Elaine Wirrell, M.D., discusses epilepsy in children and treatment options for epilepsy and seizures in children. Dr. Wirrell answered questions at the end of the presentation.
My daughter has had seizures since 18 months. Started on keppra then a year later stopped controlling seizures and started on trileptal in addition. Now we are starting on lamictal as well and plan to reduce the trileptal. If this doesn't work what would you recommend as next step. She has focal seizures in her hand/arm or check so doesn't seem candidate for diet or surgery.
ketogenic diet:
My grandson has intractable seizures. Has had two frontal lob resections, vegus nerve implant too. Now he is on the ketogenic diet. Mom is a nurse and measures eactly what he can eat. Since he has been on the diet for a month he has had more seizures. Is this normal. Trying to get this best help for him.
My daughter started having gran mal seizures at puberty and was diagnosed with catamenial seizures. Are these type of seizures treated the same as other seizures? Will she out grow these types.
Is LITT an effective treatment for children with IS due to cortical dysplasia and if so what are the perimeters and size of CD that would allow child to be a candidate?
when you say you believe in keeping meds at the lowest effective dose, do you feel the same way about keto? is it best to work up to the lowest effective ratio? and is it effective enough if EEG is still bad but clinical seizures are controlled?
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Could an EEG diagnosis of generalized seizure actually be focal seizures?
My daughter has had seizures since 18 months. Started on keppra then a year later stopped controlling seizures and started on trileptal in addition. Now we are starting on lamictal as well and plan to reduce the trileptal. If this doesn't work what would you recommend as next step. She has focal seizures in her hand/arm or check so doesn't seem candidate for diet or surgery.
Is a medication that my son is allergic too the same as an ineffective medication when considering intractable epilepsy?
ketogenic diet:
My grandson has intractable seizures. Has had two frontal lob resections, vegus nerve implant too. Now he is on the ketogenic diet. Mom is a nurse and measures eactly what he can eat. Since he has been on the diet for a month he has had more seizures. Is this normal. Trying to get this best help for him.
My daughter started having gran mal seizures at puberty and was diagnosed with catamenial seizures. Are these type of seizures treated the same as other seizures? Will she out grow these types.
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1 ReactionIs LITT an effective treatment for children with IS due to cortical dysplasia and if so what are the perimeters and size of CD that would allow child to be a candidate?
How do I start a ketogenic diet? Do I schedule that with my doctor or dietician?
Temporàl lobe Focal siezures start within 20 min of falling asleep. Is this coincidence or something in sleep patern?
when you say you believe in keeping meds at the lowest effective dose, do you feel the same way about keto? is it best to work up to the lowest effective ratio? and is it effective enough if EEG is still bad but clinical seizures are controlled?
What is considered effective seizure control? No seizures? 2 or 3 a month? Is seizure free an obtainable goal?