What is it? the Absentia epileptica?

[Black Dragon]

To the child of 12 years.



2 years ago there were problems - operation on a brain,

Chemotherapy and radial therapy.



Until recently all was normal.

On MRT a stable picture.



Recently have imperceptibly appeared *quot; ?a??Oa??n*quot;,

Now such *quot; ?a??Oa??n*quot; happen every day (1-2-3 times a day).

Pass or Take place quickly (some seconds) and as-as if anything and was not.

The child *quot; ?a??OaNO*quot;, does or makes a surprised look,

Pupils increase a little or are a little enlarged.



That is strange, in my opinion the layman.



1. During zamiranija hears and can answer a question.

2. During zamiranija sees and can look after.

3. After zamiranija remembers, that *quot; that-O*quot; was,

But to explain it is precise cannot.

4. Once spoke by with me to phone (stood, held in an arm or a hand a tube), then has a little got agitated on a subject of conversation, then speaks, that just (during conversation) *quot; YO*quot; (zamiranie) was.

I unusual at conversation have not noticed anything.



What turns out?



He stood, neprervno talked, holding a tube in an arm or a hand, then-3 sec. *quot; YO*quot; there was and has then continued a conversation indifferently.

All it was observed by the wife.



What is it?



Absentia epileptica, consequences of radial therapy?



Strange!!!



During the inferior times anything similar was not.



Recently on the contrary - improvement of state of health,

More cheerful, more active.

However, as it seems to me, became little bit raised or excited, loudly speaks.



What reasons of these or it zamirany?



This or Thus can that nervous, either vascular, or hormonal.



Constantly low pressure 80-70 on 30-40.



On EEG have found the small raised or increased signal in the right temporal share.

Have named *quot; YO*quot; episindromom.

Have registered Depakinum-.

But it is terrible to drink, it is a lot of by-effects.



It can not *quot; Y?*quot;, if the child during *quot; YOu*quot; hears,

Sees, remembers about *quot; YO?*quot; and even speaks by phone.



How it is possible to specify the diagnosis?

Where in Moscow it is better to make EEG monitoring?





Thanks for answers.

[Vick]

It not an absentia epileptica in typical sense of a word, but an epileptic attack it can quite be. You result or bring conclusion EEG is inexact, it is necessary to know as is written in the conclusion and it is desirable to see thus EEG. If it is an epilepsy (episindrom - the same) refusal of antiepileptic treatment conducts in reanimation (pay attention, the chemotherapy of by-effects has more, but almost nobody refuses). Video-YYu monitoring at presence of obvious changes in background EEG is absolutely not obligatory, but if there is superfluous money, in -honey (953-1634).

[**]

Thanks.



Have made the analysis on hormones.



4 - 30!!! (At norm or rate 150)

LG - 4



Have started to drink Cortefum of 5 mg.



Can these or it *quot; ?a??Oa??n*quot; from low hormones?

[mementolga]

I am not assured, that looked LG - m.b., TTG?

The chance of presence secondary (central, gipotalamo-gipofizarnogo) gipotiroza is, and in this case 4 will be lowered, TTG is lowered. It is normal or even it is slightly raised or increased.

Cortefum - a preparation of Hidrocortizonum (hydrocortisone) of adrenals, as secondary gipotiroz it is rare (and in YOUR situation prkakticheski never) does not happen isolated, and it is combined with deficiency AKTG (research of the last is interfaced or integrated to series of technical complexities, and it or him replace with definition of a hydrocortisone in daily urine) treatment SECONDARY gipotiroza cannot be begun with a thyroxine - begin with compensation of shortage of a hydrocortisone.

The clinic described by you does not speak hormonal problems, but presence of the last and their correction at presence are necessary.

[Sojkina]

The attacks described by you most possibly are epileptic, and can be regarded as complex or difficult (the consciousness during the moment of an attack is broken or disturbed, in your case - partially) focal attacks. The indicating on *quot; the surprised expression ??a*quot; (and the status of consciousness during the moment of an attack) precisely differentiates them from absentias epileptica. It is possible to assume definitely enough a symptomatic focal epilepsy which reason is or in occasion of what operation, or surgical operation on a brain (at all not speaking about any mistakes or errors was spent at operation). Any mechanical intrusion into a tissue of a brain in some cases can serve as the reason of development in the further of epileptic attacks. Treatment by antiepileptic preparations is necessary. If the epileptic nature of attacks is proved, to deliberate it is not necessary.

[Alin]

Thanks.



I have a little confused.



The analysis on hormones.



4 - low

LG - 4 - LG

Hydrocortisone low



As soon as will send the analysis, there will be exact digits.



Have started to drink Cortefum of 5 mg. And L-Thyroxin.

Also we shall start to drink Depakinum Hrono (500 in day).



It is correct?

How about compatibility of these preparations?



And how I can help or assist from the USA (new preparations and t.d)?

The wife and the son in Moscow.



And more, 2 years ago a problem (teratoblastoma)

Was in III zheludoke and below, absolutely near to a pituitary body.



Problem deleted Konovalov (scientific research institute it or him. Burdenko).



Now there that remains, but dynamics or changes is not present, all costs or stands.

Like it's OK.

But suddenly this rest somehow presses on a pituitary body and from here

Hormonal disturbances?



How all it to clear?



Thanks for answers.

[Nezhiloy]

The reasons on which it was required to investigate or research level LG at 12 years or summer boys at a unitary fence of a blood from the text of your letter, the dear father, are not clear (length of a body, mass of a body, the beginning of puberty and pr). Also it is obscure, why it is not investigated or researched TTG and \ or, for example, STG, but IT HAS no attitude or relation to described clinic.

The answer to a question on what reasons secondary (gipofizarno - subthalamic) a hypothyrosis \ a hypocorticoidism (namely these problems are important in nastojashche time) give tool methods obsldeovnaija, spent by the neurosurgeon (MRT).

And here the answer to a question is or not \ and what endocrine disturbances, the certain report of inspection gives, but to discuss it or him in details, not knowing opinion of the attending physician, hardly costs or stands.

Cortefum and thyroxine in all countries use for replaceable therapy, and the supernatural difference as preparations of different firms is not present.

Details of the endocrine status of the child should be discussed on consultation of the pediatrist - endocrinologist ENTSRAMN (d.m.n. Fofanova, d.m.n. Bezlenkina, d.m.n. Tjulpakov) 500-00-90

[Dasha]

Thanks.

[_22]

Here our hormones.



AKTG-40,2

Kortiz - 30

LG *lt; 0,1

Svob. 4 - 4,0

STG - 1,1

TTG - 3,0

FSG - 1,5



One of these days we shall check up Prolactin.



The dear professor.



What else hormones to us should be checked up?



Let's check up angles of vision, sharpness of vision, etc.



Thanks for answers.



Yours faithfully.



Gennady.

[About]

Dear Gennady, those or other laboratory researches - not kubik-rubik, putting or folding which, you receive a picture.... The Clinical picture of the child has no attitude or relation to hormones, and after the spent treatment to investigate or research TTG, over 4, sut urine on over a hydrocortisone, STG it is quite reasonable - m.b., after survey doctors will offer still some assays (not basal definition of hormones. Namely assays).

I already wrote, and not time, that unitary definition AKTG and a hydrocortisone is interfaced or integrated to a lot of methodical problems, and the answer to a question - is or not the secondary hypocorticoidism is given not on basal levels AKTG and a hydrocortisone (but there is no sense it to discuss - I have given you coordinate of the people daily solving these and similar problems.

Most likely. Deficiency of a hormone of body height (STG) is not present, well and is wonderful.

As I already spoke. Basal level TTG at secondary gipotiroze m.b. It is normal (as takes place in YOUR case). And again - the professional can offer the test for search secondary gipotiroza.

Prolactinum can quite appear raised or increased \ there was an operation and radial therapy \ m.b. In general there is good-quality makroprolaktinemija, therefore a treatment of results - for the professional (body height, attributes pubertata and so forth)