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Medical Forum / Diseases and Disorders / Epilepsy / January 2004

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son's first grand mal

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Amy Ellis - 31 Dec 2003 21:06 GMT
Hi all,

New to this board and need help. My 11 year old son has ADHD and is
taking Strattera and Concerta. He has big mood swings, mostly anger,
and he spaces out sometimes and comes back with a jolt. So the
psychiatrist sent him to get an EEG. He's never had a full-blown
seizure before.

He was okay, kind of fidgety (normal) until the strobes came on. He
doesn't remember anything past the really slow ones. As they got
faster, it got worse. I couldn't see his face - the EEG monitor was
blocking it. He got really anxious, started moving his hands around
and his feet jerked. I stood up to look at him.

When the strobe got really fast, he knew it was coming and screamed
over and over for them to turn the lights off. They turned the strobe
off, but he seized for almost five minutes, all limbs, eyes open,
stopped breathing once, clawed at his face. It was awful. How do
parents live through this?

He slept for about a half hour before I could wake him up and he was
halfway normal, though exhaused. I loaded him up in the car and took
him home. He's still asleep.

I spoke to the neurologist who is supposed to read the EEG. She
reassured me that although she's never personally seen it,
strobe-induced seizures happen all the time.

My son complains about a street lined with tall eucalyptus trees that
his bus goes down to get to school. He has to cover his eyes when it's
sunny because the flickering lights give him a headache.

Somebody please reassure me. Make me feel better. I keep seeing him
screaming and his eyes rolled back in his head.

Thanks,

Amy
Daz_n_Pat - 31 Dec 2003 22:22 GMT
Hi Amy,
My heart really goes out to you. I have a 12 year old son and can just
imagine that must have been so awful for you to witness and so scary.
If you have read through the other posts on here, one thing you may have
gathered is that no two people are alike and things that affect one person
may not affect another.
The reason they use the strobe lights during an EEG is that they tend to
induce epileptic type activity in the brain and this is what they want
during an EEG so they can monitor it and find where it's coming from. Some
people are affected by it and it seems some aren't. Personally, it never
seems to affect me, (I've had numerous EEG's) though flourescent lights do.
I have a cousin who is blind and has epilepsy and she seizes when the car is
driving past a row of trees with sunlight shining through.
It may be that this was a one off episode brought on by the intensity of the
flashing light, but as you know there are no gaurantees in life. It is
possible also that it may not be the last one.
Sorry, I can't say it definitely won't happen again, but we can hope it
doesn't. But one thing you need to know - from my own experience anyway - is
that the seizure itself doesn't hurt, so it's not causing your son any pain.

Keep us informed as to any developments.
All the best to you both.
Darryl & Patsy.

> Hi all,
>
[quoted text clipped - 34 lines]
>
> Amy
Julie - 31 Dec 2003 23:12 GMT
Hello Amy, welcome to our world.  We have a few things in common.  My son
was diagnosed with ADHD when he was in 4th grade.  He is now grown and
doing well, but it was very frustrating for him trying to pay attention in
school and having to take medication.

I know your post isn't about ADHD, but I wanted you to know I understand
that side of your world.  My son does not have epilepsy, but I do.  So
when you talk about your son being exhausted after a grand mal (tonic
clonic) seizure, I know the feeling.  I like to refer to it as the "been
run over by a mac truck feeling".  Our muscles get such a work out during
the seizure that it can take days or weeks to start to feel normal.

If this happens to your son again be prepared to be very supportive.  To
keep from injuring him - don't hold him down.  Keep things away from him
so he doesn't get hurt.  When he starts to regain consciousness calmly
talk to him and tell him you are there and what happened to him.
Understand that he may not be able to respond to you right away.

Here is some information about seizure first aid.
http://www.epilepsyidaho.org/seizure2.htm

And experiences: http://www.epilepsyidaho.org/experience.htm

Take care,
Julie Walton, Volunteer Webmaster
Epilepsy Foundation of Idaho
http://www.epilepsyidaho.org

> Hi all,
>
[quoted text clipped - 34 lines]
>
> Amy
Robert A. Fink, M. D. - 31 Dec 2003 23:41 GMT
>New to this board and need help. My 11 year old son has ADHD and is
>taking Strattera and Concerta. He has big mood swings, mostly anger,
>and he spaces out sometimes and comes back with a jolt. So the
>psychiatrist sent him to get an EEG. He's never had a full-blown
>seizure before.

Your son has a seizure disorder and needs to be worked up by a good
neurologist.  He should probably have a CAT or MRI scan of his brain
as part of that workup.

I would also question the diagnosis of ADHD.  The drugs (Strattera and
Concerta) can aggravate a seizure disorder.

Get him to a neurological specialist ASAP!

Best,

Bob

Robert A. Fink, M.D., FACS, P. C.
2500 Milvia Street   Suite 222
Berkeley, California  94704-2636  USA


Telephone:  510-849-2555
FAX:  510-849-2557
<http://www.rafink.com>

"Ex Tristitia Virtus"

--------------------------------------
NOTE:  The above message is not to be considered as
"medical advice".  Medical advice can be given only  
after a "hands-on" examination of the patient by a
physician.

========================================
Vicky - 02 Jan 2004 06:02 GMT
> Hi all,
>
[quoted text clipped - 3 lines]
> psychiatrist sent him to get an EEG. He's never had a full-blown
> seizure before.

    Hi Amy,
  My Mom has seizures so I know a little bit about this and I am also
involved with many parents that have kids with disabilities " my son is
mildly autistic"  anyway,, from your description it sounds like your
son's spacing out and coming back with a "jolt" are seizures and this is
why the doc refereed your son out for a EEG?

   Ive only seen my Mom have one grand mal seizure but I have seen her
have a lot of absence seizures and she doesn't remember what she has
done during these space out episodes...
   My Moms moods can get real wacky too and sometimes this is
accompanied with paranoia if her stress level is though the roof.
 My Dad used to think she had a split personality but that is just not
the case,,, I really do believe that it is all due to the epilepsy and
hers is just a unusual manifestation of it...

    Anyway,, like one poster suggested I would try and get your son a
full work up and see what is going on,,, preferably by a neurologist who
specializes in epilepsy at maybe a teaching hospital.

    Take care,
  Vicky
 
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