Dravet Syndrome

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I never knew anything about Dravet Syndrome until I joined Utah's epilepsy association board last year. I wonder how many people here are familiar with it? We at the EAU are going to promote awareness to Utah this Summer by flying Dr Dravet here from Paris. My post on the EAU board really makes me realize that I hear and say "seizure disorder", but I have no idea just what those other disorders are. I'm learning a lot.
 
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LMR- do you attend the SLC library meetings? I'm not being creepy, just curious as I went last Wednesday. Perhaps we know each other? :)
 
Yes, I am familiar with Dravet's syndrome

I do know many kids with Dravet's from the Dutch forum I host. This 'seizure disorder' is called an 'epilepsy syndrome'

Dravet's (SMEI, Severe Myoclonic Epilesy in Infancy) is a maligne childhood epilepsy syndrome, maligne meaning it is a medicine resistant type of epilepsy with a disasterous influence on the cognitive, mental and physical development of children. Dravet's does not disappear when kids grow older and it is not a syndrome with only myoclonic seizures like the name SMEI suggests. The seizures sometimes get less frequent in puberty.

The first seizures (myoclonic jerks) in early childhood (usually betwen age 1-3) are triggered by fever. Dravet has a genetic cause, a mutation called the SCN1a gene (found in 70% of cases, 30% without this gene are called 'borderline SMEI'). Kids with Dravet are always (severe) mentally disabled. Some kids with Dravet's can stand and walk but they usually have an unstable 'drunk' type of walking and most of them do need a stroller or wheelchair. Some of them can speak, others can't. Kids with Dravets need to be cared for all their life.

Kids with Dravet have all types of seizures, in most cases myoclonic jerks and complex patials, but many have tonic-clonics and drop seizures when they grow older. Many kids with Dravet end up on a regular base in the hospital with status epilepticus or non convulsive status epilepticus (NSCE) Usually Diastat doesn't help and midazolam IV is needed to stop these seizures. Some kids with Dravet need to be monitored for saturation and need oxygen during a seizure.

Stiripentol (recent new drug) and Topamax, with as an add on clobazam, and the ketogenic diet are good choices to try for Dravet's syndrome to decrease frequency of seizures. Kids with Dravet who are a 100% seizure free, are exceptions. Lamictal tends to cause seizure increasement (recent research.)

A support group for parents is the former IDEA league http://dravet.org/about-dravet/smei , yoú can read more about Dravet including testimonials there.

Other maligne childhood epilepsy syndromes are West syndrome (Infantile spasms), Lennox Gastaut syndrome, Doose syndrome (MAE), Othahara syndrome, Aicardi syndrome, Landau Kleffner syndrome and ESES.
 
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LMR- do you attend the SLC library meetings? I'm not being creepy, just curious as I went last Wednesday. Perhaps we know each other? :)


No, I don't attend the library meetings. But I spend plenty of time presenting at schools and med clinics, and the EAU is forming support groups all across the state. Come to think of it I've never considered the library, I don't know why.
 
We actually talked about Dravet last time- one of the ladies has a nephew with Dravet and there was some mulling over LG as well. It made me want to learn more about both...

You should come next month- they're quite interesting and informative- that and it's nice to be around other folks with E. We'd love to have you :)

How did you get involved with speaking in public about E? I've been looking for opportunities to do that.
 
I never knew anything about Dravet Syndrome until I joined Utah's epilepsy association board last year.

Also be aware of vitamin B6 Dependent Seizures as these share some very similar characteristics as Dravet's Syndrome.

http://ghr.nlm.nih.gov/condition/pyridoxal-5-phosphate-dependent-epilepsy

" In rare instances, children with this condition do not have seizures until they are 1 to 3 years old."

"Anticonvulsant drugs, which are usually given to control seizures, are ineffective in people with pyridoxine-dependent epilepsy."

Taken from the following URL.

http://ghr.nlm.nih.gov/condition/pyridoxine-dependent-epilepsy

And:

"The seizures may be all types - myoclonic, clonic, tonic, tonic-clonic or even infantile spasms. It is in fact quite common for an infant with pyridoxine-dependency to have many different types of seizures, all at the same time."

Taken from the following URL.

http://www.epilepsy.org.uk/info/pyridoxine

Also see:

http://www.caringbridge.org/visit/lydia, http://www.caringbridge.org/ga/lydiavail/

**DO NOT ALTER ANY MEDICATION WITHOUT YOUR DOCTOR'S CONSENT**
 
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