Question Title: children 5 years old.don't speak now.more information.

Forum: Neurology Forum
Topic: Sleep

Posted by CCF Neurosurgery MD on December 19, 1997 at 09:36:26:

In Reply to: children 5 years old.don't speak now.more information. posted by MARIANO BONDONE on December 18, 1997 at 21:55:35:

: I post message AT DECEMBER 17.nOW I GIVE YOU MORE INFORMATION ABOUT LUCIO.
SOPHISTICATED TEST MAKE TO "LUCIO"
E.E.G:VERY FREQUENT DISCHARGUES IN "SPIKE WAVE"DURING SLEEP.
NUCLEAR MAGNETIC RESONANCE: NORMAL
EVOQUE POTENTIAL: PRESERVING THE COGNOSITIVE FUNCTION.
NEURO-PSYCHICAL DIAGNOSTIC: EFFICIENCY 3 1/2 YEARS OLD.
PRESENT SITUATION: MIX TO ( NOT ONE DEFINITE) :ANARTRIA
AFASIA
STAMMERING
NO PRESENT SEIZURE TO AUGUST 1996
_______

It sounds like your physicians are doing the correct workup for Lucio's condition.
There are many things that can cause developmental delay and seizures in children.
It is difficult to completely assess the situation over the internet.

One big decision point in such cases is whether Lucio is a candidate for surgery
or whether medical management is appropriate. There can be subtle abnormalities
on the MRI that, when correlated with EEG findings, may be amenable to surgery.
Also, according to your note, Lucio has not seized since August 1996. This
would be an argument against any surgical options, if they were being considered,
as the frequency of seizures is low.

You should speak to your physician and get some clear answers as to Lucio's
condition and prognosis. If you cannot, then a second opinion may be considered.

Good luck.

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