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Possible absence seizures in 12-year-old

Sat, 04/22/2017 - 19:30
Hello. I'm very concerned and found this site. I have a 12-year old son. Over the past maybe 3-4 months, we've noticed a few occasions (maybe 4-5, although I'm not sure), in which he would suddenly zone completely out for maybe 5-10 seconds. He could be in the middle of telling a story, then suddenly stop and look zoned out, and then he'd come out of it and often say, "wait, what?" It's possible it could have happened more frequently, but we haven't personally observed it. At first we thought he was just distracted or overtired. He has struggled with insomnia for years. He's is an over-achiever, super concerned with academics, and tends to be a worrier. No extreme anxiety, but he tends to have stuff on his mind. The last couple of times, however, we started wondering. And this morning I found out that one of his teachers had observed such an incident. So of course I start researching, and I came across "childhood absence epilepsy" or "childhood absence seizures." Panic. Then I come across "juvenile absence epilepsy" and "juvenile myoclonic epilepsy," which appear to be lifelong and would mean physical seizures. He already has a neurologist, who we met years ago to help with his pretty nasty insomnia. I'll call her first thing Monday morning. But holy heck I am SCARED! I'm worried about him emotionally. He's already an anxious kid. I'm worried about him physically (skiing, swimming, someday driving). I'm worried about his long-term life. I know I'm putting the cart before the horse, but damn. These things sure do look like absence seizures. A bit of extra info. As a young toddler and sometimes as a younger child, he'd occasionally get a tic. For example, he'd go through a period when he'd blink a lot. Noticeably so. Anyway, I'm just looking for advice, thoughts, anything. Thank you!

Comments

there's no epilepsy in our

Submitted by Amy Jo on Sat, 2017-04-22 - 22:41
there's no epilepsy in our family backgrounds so.. de novo mutation probably accounts for more genetic epilepsies than otherwise. we do give a magnesium supplement to our 13yo, helps with sleep, also likely to help with visual migraine recently dx, some parents say it helps with their kid's seizures. it has been studied with migraine patients. melatonin doesn't help our daughter (10yo) sleep better and she never had problems going to sleep.  haven't tried extended release melatonin as she can't take a solid pill. 

our child's teacher noticed

Submitted by Amy Jo on Sat, 2017-04-22 - 22:44
our child's teacher noticed staring in kindergarten (after which we realized that variety of people had seen episodes in prior year). it wasn't due to absence but lots of people (nurses and docs) assumed thaiwhat it would be. first EEG was shirt, not sleep deprived and unremarkable so one pediatrician said she didn't have epilepsy (typical absence was taken out of equation). second EEG was sleep deprived and ~3 hours long, there were some abnormalities consistent with partial epilepsy. a lot of other complaints turned out to be seizures. few years later we did a 5 day in patient EEG (rapidly took her off meds tho it remains in the system a long time so it just reduced meds in system).  the partials had only been reduced on meds although they were starting to reduce in frequency. anyhow, they didn't see a partial but they now started seeing ongoing generalized activity as meds reduced. those were atypical absence and myoclonics. those are definitely controlled with meds right now. seizures can change (so the tic could be relevant), it can also take a few years to know more. we've gone from maybe she'll outgrow them to docs not saying anything (cause poor control is a bad sign) to our current epileptologist saying it's likely she'll outgrow them (absence is genetic, atypical absence is usually bad news but so far cognitive levels only took a brief nosedive and are fine now). 

there's a difference between

Submitted by Amy Jo on Sat, 2017-04-22 - 22:44
there's a difference between typical and atypical but most people with atypical have serious cognitive issues and difficult to control seizures so it's unusual to have atypical absence in a normal child. the difference on EEG is pronounced. EEGs do not miss generalized activity if it's present. my daughter has disrupted sleep, easily noted by the epileptologist when looking at her EEG. we have done some CBT so she can put herself back to sleep without waking me. Years of someone else disrupting my sleep affects my functioning- our fourth child is the one with epilepsy. 

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