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Medical Forum / Diseases and Disorders / Epilepsy / May 2007

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Chances of my 6 year old having another seizure?

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calberto22 - 16 May 2007 04:26 GMT
Hi All,

When my son was 4, two years ago, he had a grand mal seizure one
morning.  It occured when he was supposed to be getting up in the
morning around 7am.  No one knows why.  He is otherwise a very happy,
healthy, normal 6 year old boy.  The neurologist put him on Trileptal
150mg twice a day.  He's been on this medication for 2 years and has
had no more seizures in the 2 years.  He's had EEG's every 6 months
that come out with "seizure activity signs" during the sleeping time
of hte EEG, other than that the EEG is normal.  He's had MRI's that
show that everything is normal.  So I have an appointment with his
neuro next week.  I was really hoping we could finally take him off
hte medication as he had said if he goes seizure free for 2 years, he
would probably take him off the medication.  Part of me is happy, and
part of me is worried.  Summer is coming up and he'll be taking
swimming classes.  I'm considering leaving him on the medication just
for the summer, and then take him off hte medication?

What would you do if this was your child?

Does this medication PREVENT the seizure?  as in, if we take him off
the medication, will the chances of a seizure recurring go up?  i'm
not fond of medications, and he doesn't take any other medication
other than this one, but on the other hand, i am concerned about a
seizure recurring.

Please let me know your thoughts.  I truly appreciate everyone's
input.

Carla
J. T. Laurie - 16 May 2007 15:33 GMT
in my humble opinion, if he has seizure activity in the sleep stage,
wouldn't that justify keeping him on the meds for safety's sake?
> Hi All,
>
[quoted text clipped - 26 lines]
>
> Carla
Pat Cook - 16 May 2007 15:51 GMT
Hi everyone:

> Hi All,
>
[quoted text clipped - 15 lines]
>
> What would you do if this was your child?

Simply put, you should NEVER alter or go off your medication (Or do the same
with your child if it's prescribed for him) without first consulting with
the neurologist.  You could cause more harm than good by doing this.

> Does this medication PREVENT the seizure?  as in, if we take him off
> the medication, will the chances of a seizure recurring go up?  i'm
> not fond of medications, and he doesn't take any other medication
> other than this one, but on the other hand, i am concerned about a
> seizure recurring.

It doesn't matter what your personal feelings are.  Epilepsy is NOTHING to
mess around with.

You see, I ought to know.  I was taken off Dilantin by my doctor (Who wasn't
even a neurologist BTW)  at the request of myself in agreement with my
parents when I was a kid because it was somehow thought that my Epilepsy was
in some sort of "remission"

That turned out to be a fantasy.

As a result, I had a seizure one evening some SEVERAL YEARS LATER.  No one
at the time could figure out why I had one till the docs found out about my
Epilepsy.

Fortunately I was at home helping out in the kitchen putting away groceries
which my mom had bought at the store.  I could've been anywhere when it hit.
This was almost 25 years ago (I'm 40 years old now).  But don't EVER think
it can't happen to YOUR son.

I know you're not fond of medications, but trust me when I say this, having
them WILL save you a lot of misery and potentially save your son's life.

Again, I ought to know as I am a voice of personal experience - AS THE
PATIENT.

Hope this helps :D

Cheers :D

Pat Cook
Denver, Colorado
J. T. Laurie - 17 May 2007 04:00 GMT
same here. we had to completely forego my gabapentin because it wasn't being
refilled. oh dear god how that was a nightmare...
> Hi everyone:
>
[quoted text clipped - 60 lines]
> Pat Cook
> Denver, Colorado
G. - 17 May 2007 15:18 GMT
> Hi All,
>
[quoted text clipped - 6 lines]
> that come out with ***"seizure activity signs"*** during the sleeping time
> of hte EEG, other than that the EEG is normal  <---WHAT DOES THIS MEAN, when above you just said (at ***s)  there are seizure activity signs on the EEG?   (sleeping szr vs. awake one doesn't matter, as a szr. during night can be just as dangerous as daytime if it's not controlled.)

He's had MRI's that
> show that everything is normal.  So I have an appointment with his
> neuro next week.  I was really hoping we could finally take him off
> hte medication as he had said if he goes seizure free for 2 years, he
> would probably take him off the medication.  Part of me is happy, and
> part of me is worried.  Summer is coming up and he'll be taking
> swimming classes.
********************************
 I'm considering leaving him on the medication just
> for the summer, and then take him off hte medication?
>
[quoted text clipped - 10 lines]
>
> Carla

 I'll add my 2 cent's worth too. If he were on a Pacemaker would you
shut it off because *you're not Fond of it? That's what anti ep drugs
(AEDs) are for us. They stabalize the epileptiform waves and normalize
our lives. Whether an MRI shows damage doesn't matter as the EEG (you
said, at above **s, Parag. 1 ) shows Waves still there and the pills
apparently are controlling them.
  (I'm not a Doctor, but don't understand why the Dr. would consider
removing pills when the EEG still ***shows waves there, whether he's
had szrs. in 2 years or not. Usually? pills get removed (I thought) if
the EEG and MRI are *both clean-- his aren't yet?   And a szr. in
water can be more dangerous if someone doesn't see him have the onset
symptoms.)

 As Mr. Laurie suggested, your beliefs/ concerns really don't enter
into it? Prompt withdrawal of some AEDs without a Dr. supervising it
can produce worse side effects than toughing out 'our feelings about
pills'.  I also don't understand why the EEG shows waves but the Dr.
(too) said they'd remove the pills after summer, when he's back among
his peers in school.
   Heck I'd want to have a szr. among my peers in school.  Probably
in Gym or an assembly where there's a Crowd around....  :-<     I had
something like that (but not seizures) in Grade 2, and remember it
today, when I'm old, like it was yesterday...
   G./
G. - 18 May 2007 00:41 GMT
> Hi All,
> When my son was 4, two years ago, he had a grand mal seizure one
[quoted text clipped - 24 lines]
> input.
> Carla

  My earlier post might have sounded a little confused, as I did it
among several others on other threads, and to other people.
  A few people who were around here (and might still read the group a
few times a week), had *Childhood-onset type seizures and either grew
out of it, or were able to adjust pills (downward) as they matured.
  Depending on the szr. type (and the Dr. might be able to tell you
the probability), he might be able to outgrow both the szrs. and the
need for any pills later.
  For *now,  the EEG shows Epileptiform type szr. waves during his
Sleep deprived EEG ? even while he's taking the pills. So the Waves
(seizure activity)  are still going on there,  but the *pills are
keeping it from getting out of control and potentially posing problems
with seizures happening  while he's in gym, on a bike, swimming,
outdoors, etc.

  Did the Dr. ever suggest what might have started the szrs. off?
Many of us either have some type of damage that shows up on an MRI,
*or can relate to e.g. encephalitis (mine), meningitis? (not sure) or
other illnesses that might mess up the wiring a bit.   It would be
based on stuff like that that the Dr. might be able to suggest if it's
something that can be outgrown as he matures, and also if (later)
they might try reduce any pills that he uses.
  If he (your *son)  wanted to try reduce the pills e.g. while school
is out later, the **Dr. could suggest what rate the dose could be
reduced, and you could try it.   This would help too if he could
remember if he ever got a feeling or dizzy sensation  (an aura)  with
the original times he first had seizures.   (At age 4 that might not
be something that would mean much to him, so it might be hard to
explain what some types of Auras might feel like.   Mine were a
swirling dizzy feeling, and a taste or sense of smell like Lemon. But
others here get an Eggy taste, foul aroma that's not there, and
*either feelings of Deja Vu or Jamais Vu (never seen)  <--  try
explain *That to someone who's so young !!  :-<

  If he doesn't mind taking the pills for now, and the EEGs still
show the Waves, it might still be best to keep taking them until 1-2
tests turn up that show less to *no epileptiform activity.  Then the
Dr. might consider slowly (each 3-4 weeks usually)  reducing parts of
the doses to see how he does.  So long as he's still got the EEG
waves, though, my (personal/ non-medical) feeling is that it might be
best to keep taking the pills, as they appear to give him control and
allow him to be a normal 4+ year old.   As a parent too, I'd be happy
to have someone who's controlled and able to interact and play without
having *me in his way, watching every move as he plays and matures.
   They *might have to change the dose (up for weight, metabolism, or
down if he outgrows them), but that's medical stuff that I'm not
qualified to reflect on.   The fact the Dr. is running EEGs each 6-12
months, I'd take as a sign you have a *good Dr.  who's watching how
things are doing, and looking for any changes that might indicate if
any doses could be reduced later.
   Keep us up to date too.   There are *lots of people who read this
group, even if they don't post, and they learn from our varied
experiences, depending on their needs and family members involved with
this.      I hope he has a good summertime.      G./
G. - 18 May 2007 01:24 GMT
> Hi All,
> When my son was 4, two years ago, he had a grand mal seizure one
[quoted text clipped - 24 lines]
> input.
> Carla

  My earlier post might have sounded a little confused, as I did it
among several others on other threads, and to other people.
  A few people who were around here (and might still read the group a
few times a week), had *Childhood-onset type seizures and either grew
out of it, or were able to adjust pills (downward) as they matured.
  Depending on the szr. type (and the Dr. might be able to tell you
the probability), he might be able to outgrow both the szrs. and the
need for any pills later.
  For *now,  the EEG shows Epileptiform type szr. waves during his
Sleep deprived EEG ? even while he's taking the pills. So the Waves
(seizure activity)  are still going on there,  but the *pills are
keeping it from getting out of control and potentially posing problems
with seizures happening  while he's in gym, on a bike, swimming,
outdoors, etc.

  Did the Dr. ever suggest what might have started the szrs. off?
Many of us either have some type of damage that shows up on an MRI,
*or can relate to e.g. encephalitis (mine), meningitis? (not sure) or
other illnesses that might mess up the wiring a bit.   It would be
based on stuff like that that the Dr. might be able to suggest if it's
something that can be outgrown as he matures, and also if (later)
they might try reduce any pills that he uses.
  If he (your *son)  wanted to try reduce the pills e.g. while school
is out later, the **Dr. could suggest what rate the dose could be
reduced, and you could try it.   This would help too if he could
remember if he ever got a feeling or dizzy sensation  (an aura)  with
the original times he first had seizures.   (At age 4 that might not
be something that would mean much to him, so it might be hard to
explain what some types of Auras might feel like.   Mine were a
swirling dizzy feeling, and a taste or sense of smell like Lemon. But
others here get an Eggy taste, foul aroma that's not there, and
*either feelings of Deja Vu or Jamais Vu (never seen)  <--  try
explain *That to someone who's so young !!  :-<

  If he doesn't mind taking the pills for now, and the EEGs still
show the Waves, it might still be best to keep taking them until 1-2
tests turn up that show less to *no epileptiform activity.  Then the
Dr. might consider slowly (each 3-4 weeks usually)  reducing parts of
the doses to see how he does.  So long as he's still got the EEG
waves, though, my (personal/ non-medical) feeling is that it might be
best to keep taking the pills, as they appear to give him control and
allow him to be a normal 4+ year old.   As a parent too, I'd be happy
to have someone who's controlled and able to interact and play without
having *me in his way, watching every move as he plays and matures.
   They *might have to change the dose (up for weight, metabolism, or
down if he outgrows them), but that's medical stuff that I'm not
qualified to reflect on.   The fact the Dr. is running EEGs each 6-12
months, I'd take as a sign you have a *good Dr.  who's watching how
things are doing, and looking for any changes that might indicate if
any doses could be reduced later.
   Keep us up to date too.   There are *lots of people who read this
group, even if they don't post, and they learn from our varied
experiences, depending on their needs and family members involved with
this.      I hope he has a good summertime.      G./
G. - 18 May 2007 01:25 GMT
> Hi All,
> When my son was 4, two years ago, he had a grand mal seizure one
[quoted text clipped - 24 lines]
> input.
> Carla

  My earlier post might have sounded a little confused, as I did it
among several others on other threads, and to other people.
  A few people who were around here (and might still read the group a
few times a week), had *Childhood-onset type seizures and either grew
out of it, or were able to adjust pills (downward) as they matured.
  Depending on the szr. type (and the Dr. might be able to tell you
the probability), he might be able to outgrow both the szrs. and the
need for any pills later.
  For *now,  the EEG shows Epileptiform type szr. waves during his
Sleep deprived EEG ? even while he's taking the pills. So the Waves
(seizure activity)  are still going on there,  but the *pills are
keeping it from getting out of control and potentially posing problems
with seizures happening  while he's in gym, on a bike, swimming,
outdoors, etc.

  Did the Dr. ever suggest what might have started the szrs. off?
Many of us either have some type of damage that shows up on an MRI,
*or can relate to e.g. encephalitis (mine), meningitis? (not sure) or
other illnesses that might mess up the wiring a bit.   It would be
based on stuff like that that the Dr. might be able to suggest if it's
something that can be outgrown as he matures, and also if (later)
they might try reduce any pills that he uses.
  If he (your *son)  wanted to try reduce the pills e.g. while school
is out later, the **Dr. could suggest what rate the dose could be
reduced, and you could try it.   This would help too if he could
remember if he ever got a feeling or dizzy sensation  (an aura)  with
the original times he first had seizures.   (At age 4 that might not
be something that would mean much to him, so it might be hard to
explain what some types of Auras might feel like.   Mine were a
swirling dizzy feeling, and a taste or sense of smell like Lemon. But
others here get an Eggy taste, foul aroma that's not there, and
*either feelings of Deja Vu or Jamais Vu (never seen)  <--  try
explain *That to someone who's so young !!  :-<

  If he doesn't mind taking the pills for now, and the EEGs still
show the Waves, it might still be best to keep taking them until 1-2
tests turn up that show less to *no epileptiform activity.  Then the
Dr. might consider slowly (each 3-4 weeks usually)  reducing parts of
the doses to see how he does.  So long as he's still got the EEG
waves, though, my (personal/ non-medical) feeling is that it might be
best to keep taking the pills, as they appear to give him control and
allow him to be a normal 4+ year old.   As a parent too, I'd be happy
to have someone who's controlled and able to interact and play without
having *me in his way, watching every move as he plays and matures.
   They *might have to change the dose (up for weight, metabolism, or
down if he outgrows them), but that's medical stuff that I'm not
qualified to reflect on.   The fact the Dr. is running EEGs each 6-12
months, I'd take as a sign you have a *good Dr.  who's watching how
things are doing, and looking for any changes that might indicate if
any doses could be reduced later.
   Keep us up to date too.   There are *lots of people who read this
group, even if they don't post, and they learn from our varied
experiences, depending on their needs and family members involved with
this.      I hope he has a good summertime.      G./
Sofia - 18 May 2007 01:43 GMT
> What would you do if this was your child?

I don't actually have any children, but I was a child with epilepsy like
some of the others on the newsgroup. I began bumping into walls and
lamposts, and doing all kinds of stupid things from the age of 9 years old,
but I didn't have my first grand-mal seizure until I was 11 in the school
playground where I bumped my head badly and was taken to the hospital with
my mother who was undoubtedly very worried at what had happened - like you
a bit!

Since then my paediatrician and neurologist have  put me on combined
mixtures of nearly every anti-epileptic medication under the sun, but I
still have yet another seizure after another, and somehow I know despite my
taking them regularly both night and day that it's going to be with me
forever!

> Does this medication PREVENT the seizure?  as in, if we take him off
> the medication, will the chances of a seizure recurring go up?  i'm
> not fond of medications, and he doesn't take any other medication
> other than this one, but on the other hand, i am concerned about a
> seizure recurring.

No medication actually prevents a seizure, as as they are incurable and
unpreventable! The drug is only there to help control the seizure the best
it can, so if I were you, I'd just live every day to the fullest and hope
for the best, I'm 41 now.

Because mine are so frequent, my hubby has to look out for me and catch me
to make sure I don't land on hard surfaces and end up with half my face
bruised up, which you could try with your son if it gets any worse!

Sofie
Signature

Please visit my deviantART page: http://sofen.deviantart.com/

Pat Cook - 18 May 2007 15:22 GMT
Hi everyone:

>> What would you do if this was your child?
>
[quoted text clipped - 6 lines]
> my mother who was undoubtedly very worried at what had happened - like you
> a bit!

I'm in pretty much the same boat Sofia is in, only I don't exactly recall
when I was actually diagnosed with Epilepsy or when the first seizure hit (I
know both were when I was kid though).  But I imagine my parents were a bit
concerned as well.

> Since then my paediatrician and neurologist have  put me on combined
> mixtures of nearly every anti-epileptic medication under the sun, but I
> still have yet another seizure after another, and somehow I know despite
> my
> taking them regularly both night and day that it's going to be with me
> forever!

I too know that, barring some neurological miracle, Epilepsy will remain
with me forever as well.

The first medication I was put on was Dilantin.  I took it on a regular
basis.  So much so in fact, it began to feel as though I was taking it as if
were candy.  I say this because we (As in my parents and I) were all
thinking that I had somehow "outgrown" my Epilepsy as I had not experienced
a seizure or seizure-like symptoms.  As a result, I was taken off Dilantin
completely (Not weaned off.  Taken off completely).

And as I said before, we did this WITHOUT seeing a neurologist.

Also, as I said before, this turned out to be a mistake as my "outgrowning"
my Epilepsy was just simply a ruse as it was mere in remission.  One of my
brothers was treated for Epilepsy when he was a kid too, though he believes
he was somehow "cured" by his religious faith (He's a member of the clergy
now).  I treid to convince him that his Epilepsy is just in remission, but I
guess he'll just have to find out on his own when he's rushed into the ER as
a result of a seizure. *sigh*

>> Does this medication PREVENT the seizure? as in, if we take him off
>> the medication, will the chances of a seizure recurring go up? i'm
[quoted text clipped - 6 lines]
> it can, so if I were you, I'd just live every day to the fullest and hope
> for the best, I'm 41 now.

I agree with Sofia.  BTW FWIW, I'm a 40 year old single white male. :)

> Because mine are so frequent, my hubby has to look out for me and catch me
> to make sure I don't land on hard surfaces and end up with half my face
> bruised up, which you could try with your son if it gets any worse!

Which is EXACTLY why I wear a bicycle helmet when I go out in public.  I
wear it when I'm going somewhere on my FOUR WHEEL Pride Victory scooter (I
have Cerebral Palsy too) and I even wear it while riding the bus.  I do the
latter because I figure it this way.....

I'd MUCH rather ride the bus and look like a dork in the process (I really
don't care what other people think of how I look in this situation) while
wearing my helmet EVEN THOUGH I don't have a bicycle with me than I would go
without my helmet and risk having a seizure and collapsing on the sidewalk
or (WORSE) in the middle of the street and wind up in the ER with a busted
skull ON TOP OF the seizure itself.

BTW...I should also mention just as a disclaimer that due to its size, I
can't ride the bus while on my scooter as it won't fit on the bus.

Anyhow....You might try taking the same approach Carla by ensuring that your
son wears a helmet (Which you can get from any bike shop or even K-Mart for
as little as $20 if not cheaper) whenever he rides his bicycle (He DOES have
a bicycle, does he?).

On final comment....

> Please visit my deviantART page: http://sofen.deviantart.com/

Nice website Sofia!  Art isn't my thing BUT.... :)

Cheers :D

Pat Cook
Denver, Colorado

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