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Questions posted in the
Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: 7 year old shakes at nightForum: Neurology Forum
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My seven year old son has had 6 night time shaking episodes in the last two months. He awakes and calls for me and is shaking all over uncontrollably. He does not complain of being cold and does not have a fever. He cannot remember having nightmares. The first two episodes lasted between 15 and twenty minutes and he vomited, the first time durng the shaking episode and the second time twenty minutes after. During the third and fourth episodes he had a bowel movement but also complained of an upset stomach. The last two episodes have only lasted about five minutes. He is alert during the episodes and can answer questions and walk on his own. The shaking cannot be stopped by holding him. When the shaking begins to subside he drifts off to sleep. He is fine in the morning and shows no other side affects. We have seen a pediatrician who has run blood and urine test to eliminate the possibility of low blood sugar. She has also performed simple neurological tests (closing eyes and touching nose, etc.) which have been fine. There does not seem to be a connection with food he eats during the day. The Doctor has recommended following the episodes, which have occurred once a week for the last three weeks, and she will recommend a neurologist if the frequency or severity increases. Any ideas that we could follow up on?? Dear Debbie: The most important thing to rule out in this situation is a seizure disorder. Therefore, I would suggest that you consult with a Pediatric Neurologist (and preferably a Pediatric Epileptologist). Your son MAY need a full neurological examination, an MRI of the brain and an EEG. You may be able to arrange an appointment at the Cleveland with one of our two pediatric epileptologists (Dr Elaine Wyllie or Dr Prakash Kotagal) by calling 1 800 CCF CARE. Good luck
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