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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

even if he has epilepsy, your

Submitted by Amy Jo on Sat, 2017-04-22 - 21:33
even if he has epilepsy, your worries are way ahead of yourself. most people with epilepsy lead fairly normal lives, you probably know people with epilepsy who have never shared that they have it because it just doesn't take a huge part of their daily mindshare.not every neurologist is suited for diagnosing or treating epilepsy. so if things get hard, look for a pediatric epileptologist. there are both generalized and partial seizures that can look like absence (which is generalized). typical absence is usually easy to see on EEG, atypical absence can be weirder, partials can be hard or missed on EEG. disrupted sleep is really common with epilepsy, has he had a sleep study because apnea can exacerbate epilepsy? EEGs don't rule out epilepsy, they just rule it in when taking history and epileptiform abnormalities into account. if he has a generalized form of epilepsy then mri is not commonly done.

Thank you for your response. 

Submitted by Elljen on Sat, 2017-04-22 - 22:09
Thank you for your response.  His neurologist does specialize in epilepsy.  Is there a difference in how typical and atypical absence manifest?  What is a partial?  I hadn't thought about his insomnia being related to anything in particular other than his overactive mind.  He's a deep thinker.  He says when he has trouble sleeping that he just can't turn his mind off.  He starts thinking about things, and that keeps him awake.  Sometimes he thinks about how he's struggling to fall asleep, and THAT keeps him awake.  I've struggled with insomnia on and off for years, although I was at my worst about ten years ago.  My difficulties were exactly the same as his, so I assumed it was somehow genetic.  Now I keep trying to think about what I've seen in the past.  I feel like a couple of times over recent years we might have noticed sudden jerks, but I swear I can't think if that's just in my head.  IF, this ends up being some type of epilepsy, does this mean he won't be able to drive someday?  Is swimming/skiing dangerous?  He love loves loves LOVES those sports!So far I've never seen him have any issues during physical activity (knock on wood).  Some of his athletics are pretty physically trying, and he and others are very winded afterwards.  That never seems to cause a problem.  We've only noticed it during conversations. 

our child's teacher noticed

Submitted by Amy Jo on Sat, 2017-04-22 - 22:11
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). 

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