Q & A Subjects
Q & A
Q - My 8-year-old daughter was diagnosed three years ago with partial complex seizures. She struggles in school with completing work, memory, following routine. I'm wondering if we should consider taking her off of the Tegretol?? She hasn't had a seizure (that we can tell) in years. She has had little "break through" jumping while asleep after being up to late- sleep deprivation. Her test have come back with no seizure activity on them. I'm afraid to take her off but afraid to leave her on as well. She is old enough now that she notices other kids getting their work done and that she is "always last".
A - It is not unusual for hospital EEGs to come up negative for seizure activity even in conditions of frankly observed seizure activity. The goal of many parents is to wean their child off of the anti-seizure medications because of the negative effects that are often found in cognitive efficiency. The procedure that we use is to do a full head EEG assessment to determine if there are any precipitating inefficiencies associated with decreasing seizure threshold. Those areas are then treated. In addition, we also strengthen brain wave amplitudes that are associated with increasing seizure threshold. At that time the parents work closely with the prescribing physician to gradually titrate the child off the medications. |
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