How to Control Daughter's Generalized Absence Seizures?

Posted by rchllmorgan @rchllmorgan, Nov 14, 2017

Hi, I'm a new mom with a 7 year old daughter that was diagnosed on 01/21/2017 and has over 200 generalized absence seizures per day according to her EEG. MRI is negative. We have tried 4 different medications, Zarontin, Zonigran, Keppra and Lamactil. She is not responding to any and has even had severe allergic drug reactions to Zarontin and Lamactil. We're to the point of being lost and don't know what to do at this point. Can't control seizures and she's behind in school. Neurologists just says she's an 'exception'. Where to go next is what I desperately need to know without causing anymore harm to my child both physically and emotionally. I'm open to any suggestions and will do anything after meeting with three Neurologists since January 2017. Rochelle Morgan

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@punkychica

My daughter was diagnosed with absence seizures around the age of 3. She went several years with moderate medication control and then when she was 9 and on keppra, she had about 5 grand mal seizures in about a month. We switched neurologists and they took her off keppra and the grand mals stopped. They even took her off meds completely for a short time but her absence seizures came back. Now she is 12 and started menstruating and had her first grand mal in years in the shower. The doctors did an X-ray and found calcification in the brain. She is meeting with an endocrinologist this week and I am a nervous wreck. Has anyone had any experience with thyroid conditions causing epilepsy or any other endocrinologist visits for this reason? Or had calcification in the brain?

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Hello @punkychica

I can certainly understand your concern for your daughter. Did your doctor indicate why he is referring her to an endocrinologist?
Endocrinologists are often the doctors who see patients with high calcium levels (which can cause calcifications in different parts of the body). Here is an article that helps explain high calcium levels, https://www.healthline.com/health/calcification. High levels of calcium can often indicate a problem with the parathyroid (different than the thyroid, but located in the same general area). Did your doctor indicate what part of the brain was calcified?

I'm looking forward to hearing from you. Wishing you and your daughter well. Will you post an update after you see the endocrinologist?

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I would have your neuro check for autoimmune encephalitis. They sent my spinal fluid to Mayo (highly recommended) to test for antibodies. I was diagnosed after having Facial brachial distonic seizures. My neuro never heard of AE until me. I video’d my seizures and he spent the night researching and the next day said “I think I know what you have”. Took spinal fluid, sent it to Mayo who confirmed. My body was producing antibodies that were attacking my brain thinking it was an “enemy” when it normally would attack a virus. AE is very often misdiagnosed as it is rare. Please have your Dr check for this. The sooner the diagnosis and treatment, better chances of full recovery with minimum brain damage. In the hospital they tried steroids, nothing worked.. so they tried IVIG and it stopped the seizures, though temporary. There’s an International Autoimmune Encephalitis Society group on facebook and they also have a website. Their website is loaded with information. Please please have your Dr check for this.

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@valm

I would have your neuro check for autoimmune encephalitis. They sent my spinal fluid to Mayo (highly recommended) to test for antibodies. I was diagnosed after having Facial brachial distonic seizures. My neuro never heard of AE until me. I video’d my seizures and he spent the night researching and the next day said “I think I know what you have”. Took spinal fluid, sent it to Mayo who confirmed. My body was producing antibodies that were attacking my brain thinking it was an “enemy” when it normally would attack a virus. AE is very often misdiagnosed as it is rare. Please have your Dr check for this. The sooner the diagnosis and treatment, better chances of full recovery with minimum brain damage. In the hospital they tried steroids, nothing worked.. so they tried IVIG and it stopped the seizures, though temporary. There’s an International Autoimmune Encephalitis Society group on facebook and they also have a website. Their website is loaded with information. Please please have your Dr check for this.

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Hi, @valm - just wanted to encourage you, when you have a chance, to consider posting about your experiences with autoimmune encephalitis in one of these Connect discussions on that topic:

- https://connect.mayoclinic.org/discussion/is-it-autoimmune-encephalitis-or-encephalitis

- https://connect.mayoclinic.org/discussion/is-it-autoimmune-encephalitis-or-encephalitis

I think the others in those discussions would be interested in hearing about your experiences.

Are you still seizure free? How is your health currently?

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@lucyd719

She’s on depakote.

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How is your daughter doing so far with depakote ?

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@kktpapa

How is your daughter doing so far with depakote ?

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Hello, @kktpapa, and welcome to Mayo Clinic Connect.

Wondering if you have a child diagnosed with generalized absence seizures and/or on valproic acid (Depakote)?

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@rchllmorgan

This has been so helpful! Thank you and I will keep all of this in mind. Thank you for responding! My daughter has been severely allergic to Ethosuxamide and Lamictal out of the four we have tried. A small miracle has occurred, we were going to try Depakote by another Neurologist that I was not fond of (any of them, actually), but we weaned her off Keppra and since last Tuesday, my daughter has gone from over 200 per day to perhaps 1 absence seizure in the past few days!! NO meds on board at this time. She is getting an EEG next week. We're just taking one day at a time without an explanation except since she's been on meds, the seizures have risen to over 400%.

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How is your daughter?

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@closetmonster93
I took Zarontin although it was about 50 years ago. Zarontin is a first line treatment for absence seizures. It didn't stop them completely but did reduced them. I didn't have any side effects from it. didn't your neurologist give you any explanation when he was adding that medication?
Jake

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@jakedduck1

@closetmonster93
I took Zarontin although it was about 50 years ago. Zarontin is a first line treatment for absence seizures. It didn't stop them completely but did reduced them. I didn't have any side effects from it. didn't your neurologist give you any explanation when he was adding that medication?
Jake

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My neurologist said that over a year ago, I had four seizures in my sleep, which I never was aware of and never used to have them in my sleep. I have been seizure free for a year, and said to him, I would like an EEG before we proceed with the medication, he refused my request, and said we are putting you on this. I said if I am not having seizures, why am I going to be put on another medication before having an EEG to prove they are happening? He then refused to order the EEG, and said again, you had 4 seizures, petit mal over a year ago, and we need to do this. I said to him, that it makes no sense, I have been seizure free, for a year, I feel better than I have in many years, I know when I have seizures, and my husband and I are completely floored. He to said you did not have any, I am baffled by this. I want to have testing before being put on a medication, not just put on a medication, maybe I do not need it. He would not listen to me, and he saw me two times prior to this visit and never mentioned any of this. I do not understand.

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@closetmonster93
If you don't think you need them you don't have to get them filled.
An EEG may not show any seizure activity. You'd probably need an Ambulatory EEG for a few days. I would have thought the neuro would have suggested this medicine right after the episodes. Your absences may have already stopped. I like to be treated in the present not the past.
Take care,
Jake

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@jakedduck1

@closetmonster93
If you don't think you need them you don't have to get them filled.
An EEG may not show any seizure activity. You'd probably need an Ambulatory EEG for a few days. I would have thought the neuro would have suggested this medicine right after the episodes. Your absences may have already stopped. I like to be treated in the present not the past.
Take care,
Jake

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@jakedduck1 I really appreciate your response. I could not understand the neurologists reasoning. I see him every 4 months and he never discussed this at the appointment in November, so it came as a surprise. I have not had any seizures for a year, and so thats a big deal to me, however, another thing I did not like was, he asked if I had had any seizures, I said no, and then he said, well, maybe you’re having them and you don’t know it, you had them over a year ago. I didn’t understand what he was trying to imply with regards to this I know when I have seizures. I have two separate kinds of seizures and I’m aware of both of them. However, I have not had any. He seemed insistent on me taking the medication regardless, however, I don’t want to take another medication when I know I haven’t been having the seizures and I offered to do a EEG, but he would not do the order. That seems odd to me a take-home EEG would prove whether I am having them or not. Why take medication if you know you’re not having them but then he’s not listening to you. I agree treat the present not the past. Thank you.

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