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Epilepsy. Is it or isn't it????

Sat, 12/23/2006 - 08:16
Here is our story/frustration at having our son properly diagnosed. Winter of 2000 - Child male age 5 - No seizure history. Healthy Happy. Oldest of 4 children. No family history on either side of seizures, epilepsy, or any other neurological disorder. Spring of 2000 he becomes ill with e.coli/HUS. Suffers renal failure. While in Hospital altered consciousness observed along with irritability. When discharged following recovery from renal failure, altered consciousness observed, lasting anywhere from 10-30 seconds. Chewing observed, walking aimlessly through house, won't respond to verbal commands. When he comes back to "normal" is confused and very irritable, trouble with memory (i.e. math homework that he had been doing with no problem he will forget how to do it). Also starts bedwetting. This continues undiagnosed for appox 3yr years. He ends up being treated for "behavioural problems". At age 8-9 first couple of eeg's are "normal". Child then has one that shows epileptic spikes. Followup EEG confirms. Also has two sleep eeg's that show the spikes. Finally Diagnosed with complex partial seizures in 2004. Child is also diagnosed with a brain injury from e.coli that is causing cognitive and behavioural problems although some of those problems are blamed on the epilepsy. Child is put on tegretol. Condition improves greatly but not 100%. Bedwetting stops with implementation of tegretol. Has 2-3 follow-up eeg's that show epileptic spikes. Neurologist continues with tegretol. 2005 while on ride at fair child has a "major" focal seizure. Ride is stopped child has to be helped off ride. Complains of having a bad headache and being nauseated afterwards. EEG a few days after this still shows epileptic spikes. Neurologist doesn't seem to concerned with this latest seizure. Child remains on tegretol. Dec 2006 Parents notice symptoms appear to be worsening. Child has a follow-up EEG. Child's psychiatrist also feels that seizures maybe causing some worsening of the behavioural problems. On follow-up with Neurologist a day after EEG he states that the EEG was clear and that our child "never ever had epilepsy". States that the EEG's were showing a normal variant called a "psychomotor variant". When questioned about what we were observing Neurologist stated that our child probably has/had underlying "psychiatric problems" that were the cause of it. When asked about the "seizure" that he had at the fair the Neurologist said "well whatever he's better now". Neurologist also said that our son should be taken off his medication immediately. Naturally we are quite concerned and have elected not to take our son off the medication because of the issues we are currently seeing with him. We have been using the same neurologist throughout this who is an epilepsy specialist. We are in the process of getting a second opinion. Question: Are we crazy? We feel that the behavior of the Neurologist is simply bizarre. The diagnosis of never having epilepsy just does not make sense although we would be grateful to god if he didn't. The difference between actual epilepsy and a normal variant shouldn't take nearly 5 years to figure out, plus it doesn't explain what we have been seeing all these years. This is an experienced pediatric neurologist who specializes in epilepsy. If our child does not have epilepsy, what the hell does he have?? We are extremely confused by all of this not to mention the thought of having to do this all over with another is very upsetting. Any thoughts or suggestions?????

Comments

Re: My thoughts are: YES,

Submitted by mcdonaja on Sun, 2006-12-24 - 19:01
Thank you Pam for your comments and additonal information. I was going through our sons med records, fortunately the Neurologist dictated a letter to us after each appt and EEG. The very first EEG in was noted by the operator and by him to contain some abnormal waves in addition to benign Psychomotor Variant waves. The next 5 EEG's all indicate abnormal waves with no mention of Psychomotor Variants with a diagnosis of Complex Partial Seizures. I just don't get it. Mind you I know he is very busy and I almost think that he's gotten our son's chart confused with someone elses.I don't know I guess I'm trying to give him the benefit of the doubt. Even with the EEG's aside, the observations we have made along with his teachers,tutors and oh I almost forgot an independent Neurologist that specializes in brain injuries (our son was at a brain injury clinic for some seperate assessments when this neurologist observed it - and recorded it)were also all but discounted by him. Not to mention the problems that we are having right now. We are just so baffled by this turn of events. Sure we would be VERY grateful if he didn't have e., but I just can't figure out any other explanation for what we have been seeing all of these years. Thanks again. Jamie

Re: Re: My thoughts are: YES,

Submitted by wldhrt13 on Sun, 2006-12-24 - 20:29
Jamie, WOW! Well then, it isn't even err on his part. If the report says abnormal waves in addition to the psychomotor variance, teachers/turors, and an independent brain injury specialist? that does seem creepy. Who knows what in this doctor's head. Did he ever do an MRI? Is it me? or does it make sense that after a major infections that can leave seizures in it's wake, not to order one? Maybe the doctor is having a nervous breakdown himself? LOL....not funny but yet, could be? do you think you will confront him for an explanation? either written or face to face? just curious

He had an MRI however it was

Submitted by mcdonaja on Sun, 2006-12-24 - 22:38
He had an MRI however it was 3 years post infection. It didn't show any structural changes but like the Dr. said (when he was making some sense) there wasn't anything to compare it to previous to the infection. Our son was extremely ill from the e.coli. Developed HUS which led to major organ failure and a host of complications. At the peak of his illness they came and told us that they had done everything they could and the rest was between our son and god. Everything I have read and researched not to mention the Neurologists who diagnosed him with a brain injury (they were hired by the insurance company and didn't have much to do with the epilepsy part although they agreed with our neurologist's first diagnosis)said that the e.coli infection in 50% of cases will leave children with a significant brain trauma that will lead to beahvioural & cognitive problems as well as seizures. We are definately going to approach the matter is some form, however we are going to wait until we get our "second opinion". It will either be face to face or through a complaint to the hospital and the College of Physicians and Surgeons. Heaven only knows who else this Dr has done this to. At this point it doesn't matter if his "new" diagnosis is right or wrong...he is still bordering on incompetence (in my opinion anyway). Your description is right..."creepy" Jamie

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