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Infantile Spasms... been there...

45 replies

InternationalGirl · 03/06/2005 22:56

I have had a few CATs from a comment I made on a recent thread and thought it might be better to have a discussion here as I now know there are others here who have experience with infantile spasms. Our daughter had infantile spasms and here is our story.

At 6 months she seemed very 'normal', would try to roll, had some strength, didn't seem out of the ordinary then at 7 1/2 months she starting having infantile spasms. Of course we didn't know what they were at the time and they just showed up out of the blue. We kept an eye on her for a couple of weeks wondering if this was just a 'one off' thing. Although they seemed to become more frequent after a few weeks and more 'intense' they didn't seem to hurt her (i.e. she didn't seem as though she was in pain) - just had this glazed look and the 'shrug'. The seizures came in clusters of 20-30, 2 or 3 times a day. They never could figure out why she got infantile spasms - just that they were there.

We contacted our GP who referred her up to the hospital paediatrician although we were in New Zealand at the time, on a public health system and had to 'get in line'. Unfortunately she was having the seizures for 2 months before she was seen by the paediatrican and they managed to cause so much damage she had no more strength or control than a 4 month old baby. She was 9 1/2 months old. She also slept a lot more than other children her age.

Paediatrician immediately admitted her to hospital for tests - we were in there a week while they did everything - blood, lumbar puncture, mri, eeg, sleep study, genetics - the whole bit. Then after a couple of days and looking at her results the neuro paed prescribed vigabatrin for her. Luckily on the lowest dose the seizures stopped but she still had global developmental delay. Then we went about getting her therapy. Husband and I were both working but husband stopped work in order to be there for her and basically be her therapist. We couldn't have somebody else looking after her - they wouldn't care for her in the same way a parent would. We had an OT come in once a week for an hour to see how she was doing and show hubby what exercises they should do to increase Taylor's strength. She was weaned off the vigabatrin just after age 2 1/2 and the seizures never came back.

She is now age appropriate in all her motor skills (in some ways above average), however communication and language are slow to develop. She has been diagnosed with autism and now this is where our target interest is - helping develop her language, communication and relationships. We just keep putting the info in and she is absorbing it, sometimes very slowly and other times surprisingly well. She is a great little artist - she is drawing the most amazing pictures for a 5 yr old. Her sister at age 5 was drawing heads with legs. Taylor will draw the whole face including eyebrows and teeth, arms with hands including fingers, legs, the flowers in the background and butterflies in the sky. Often if we draw a picture and think its done she will continue to add all the bits we've 'missed'. She is a funny little thing but she is a challenge. Mostly because her lack of communication has led to behavioural problems. She is so independent, she doesn't like to be helped and often if someone is trying to help her she will get mad but not be able to tell them to step back and let her do it. So she'll just throw herself on the ground. We are working primarily on her language and hope the behaviour will improve with more communication.

Husbands family has history of autism, ADHD, learning difficulties and so I think Taylor may have been susceptible anyway but perhaps the infantile spasms triggered it IYKWIM - they certainly put her behind anyway.

What's your story?

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heartinthecountry · 07/06/2005 10:50

My dd also has infantile spasms. Hers are linked to a genetic condition (Aicardi Syndrome) and 'caused' by the malformations in her brain. She has learning disabilities which are probably caused as much by her brain damage as by the seizures themselves.

Our experience has been that controlling the seizures is absolutely the most important thing for our dd. I worried about medication initially as it seemed that dd was just completely zombied. But our fantastic neuro encouraged us to persist with the medication and felt it was the seizures which were 'dulling' her. She was absolutely right. Despite the fact that dd is on a hefty cocktail of drugs they don't seem to adversly affect her. However, when she gets break through seizures she definitely becomes more withdrawn and unable to learn.

As I understand it, this can be different for every child. Our neuro always says that you have to judge each case individually. In our case, dd is good on medication, crap when she has seizures. For others I think the negative effects of the medication can have more of an impact than the seizures, so you have to balance out whether it is better to be on meds or not. I know several girls in the US who have IS/other types of epilepsy and who are unmedicated because this works best for them.

The only other thing I would add is that as far as I know, most forms of epilepsy do not actually 'damage' the brain. A child may well have delays if they are having seizures because of the 'time out' both due to the seizures and because how tired it makes them. I believe it is quite common for children who have a lot of absences to be delayed for example. Even if there is no other brain damage.

But, IS do damage the brain. The simplest way our neuro explained it to us is that they 'mess up the wiring' which is why kids who have IS can lose skills which they may never regain. (I know all of you who have experienced them know this).

It is for this reason that I also would urge any parent who has concerns to trust their instincts and push their doctors. My dd's spasms rarely look like 'spasms' unless they are very strong. Often they look just like absences. I would say if any child with epilepsy seems to be regressing then infantile spasms should definitely be ruled out.

Phwew that was long - not sure it added much either!!

Bethron · 07/06/2005 11:08

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Pages · 07/06/2005 14:44

That was actually really helpful, Hitc. I understood you perfectly!!!

Our situation is that DS has outgrown the epilepsy now anyway, hopefully, as he has been fit free for a year nearly, and is discharged from the neuro. But although he has made a lot of progress, it hasn't been quick and he is still not walking or talking, so I am wondering whether his "wiring" has been affected long-term, or if it just takes a lot longer for them to master these skills if they have had a lot of time out when having the fits and while on the drugs. I don't know if DS' epilepsy could be classified as infantile spasms as his EEG showed that he wasn't hypsarrithmic - i think having looked at annibear's website that that is one of the criteria.

InternationalGirl · 07/06/2005 23:05

If I remember rightly dd's seizures weren't hypsarythmic(?) either but her paed neuro did class them as infantile spasms.

It is true that it is different for every child.

Also my dd took awhile to catch up - her infantile spasms started at about 8 months and stopped at 10 months and she still ended up with serious delays. Infantile spasms at 10 months - floppy baby - no muscle tone and no interest in anything, sat at 15 months, walked at 18 months, potty training (beginning of success) and spoke at 4 1/2 yrs.

Every child moves at their own pace, especially after seizures, but if, as a parent, you are concerned about your child's development see the professionals.

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Pages · 08/06/2005 08:02

Thanks IG, so maybe my ds did have infantile spasms. Looks like your DD made very rapid progress with her motor skills - 3 months from sitting to walking! - but alot was probably down to your DH. We did 3 hours per day of physio with DS and it really helped but it was a slow process, possible because the epilim was just zombying him out. He has been close to walking for a year, and is clearly going to do it (walks with one hand held) so I guess like you say they just go at their own pace.

Thanks for the info.

jules39 · 08/06/2005 16:15

My dd is 4.5 yrs now, and has GDD, speech and language delay, and shows some very challenging behaviour. She has had 5 seizures since easter weekend, her first seizure lasted 20 mins and she was hospitalised for 4 days, and had another seizure whilst in hospital. The last 3 seizures have all been around 2/3 weeks apart and they have all been without the shaking, whereas the first two were with shaking and were quite severe. We are now waiting for the eeg results from GOSH.

I must admit as this is all pretty recent and we're still getting used to dealing with the seizures I cannot help but feel really worried, as to whats the cause behind them. DD has been tested in the past as to why she developmentally delayed, and all tests proved negative.

After listening to all your stories about infantile spasms, it seems my worries it seems there are a lot of mums with a lot more to worry about than myself.

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Bethron · 08/06/2005 16:18

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jules39 · 08/06/2005 16:27

Hi Bethron,

They have not indicated what it might be, only that they were looking to rule out epilepsy from the EEG, but after reading the messages on here, apparently there are quite a few different forms of epilepsy., so I am still none the wiser, just cant help but feel really worried at the moment.

I am even considering taking dd private to see if they come up with anything. As she has been seeing the same paediatrician for the last 2 years and they still cannot find why she is GDD.

Bethron · 08/06/2005 16:35

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jules39 · 08/06/2005 16:41

Bethron,

It's so reassuring to know there are other mums in the same situation as myself, helps me feel a little bit better knowing i'm not alone.

How old is your little boy Bethron?

Bethron · 08/06/2005 16:43

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jules39 · 08/06/2005 16:47

Oh dear poor little one.

And must have been really hard for you too.

We had the EEG last week, they said would take 2 weeks for results and they would send them to Paediatrician. They also warned us that because dd was screaming throughout most of the eeg that they may have to repeat it with an eefg where they put her to sleep, so not looking forward to that if we have to go through it all again.

Bethron · 08/06/2005 16:52

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jules39 · 08/06/2005 16:56

They mentioned having to give the medication melatonin f she has to have the eeg repeated, I dont know why they could not have done this the first time round would have saves a lot of messing about.

Where are you Bethron i'm in London.

Bethron · 08/06/2005 17:00

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jules39 · 08/06/2005 17:02

Sorry Bethron I have'nt been on here for a while still quite new to some of the phrases. Whats BTW, and I dont know how to CAT for chat.

Bethron · 08/06/2005 17:04

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jules39 · 08/06/2005 17:09

Thanks for the chat Bethron, much appreciated,
got to get the kids dinner ready now.

Bye for now.

Clarinet60 · 05/07/2005 19:05

Re Brain damage (Heartinthecountry).
I asked our consultant about this, as DS2 is now having 30-50 seizures per day, lasting 10-40 seconds each. She said the prolonged ones cause the most damage 'but we don't want him to have any'. Presumably then, the shorter ones cause some too? So I went to the online version of Paed Neurology and Epilepsy Research and found that seizures can alter the structure and metabolism of neurones and this is what can do the damage. I didn't find out what type of seizure or how prolonged it has to be before damage occurs, but with hundreds of back issues to search through, watch this space!

heartinthecountry · 05/07/2005 22:22

Hi Droile - sorry to hear your dd is having so many seizures . That must be tough.

I'd be interested to know what you find out about seizures and brain damage. I wouldn't be surprised if prolonged or intense seizures could cause some damage. I know this can happen if the person goes into statis.

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