Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with a doctor.
Without the ability to examine and obtain a history from you and your stepson, I can not tell you what the exact cause of the symptoms is. However I will try to provide you with some useful information.
It is difficult to say if these are seizures or not. It would be recommended that your stepson be evaluated by a pediatric neurologist. He may be a candidate for a prolonged video EEG. It would be very helpful to capture one of these events on video as well as EEG and see there is any seizure activity. Also, the time between the events would be helpful as well for any interictal (between seizure) activity. These may be related to seizures, but they may also be behavioral.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Thanks for the information. FYI we have been to SEVERAL doctors about this problems, and basically we're getting the runaround. For example, my stepson has a major 'episode' during which he made threats to kill himself, my wife, myself and the dogs. I make a call to the doctor, he was unavailable so we were told 'if you're concerned take him to the ER...and that was a big waste of time. Based on our statement to the triage RN we were brought back to a room, and security was stationed outside the door, which is done when they have a psych patient in the room.
ER doctor comes in, asks questions, says hello to my stepson and says I'm going to order blood work. Then about a hour or two later the doctor comes back and says 'labs normal, I'm referring you to neurology" and we're sent home. NO PSYCH CONSULT?
Several days later we go to the neurologist and he basically says 'not a seizure' and refers us back to the psychitrist .
This brings us to about two weeks ago, we're both (wife and myself) are at work, and I get a phone call from neighbor...Stepson had another episode described as 'facial expresion changed, eyes rolled back and he became violent, threatened to break windows and a fence on their property.
I'm not sure of the duration of the event, but after it ended my neighbor walked my stepson home...and his mom called and told him to take his meds..he was VERY confused for about an hour after the initial episode. After the neighbor helped him with his meds he fell asleep. I called the pscyhitrist and told him was happened and he said "THAT SOUNDS LIKE SEIZURE ACTIVITY", then refers us to another neurologist where the last episode happened in front of the doctor...and he basically said the same thing as the others...'doesn't look like a seizure'.
We did have an EEG done that day...after the episode was over and my stepson was back to normal.
People have suggested trying to get an EEG when he has an episode, but that's impossible as you can't predict when one will happen. He sometimes goes months without having an episode, then he'll have them several times a week.
As for the history and phyisical, I gave you all the information I have on him.
I can tell you he's highly functional and is able to stay home for several hours by himself, is able to prepare his own meals and do his laundry...but when it comes to simple things he claims to need help "clean my glasses" or "fix my watch band (he moves the part that holds the strap down toward the watch, and expects me to fix it)" even though he knows how to do both things. That's not related to episodes, just little things he does. Is this OCD, is he stuck, I don't know