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LorenStow

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Hello,
I am new on this forum - thank goodness I found it last night while surfing the net for answers!
I had epilepsy as a child, but have been seizure-free since 1994 (except for an incident in Nov 2007). I still experience Auras (I think that's what it's called), and headaches are part of life, but I am not on any medication.

In Aug last year I had my first child - a little boy who has Down syndrome. I have found a wealth of information and support on Down syndrome forums, but we seem to have entered a new phase.

My son is now 8 months old and last week started displaying seizure-like activity. I call it 'seizure' like because I can't imagine what else it could be. I notice these episodes mostly when he's lying on his back. His arms will shoot forward (like he's reaching for something) and then they will flail around abit. Also his eyes get a glazed look. This lasts for anywhere between half a second to 5 seconds and he usually ends off by going on his side. These occur in clusters and I have counted at least 30 in an hour.

Our Paed is not convinced that these movements aren't normal - but she also has not seen them properly. An EEG was done (while he was in induced sleep) and it came back normal. And yet, these seizures continue.

I have done a lot of research over the past few days and would really appreciate any advice anyone has for me?

1. My son has Hypothyrodism (we found out last week that his TSH levels have jumped from 1 - 8 in two months, and so he was not getting nearly enough medication to control this. We have now doubled his daily dose). I have read that thyroid disfunction can contribute to seizure activity?

2. Due to the hypothyroidism I am assuming (I need to still get blood results) that his levels of Calcium Phosphate are low. I have heard that calcium levels also contribute to seizures?

3. I have also read that a normal EEG does not rule out seizure activity?

4. Infantile seizures also lead to a regression in functioning - does anyone know if this is an immediate or slow process? My son is still interacting, smiling and eating well.

I have started taping these episodes and will be taking the tapes to my son's therapists (PT and OT) tomorrow for their opinions.

But this forum seems to be a place filled with real people who have had real experiences and a wealth of knowledge. Please can someone help me understand what could be going on?

Sorry for the essay!!
Thank you in advance for any help!
 
Welcome on CWE Loren,

Because of your own history of epilepsy and your kid having Down syndrome, you're right to be alarmed. E. occors more often in children with Down, I know several of them in our Dutch parent group.

The seizure-like symptoms you're describing, with his arms reaching forward, do worry me because these movements could be salaam cramps. These kind of seizures in children can be infantile spasms (IS also known as West syndrome) and IS does occur more often on kids with Down.
IS has some typical characteristics, the EEG shows a patern known as hypsarythmia. I really do hope it's not IS.

When you look for 'infantile spasms' on You Tube you'll find many video's showing these type of seizures.

I do have several links on E. and IS combined with Down syndrome from our Dutch forum.

The Early Interventionist and the Medical Problems of the Child with Down Syndrome Infants & Young Children. 16(1):88-95, January/February/March 2003
http://www.iycjournal.com/pt/re/iyc/...856145!9001!-1

An analysis of epilepsy with chromosomal abnormalities
Brain and Development
Volume 27, Issue 5 , August 2005, Pages 370-377
http://www.sciencedirect.com/science...374b6ba038ef1d

Early clinical and EEG features of infantile spasms in Down syndrome
Epilepsia. 1996 Oct;37(10):977-82
http://www.ncbi.nlm.nih.gov/entrez/q...&dopt=Citation

Infantile Spasms in Down Syndrome: Good Response to a Short Course of Vigabatrin
Epilepsia
Volume 42 Page 1580 - December 2001
http://www.blackwell-synergy.com/lin...1.13501.x/abs/

Infantile spasms in Down's Syndrome: A good response to vitamin B6
Journal of pediatric neurology vol 2 iss 1 2004 p15-19
http://bioline.utsc.utoronto.ca/arch...01/pn04004.pdf
 
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:cheers:

Welcome to CWE. I myself probably don't have many answers for you, but I know several great parents on this site that I hope to hear chime in. Don't be afraid to start another thread down in the Kitchen or Library or the new Nursery to find more answers.

I hope you find some answers along with the great support this site can provide. It can also give you a little bit of an escape when needed.

:cheers:
 
LOL...Hi Loren! Welcome to CWE.:) Hopefully, we can be of some help. Make sure that you videotape your son while he's having these bouts, and go see a pediatric neuro if you can. If you can't because of insurance issues. then make absolutely certain that you give a copy to his ped.
 
Hi LorenStow,
welcome to our little group of one-time strangers who have become close friends. There is a wealth of information here and I love the endless friendship and avice. We are all in the same boat, just wearing different lifejackets. Welcome!
 
Updates and more Questions

Hi Everyone,

Just a note to say thank you to everyone for making me feel welcome and giving me resources to learn more.

With regards to Malakai - I have finally found someone who 'sees' what I see!

PT - Malakai's Physio Therapist's opinion is that he is sensory-seeking. I.e. like when we wake up in the morning and stretch our bodies and it feels good - well, she feels he is tensing up his body to get a 'kick' out of it. I took her advice to heart, but it just didn't sit well with me. I still saw his movements as being involuntary - so how could he be doing them to get some kind of kick?

OT - Makalai's Ocupational Therapist's (a specialist in sensory integration) opinion is that Malakai is experiencing movements that seem beyond his control. Luckily, at this morning's visit Malakai had these 'seizures' quite often so she was able to study them. They happen so fast that seeing just one makes it difficult to describe or understand. So, thankfully she was able to see what I see and agreed that it appeared that Malakai was not in control at these times.

However, she has no idea how to fix it.

But, at least now I feel that I can go to another Paediatric Neurologist for another opinion.

I have had such doubt, such worry, such a HEADACHE about this over the last week. I am just relieved that someone else - someone who is qualified when it comes to small babies movements - has seen what I see!

OK - so back to the searching, but this time knowing that I am not going insane!

I will be making an appointment with another Paed Neuro and will update everyone then!

In the meantime, if anyone has any information for me - I would really appreciate that!
 
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