13-year-old daughter with refractory epilepsy
Hello, my 13-year-old daughter was diagnosed with epilepsy at age 7. She had an explosive onset with 3 episodes of status epileptus in less than 2 months. She had close to 1000 seizures over 8 months and failed several meds. The seizures completely stopped after 8 months and were gone for years. She began with absences a little over 2 years later, then myoclonic jerks for about a year only on and off and now tonic clonic seizures several days a week. She is again refractory to meds, had a clean WES, WGS and MRI. She is a mystery that we need solved. We are looking for the best place to bring her and are unsure if Jacksonville would be a good fit or if she should go to Rochester. Any advice is appreciated.
Interested in more discussions like this? Go to the Epilepsy & Seizures Support Group.
Hi @ebrown78
Welcome to the Epilepsy group at Mayo Clinic Connect.
I'm tagging @dannoyes, who recently shared his experience at one of Mayo Clinic's epilepsy facilities and may be able to offer insights about his care there.
You might also find this previous discussion about the epilepsy center at Mayo Clinic Rochester helpful:
https://connect.mayoclinic.org/discussion/any-experience-seeing-a-clinical-fellow-vs-a-staff-physician/
I'm so sorry to hear about your daughter's epilepsy journey. I can imagine how challenging this has been for you, your little girl, and your entire family. I hope Mayo Clinic can provide the help you're seeking and bring new hope.
Chris
Thank you @santosha for the mention. @ebrown78 I would absolutely recommend trying to get into the Mayo Clinic JAX campus, but obviously, Rochester is the mothership and the flagship in the Mayo family. The first and foremost thing is getting a referral to Mayo. This is the ticket into consideration. Have your local epilepsy center/neurologist communicate with Mayo for a referral into their program, with details about your daughter's severity and number of seizures. Then I'd call the Mayo neurology scheduling department to see what they can do to help you, and just be prepared with all of your insurance details. As I've mentioned before, I had to work very hard with my insurance company for over two years to secure a spot at Mayo. They never cooperated despite my going to the insurance commissioner for the State of Florida, our local representatives, social media, etc. It wasn't until I was placed on disability and then Medicare that I was able to be seen at Mayo. Mayo was very open with me about my options, and we even discussed selling our house fund to get my case reviewed. In my situation, was that bad. I've been asked multiple times, was it worth it all? Going to Mayo was life-altering. The neurologists at Mayo are second to none. I felt like a human being again. Did they fix me? No, but they gave me confidence that they'd give me the best care possible. The best thing also about being involved with Mayo is that you join a group of people who will do anything possible to help you, to encourage you, and walk with you through each part of the process.
I'd also try to prepare yourself if Mayo is not an option at this time. Consider finding a Level-4 Epilepsy Center near you. Typically, this might mean a teaching college. You probably already know this. While I am a stickler for owning my diagnosis, as is my wife. I take notes of every seizure, when it happens, what happened before, what happened after. What I ate, what was the weather (temp/humidty), stresses, medications, everything. While other great doctors will review this, Mayo will study it and above all video EVERYTHING. Think of the Mayo team like a huge chessmaster. They can put everything together with a multidisciplinary approach unlike anything you can imagine. If you have to stay more than a week, consider looking for a short-term, corporate apartment rental. There is one right near the JAX campus that saved us thousands.
Your heart is very full, and we can empathize. Just do us all a favor and take a deep breath and enjoy what you have today, just this day, just this moment. Mayo helped me do this. I wasn't epilepsy, I was a man who had a chronic medical condition. I didn't have seizures (although I do) I had events. This simple change in wording helped me immensely and helped me view my life outside of our condition. Keep us posted and we'll all do everything we can to help you.
Hi @ebrown78
Good Morning!
Wondering if your daughter has already been seen at an Epilepsy Center before?
Chris
@ebrown78, I hope you don't mind another question - I'm just trying to understand your daughter's situation better to see if I might have any helpful insights.
Could you share what age your daughter was when this new onset of seizures began? Also, has she started her menstrual cycle yet?
I'm asking because hormonal changes can sometimes trigger epilepsy onset, especially in young women. Some experience their first seizures during puberty when hormone levels fluctuate significantly - this was actually my experience as well.
The Epilepsy Foundation has an article about the connection between hormones and epilepsy: https://epilepsyfoundation.org.au/managing-epilepsy/women-and-epilepsy/epilepsy-and-hormones/
Has your daughter's neurologist discussed whether hormonal changes might be contributing to the changes in her seizure pattern?
Chris
@dannoyes
Dan, thank you so much for taking the time to share your experience and insights- they're really helpful!
Have a nice day!
Chris
Thank you so much for taking the time to share your experience! We have seen many neurologists over the years, most being at Level 4 Epilepsy centers. My daughter is just a mystery!
Hi there! Yes, she’s been seen at a few level 4 epilepsy centers.
@ebrown78 It's so funny to hear you say the words "mystery" because I hear that every time I go to the doctor. I have to remind my doctors that this is why I am seeing them. If my case were easy, then I would have no reason to see the best of the best. Have you been to the Mayo epilepsy program before? I'd love to learn more about your experience. I also want to say that you're doing such an incredible job. The fact that you haven't given up is what sets you apart. You and your daughter are true champions, even if you don't feel like it. Show yourself self-love and know how much you inspire others, even if they don't say it. Keep up the fight and let me know about your Mayo experience.
@santosha I don’t mind at all and appreciate your advice! She initially started in 2018 and had her last seizure on 2/14/19. About two and a half years later she started with absence seizures around age 11. She got her period in 12/23 and around that time started with myoclonic jerks, which seemed worse when she was menstruating. On 12/25/24, she had a TC. After that her myoclonics increased through March of this year and then completely stopped by the end of March. On April 4 she had another TC. Then she had one TC a week in April. In May she had 20 TCs and continues in June. She had a EMU stay at the end of May where she had a dose of steroids and added a new med. She is taking progesterone as well. She has had negative MRI and WGS.
@dannoyes Thank you for your kind words and advice! We have not been to Mayo yet. We are really considering it because our daughter has been refractory to medication and has had such a strange course. When she was 7, she was diagnosed with focal epilepsy with secondary generalization. She went into status 3 time in the beginning and had so many seizures. They stopped completely after 8 months, and now they’re back 6 years later. All genetic testing has been negative as is her MRI. They say she has generalized epilepsy now.