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Neonatal seizures and hemiplegia - any experience of this anybody?

11 replies

SouthEastLondonMummy · 31/05/2007 14:12

This is what my daughter had and has. Wanted to know if she's likely to have epilepsy? Anyone with any similar experiences? She's on phenobarbitone, but is being weaned off it... scared. One consultant says seizures are nothing to worry about, others says its imperative she has no more seizures. Confused.

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SouthEastLondonMummy · 31/05/2007 21:50

?

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CristinaTheAstonishing · 31/05/2007 21:52

How old is your DD? Were they febrile seizures? Their long-term prognosis is usually much better.

CristinaTheAstonishing · 31/05/2007 21:53

I meant prognosis as in risk of having epilepsy later on, this is much lower when seizures were induced by fever.

sohappyicouldcry · 31/05/2007 22:25

My DD had a convulsion / seizure on her first night. She was on quite a few different drips and had had a traumatic birth. The consultant said that it could have been due to an overload of fluids. She (fingers crossed) hasn't had any problems since and has been fully discharged from hospital care now (no outpatients appts or anything). He says that since she's had no further ones, it is not epilepsy.

Forgot to say, DD is now 10 1/2 months.

Fingers crossed for your DD xx

2shoes · 31/05/2007 22:42

they won't keep her on phenobarbitone due to the long term affects. dd was on it for a very short time.(less than a week)

r3dh3d · 01/06/2007 09:53

My daughter has hemiplegia and seizures, but both are side-effects of another condition which only 4 children in a million have so unlikely to be the same thing.

Re: effects of seizures - seizures themselves are not generally dangerous. What is risky is getting "stuck" in a seizure (medical term: "status"), or in a series of seizures. So both consultants are correct, in a way. If they withdraw the phenobarbitone and seizures resume, they will look to control them with something else. That can be a bit of a process, as other meds are effective and have less side-effects, but take a while (weeks, even months in some cases) to work which can be a stressful time.

Kids have broadly three types of seizures:

  • febrile convulsions: 20% of little kids get these and they don't necessarily indicate any predisposition to Epilepsy
  • seizures caused by something physically wrong in the brain (can be a tiny anomaly) which are generally lifelong
  • seizures that "just happen" which usually run in the family and often the child will grow out of

Tests - and a bit of "wait and see", alas - should show them what sort you are dealing with if the seizures are still with you when the phenobarbitone is withdrawn. If so, remember that 1 in 100 people have Epilepsy at some stage in their lives, most of which are well controlled on medication and live normal lives.

Don't know if that helps at all - fyi there is also a forum on the National Society for Epilepsy web site and there is a doc on there who often answers questions from worried parents - out of the kindness of her heart rather than officially, so no guarantees she is around, but when she is she's very helpful.

sarah293 · 01/06/2007 14:39

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SouthEastLondonMummy · 01/06/2007 17:59

Thanks everyone.

What are the long term affects of phenobarbitone? Is it addictive? Does it make her a bit kind of stoned? She doesn't seem sleepy, but she's had 5 months to get used to it.

My daughter had loads of seizures over a period of two to three days, but not status seizures. She fitted for up to 10 mins at a time, and they were worried about fitting for more than 20 mins continuously, I think. It took massive doses of drugs to stop them.

Not febrile convulsions, sadly. Seizures were the result of a brain injury (stroke before birth).

Dammit, how does all this fit into my attempts to create the perfect Boden-type family?

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sarah293 · 01/06/2007 19:18

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Woooozle100 · 01/06/2007 22:40

Hello - my dd had a few neonatal seizures. The cause wasn't established - eegs came back fine / inconclusive. She's had some funny episodes since (now 2 years old) This has now been put down to hypoglycaemia. Since I've been able to monitor and control her blood sugar levels she has been fine.

All the best to you and your dd x

r3dh3d · 02/06/2007 19:48

I think it can be addictive, but isn't generally. It will depend on what dose they are giving her. Side effects (per NSE site) are:

"Drowsiness may occur initially, sedation and slowing of mental performance may persist. Fatigue, listlessness, tiredness, depression, rash, insomnia and irritability. Hyperactivity, aggression and subtle impairment of memory, mood and learning capacity."

However there seems to be a big difference between the side-effects that may occur and the side=effects that commonly occur, if you follow me. 2 drugs may have the same list of side-effects but in practice they may prescribe one all the time (knowing none of that stuff they have to list on the label is likely to happen) and not prescribe another (knowing there is a fair chance you'll feel woozy on it). I think in practice Phenobarbitone is one of the "older" generation of Anti-Epileptics, which were very effective but tended to make you dopey.

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