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Medical Forum / Diseases and Disorders / Epilepsy / March 2005

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Myoclonus epilepsy in our son harry 7yrs

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virgin - 12 Jan 2005 23:11 GMT
hi I am from the uk and father to a child of 7 who last April had a severe
fever whereby he was admitted to hospital for a week for checks and nothing
found. what this has left him with and progressively getting worse is fits -
convulsions in his upper arms and sometimes his legs.
   He controls these during his schooling by tensing his muscles and so is
not as noticeable as later on in the day when he becomes tired. We have had
eeg tests which really showed nothing and he has recently being for mri scan
which his consultant said would hopefully determine spinal or other
myoclonus epilepsy.
   He has tried rivotril which caused him to be nasty with it and changed
his character - 0.5mg twice a day - with no effect on his twitching.
   Now he is on 400mg of sodium valproprate twice a day with no effect. His
doctor said that he will not take him off this meds until he has reached the
maximum dose for his weight. As before it is not affecting his myoclonus -
apart from helping him sleep better at nights.
   Any advice from like minded parents would be appreciated.

   We do have a child who has hydrocephalus - with no shunt just meds but
harrys problem has us both my wife and I stumped as to the reasons why

   Thanks John UK Lincolnshire
virgin - 19 Jan 2005 20:02 GMT
does any one know what an ssep is in lkaymans terms as harry has now got to
go through this and also some metabolic tests - his mri scan was negative -
although the doc can clearly see his twitching

ttfn john

> hi I am from the uk and father to a child of 7 who last April had a severe
> fever whereby he was admitted to hospital for a week for checks and
[quoted text clipped - 17 lines]
>
>    Thanks John UK Lincolnshire
Sofia - 22 Jan 2005 02:32 GMT
>  does any one know what an ssep is in lkaymans terms as harry has now got to
> go through this and also some metabolic tests - his mri scan was negative -
> although the doc can clearly see his twitching

Are you sure you've spelt it right?

Like many others on this site, I've been under practically every gadget
that Harry will go through, but I've never heard of an ssep.

I then thought that they could be the letters to the beginning of the
"Chalfont Centre for Epilepsy", but you really started getting me confused
when you added "in 1kaymans terms". Maybe if you gave me, and others on
the site a good solid word in our countless numbers of books on Epilepsy,
then maybe together we could find what we're looking for.

I'm afraid all I can tell you about Harry's condition is that "myo" means
muscle, and "clonic", means jerk. My "encyclopaedia of epilepsy" says
it's as though somebody is having an "electric shock" and therefore
called, the "flying saucer syndrome", the name taken from the actions of
a patient whilst having a seizure, and holding a cup of tea.

What I can do though, as a patient myself, is tell you that when I was in
primary school, I was told that my seizures could have begun by anything
from a trauma, an infection, or even a bang on the head by falling over
in the playground.

Anyway, good luck, and let us all know how Harry gets on.

Sofie    
virgin - 25 Jan 2005 20:05 GMT
in laymans terms - ie what does it mean ssep - somosensory something or
other - a more advanced eeg by al accounts that can only be requested by the
specialists in this field here in the uk

cheers john

>>  does any one know what an ssep is in lkaymans terms as harry has now got
>> to
[quoted text clipped - 27 lines]
>
> Sofie
disillusioned - 25 Jan 2005 20:47 GMT
>  does any one know what an ssep is in lkaymans terms as harry has now got to
> go through this and also some metabolic tests - his mri scan was negative -
> although the doc can clearly see his twitching
>
> ttfn john

I found this reasonably clear description.
"Somatosensory Evoked Potentials (SSEP/SEPM)

SSEPs apply a small electrical current to the skin overlaying nerves on
the arms or legs. The test is used to evaluate pathways from nerves in
the arms and legs through the spinal cord to the brainstem, or cerebral
cortex. The test, which is not painful, will cause a tingling sensation
in the area stimulated by electricity. "

>>hi I am from the uk and father to a child of 7 who last April had a severe
>>fever whereby he was admitted to hospital for a week for checks and
[quoted text clipped - 17 lines]
>>
>>   Thanks John UK Lincolnshire
virgin - 26 Jan 2005 21:31 GMT
dis do you know how long or involved these tests are - so that we could
explain them more to harry as he is bricking it at mo"
thanks john

>>  does any one know what an ssep is in lkaymans terms as harry has now got
>> to go through this and also some metabolic tests - his mri scan was
[quoted text clipped - 32 lines]
>>>
>>>   Thanks John UK Lincolnshire
disillusioned - 27 Jan 2005 01:27 GMT
> dis do you know how long or involved these tests are - so that we could
> explain them more to harry as he is bricking it at mo"
> thanks john

That's certainly understandable. These people indicate 60-180 minutes
for the testing
http://www.neurologychannel.com/ucec/patientinfo.shtml
However, if he going in for overnite EEG testing, the SSEP will be
included in that.

These people don't give any times, but you might want to read it as it
is interesting and may help
http://www.memorialhermann.org/locations/CHCPNeuro.html

>>> does any one know what an ssep is in lkaymans terms as harry has now got
>>>to go through this and also some metabolic tests - his mri scan was
[quoted text clipped - 32 lines]
>>>>
>>>>  Thanks John UK Lincolnshire
Sofia - 23 Jan 2005 04:12 GMT
>     We do have a child who has hydrocephalus - with no shunt just meds but
> harrys problem has us both my wife and I stumped as to the reasons why

Hello John, I replied to your entry fom the 19th of this month. It's just
that I'm pretty new to this site, and most of the others are either on the
"alt support" newsgroup, or have also subscribed to the N.S.E one like
myself.

Anyway, as this newsgroup is almost dead, it seems to me as if you, your
wife, and Harry, are the only people I can talk to at the moment, other
than my own husband than is - who has learn't to live with my condition
after almost 18 years of marriage.

Anyway, I'll keep my fingers crossed for Harry.

Sofie  
angeleyes1@ntlworld.com - 04 Feb 2005 09:45 GMT
Hi John

My twitching is worse when I relax.  I get stressed then my nerves
shake which is not of the good anyway coz it limits my mobility.  I
try to relax and then my arms and legs start to jerk.  Sometimes my
neck jerks too which must look kinda strange.

I'm on Rivotril as well as Lamictal for my seizures.  I do get mood
swings from time to time but mostly I'm okay.  Things got easier as
time went on.

Hope this helps

Angeleyes

>hi I am from the uk and father to a child of 7 who last April had a severe
>fever whereby he was admitted to hospital for a week for checks and nothing
[quoted text clipped - 17 lines]
>
>    Thanks John UK Lincolnshire
virgin - 22 Mar 2005 18:10 GMT
harry is having scan on spine next month - and testing via sleep depration
next month too plus a self help group led by consultants here in the uk -
will kepp you posted
> hi I am from the uk and father to a child of 7 who last April had a severe
> fever whereby he was admitted to hospital for a week for checks and
[quoted text clipped - 17 lines]
>
>    Thanks John UK Lincolnshire
G.Ross - 22 Mar 2005 19:14 GMT
Thanks.  I'm not a 'like minded parent', but wanted to comment anyway.  The
trouble with an EEG is some types of seizure activity has to be triggered
during a test (even if it's not visible from 'outside') to locate if there's
a place where the seizures are starting.   The Sleep Depriv. one you
mentioned that's planned, is a second attempt to lower the body's
'resistance' enough so, if any electric activity related to myoclonus is
there, they might be able to see it and locate where it's coming from.
   I was guessing that even though the meds. they're trying looks like it's
not helping, if he's sleeping through the night, it might be suppressing any
Nocturnal Seizure activity?  If that is the case, at least he wouldn't be
over-tired, so more prone to some of the seizure types, if there's something
going on there.  Those might return during the Sleep Deprived test, and
hopefully they will get some 'waveforms'  that will help them tell if it's
really seizures, or not.
  If the Doctors don't know about him being able to control some of them by
tensing as you list below, you might want to mention that to them, as it
might give a clue to which type it could be or if it's something else they
can help him with during his therapy.   They might also have some ideas
whether this type is something that might be 'outgrown' as he matures.
    I wish you luck with this.  G./

> harry is having scan on spine next month - and testing via sleep depration
> next month too plus a self help group led by consultants here in the uk -
[quoted text clipped - 20 lines]
>>
>>    Thanks John UK Lincolnshire

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