Doctors or Epilepsy Experts

daughtersrus

DIS Veteran
Joined
Feb 26, 2002
Messages
6,658
I'm hoping that someone can explain how an EEG is read.
My DD was diagnosed several years ago with epilepsy. (it's a symptom of the genetic disease that she has). This was done with a 24hour EEG. We went to the hospital for it to be put on and then went home. We had to push the button on the unit every time we thought that she was having a seizure.

Sure enough, we were told that there was "activity" with each of these. We were told that she has "absence" seizures. Her eye go up and she stares. When she comes out of it, she usually smiles and looks surprise that we are there.

The Ped Neuro later said that they are "complex partial" seizures as she doesn't completely stop what she's doing but it's in very slow motion.


Recently the Ped Neuro noticed that her eyes "flutter". They float up very quickly and come back down just as fast. It's been years since the last EEG so he wanted a 24 video EEG in the hospital. He didn't think that they were seizures but wanted to be sure.

We went to Comer Children's Hospital at the U of Chicago a few weeks ago. While we were there, DD had a few of the longer spells that we always thought were seizures. I pushed the button for those as well as all of the "fluttering".

Our Ped Neuro was on medical leave so a different doctor read the report. was on a low dose. Our doctor just returned and called to say that no seizure activity was noted with any of the button pushes including what we always thought were seizures. He did say that the EEG also shows that she is "predisposed" to seizures. I asked him a few questions but I still don't understand it.

Can some please explain to me in "layman's" terms how an EEG is read? The long spells that she's having now look exactly like the ones that she had before we got the diagnosis of epilepsy but now we're being told that they're not seizures. I should also mention that we've never been able to completely eliminate these spells. She went from having them probably 20-30 times a day to 5-10.
 
check out web md, that might help. is she medicated for the seizures, that might have been what changed the results. i know eeg's measure the brain waves (the electronic activity in the brain) and they can see what a typical wave is, and how they differ in the different types of seizures.

I have (had) juvinial myoclonic epilepsy, only twitch, a little, no seizures. my husband has generalized epilipsy, didnt have his 1st seizure until 2007.

i wish you the best and if there is any other wahy i can help you, let me know!
 
Check out the parent board in the communities on

http://www.epilepsyfoundation.org

and

http://www.epilepsyfoundation.org/efforums/forum/messageview.cfm?catid=2&threadid=79681

and

http://www.epilepsy.com/epilepsy/eeg_read

They're a great bunch of people and from what I've read, reading EEGs is subjective and many kids on the board have seizures with completely clear EEGs and many many get second opinions.

After 3 EEGs spaced about a year apart, DS's simple partials have been pin pointed by what the neuro calls "spikes and activity" in his left frontal lobe and from what I hear from other parents we are very fortunate to have this info.

I'm sorry you are having to deal with this. DS's seizures mostly present themselves as extreme mood changes, so I understand how difficult it is to get the correct dx and then medicate your child for something you can't always see in black and white. I hope you get some answers!
 






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