normal, CNS- no signs of localization,rest of S/E-normal.Investigations-CBC,Serum-electrolytes,glucose,calcium-normal,CSF-5WBC with 4 netrophils, protein,sugar&chloride -normal.Child responded with anticonvulsant. What should be the next step of Management? Check Out the Answer
Question Category : Seizures
How can i further investigate a neonate for its seizures and lethargy after the following investigations have come out to be normal:-1) No H/o birth asphyxia/ trauma. 2)serum calcium/ blood dextrose normal. 3) Work up for sepsis negative including blood culture and lumbar puncture. 4) CECT skull shows normal study. 5) ABG study normal (no metabolic acidosis, serum electrolytes normal- leave me in a doubt whether to investigate further on lines of a metabolic disorder) 6) no stigmata of intra uterine infection ( TORCH TITRE-not done due to economical restaints) Please guide me how to pursue this case. For an update the baby's seizures which started on day 3 of life are now under control on phenobarbitone, valproate and pyridoxine. But the cause for seizures still eludes me. Check Out the Answer
Question Category : Seizures
First attack of febrile seizure l.p(lumbar puncture)is needed for all cases? Check Out the Answer
Question Category : Seizures
A 6 yrs girl developed recurrent episodes of seizures(afebrile) following a headache.mri scan:patchy opacities thr' out the brain.prob:diag:acute demyelinating disease.she is now on sod.valproate & carbamazepine.what is the prognosis? can she have any problem in the long run? Check Out the Answer
Question Category : Seizures
Dear sir/madam, what is the indication for an EEG in a child with recurrent complex febrile seizure with no other signs to suggest any form of neurological disease.Does the EEG change the prognosis. Check Out the Answer
Question Category : Seizures
Dose the neonatal seizures to occur in newborns it depends on weight of baby? Check Out the Answer
Question Category : Seizures
8yrs old male child presented with a 7 months history of repeated falls followed by initially complex partial seizures followed by GTCS,initially 1-2 episodes ,later status epilepticus.Came to the emergency in a state of unconsciousness,E1V1M2.Was having progressive cognitive decline for past 4 months,and aphasia for past 2 months. Check Out the Answer
Question Category : Seizures
I have come to know about the role of lignocaine in neonatal seizures. Can you please tell me any centers in India using lignocaine for neonatal seizures and it's success rate and side effects. Plus whether the same can be used in case of older kids who have refractory seizures. What will be the side effect profile in them like?? please reply in satisfactory detail.thank you. Check Out the Answer

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