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pediatric seizures and an abnormal EEG

Our daughter has not met her development milestones and at 13 months we went to see a pediatric neurologist.  We have been doing physical therapy and making improvements when this week she had a seizure.  I went in to check on her after she went to sleep and she was staring at the ceiling and had a seizure.  It was under 30 seconds, she did not lose consciousness and was back to herself within the hour.  We did go to the emergency room because it wasn't associated with a high fevor.  There may have been some fevor as she was breaking a tooth but by the time we reached the hospitol her temperature was normal.  We had an EEG done and just found out she has multifocal irregularities mostly on the right side of her brain.  Our neurologists is doing a workup of metobolic tests which we are waiting for the results.  I know that multifocal irregularities is worse that focalized regularites but what could all this mean?  Could this be causing all her developmental delays?  She is just begining to crawl this week.  Her speech is limited to ba ba and pa pa and her fine motor skill are delayed as well.  Could this ever go away or be grown out of?  What are her chances of having another seizure?  She was 15 months this week.  Thank you for you help.
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Avatar universal
Thank you so much for your comments.  To clarify your questions, we did have an MRI done when she was 14months old which read normal.   They looked at it again last week given her recent developments and it still read normal.  They did say that something may show up as she got older that just would not show up so young.  In terms of her milestones, she was right on track until about 8months or so.  She rolled over ( although not a lot due to the hypotonia we believed) and sat up at 6months.  her speech was ahead of the curve with her chatting away at 6 or 7 months saying da da, ba ba, ma ma,pa pa and then she regressed with that and is only getting that back now.  She went from lying down to sitting at 14months and is now begining her crawling.  WE have been going to physical therapy for 6 weeks and it is really helping.  She has had no infection/ menengitis or trauma that we know of.  I do wonder if envinronment has anything to do with this stuff ever?  We are in a newly renovated house which had new paint and new wool carpets and the carpets had to be replace due to flaw three weeks before her seizure.  Could this be a possibility?  The metobolic testing will be back in the next two weeks.  What is entailed in genetic counciling?  We did that when we had the CVS which was normal.  Thank you again for your help.
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Avatar universal
jan
What exactly is genetic counseling?  I saw this written on my test results when they found I had Factor 5 Leiden.
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Avatar universal
Very sorry to hear about your daughter. She will definitely need an MRI of the brain for further evaluation.  With multifocal irregularities, a metabolic workup is completely appropriate which should include some genetic testing also, depending on your doc's clinical suspicions. Hard to say anything specific as I have nbot personally examined your daughter or reviewed her testing.  But we have to think about and investigate if she was born like this due to an intrauterine infection or stroke or genetic abnormality. Did she acquire this at birth, an infection ro meningitis as a baby? Is it something inherited, traumatic? Or is this something brand new? If she has been late for all milestones, then it is likely she was born with the irregularities. I would guess that her developmental delays are related to the irregularites on the EEG. Prognosis and prediction of further seizures really depend on what is causing this. There are some treatable metabolic diseases and medication for seizures should be considered. Talk to your peds neurologist about yoru concerns.  If it does turn out to be a genetic/metabolic cause, you may need to seek genetic counseling. Best of luck.
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