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Convulsion - 06 Year Old

06 Year old male

Today my son after getting scratches in playground went to school infirmary for dressing. However, Nurse in infirmary has informed that my son had convulsion for around 01 second. Whole body was stiffed. She advised me to get EEG done.

When i enquired with my son, he told that his full hand was filled with blood from finger injury and he panicked after seeing blood.

I got his EEG done. EEG report saying:
There is E/O frequent paroxysms of large amplitude sharp and slow wave complexes of 4 Hz S/O Generalized epileptiform discharges

Impression: Abnormal awake EEG s/o Generalised Epilepsy.


Pediatrician has advised me to consult ped neurologist.

Kindly someone advise. What should i do. He never had this sort of symptom before.
 
  reynep on 2022-05-11
This is just a forum. Assume posts are not from medical professionals.
What kind of injury was it ? Please describe in the words of your son.
 
telescope 2 weeks ago
Injury was during learning skating. he has not fallen.most likely its due to metal of skating shoes.

he has not observed it all during skating. when he was packing his bag after skating is over, he saw blood coming out from finger of his hand. then he has told to his teacher and she took her to infirmary which was in the next building.

Now , i am seeing its just scratches on finger.

He was ok till he went inside infirmary. When nurse tried to clean it with Savlon he had this.


One more thing.i forgot to mention..during sleep sometime his legs gets twitches..say 02-03 times in whole night...and he keep on rotating on bed. not sure if it is related to this.

Please advise
 
reynep 2 weeks ago
We will address his injury related problem first. As he got the problem after being treated with Savlon we will assume that it is allergic reaction and try to antidote it. For this you will need Nux Vomica 30 three doses at 3 hour interval. Do another EEG three or four days after medicine. Also verify again whether there was concussion to any part of body as a different medicine will be required then.
 
telescope 2 weeks ago
Probably i have not clearly written.

No allergic reaction. He panicked prior to application of savlon, while nurse was cleaning. He was perfectly normal after applying savlon.

He is perfectly fine w.r.t Finger injury.

Main issue is regarding convulsion / epilepsy (as indicated in eeg)

Kindly review.
[Edited by reynep on 2022-05-11 17:07:21]
 
reynep 2 weeks ago
Can you say he panicked at the sight of blood ?
 
telescope 2 weeks ago
Hi-I don’t think it’s epilepsy. Panic attacks can do this. I’ve seen people fall on the ground and shake from panic attacks.
Has he reacted to seeing blood before? Fainting, etc at the sight?is a condition you do desensitization with. I know several who dropped out of med school bc they had this.
[Edited by simone717 on 2022-05-11 18:14:42]
 
simone717 2 weeks ago
Sorry for the late reply.

Yes thats what nurse at school has described. His body was stiffed for approx 01 second.

We had shown his report to Ped neurologist.He has advised us to monitor him for 01 month for any symptomps. he has advised to get EEG done once again after 01 month.
 
reynep 2 weeks ago
Thank you Simone for reply.

We had never seen such behaviour before. This also has happened in his school. His school nurse has told all these.

Not seen him fainting before. This time also he has not fainted.

Kindly advise.
 
reynep 2 weeks ago
Hi,
Can you give more info on his school nurse saying this happened before?
How many times?
What exactly went on? What happened before it started?
 
simone717 2 weeks ago
Dear Simone,

We have never observed this before at home.

This is the First incident and it happened in school. We were not present there. School nurse has narrated this about this 1st incident:

his body became stiffed for a second while applying dettol.But after 1 sec, he was normal. He was speaking normal. Nurse has measured the temperature and Oxygen stats using oxymeter immediately. Temperature, Pulse rate and oxygen O2 stats were all normal. No puking. He was standing normally.


She thought its a symptom of convulsion and asked us to get EEG.

We had reached Hospital within 01 hour. His Pediatrician check her vitals again and told he is perfectly fine. However, to be on safer side, she recommended for EEG test.

His EEG tests report indicates "Sign of Generalised Epilepsy".

Its almost 48 hours now after the incident. We have not observed any symptom/sign related to epilepsy.

Kindly advise.
 
reynep 2 weeks ago
Hi,
People can have abnormal EEG after a panic attack.Ive seen lots of panic attacks and I think he had severe panic attack from seeing blood.I do not think the nurse understands panic attacks. I would just keep observing him and only do more tests if he has another episode.
In my view, the child is fine.
 
simone717 2 weeks ago
Thank you Simone..Means a lot.

Started monitoring him. Will give feedback if anything changes.
 
reynep 2 weeks ago
Many are sent for all kinds of testing after a panic attack. Mostly due to Drs ignorance about this-it creates more anxiety. And after a panic attack, often the person has high anxiety levels bc they are afraid of having another one. Since kids pick up on parents concerns, try to relax as it’s a common reaction to something shocking.
[Edited by simone717 on 2022-05-13 14:36:54]
 
simone717 2 weeks ago
Dear Simone,

Thanks for all the help and advise...

Regards
 
reynep 2 weeks ago

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