We saw the Neuro yesterday. I had captured some of the suspected seizures on my digital camera (video setting). Dr. R said they were myoclonic seizures. We increased his Keppra and we have a follow up in two weeks with an EEG.
Here's some info from Epilepsy.com:
"What are they like?
Here's a typical story: "In the morning, I get these 'jumps.' My arms fly up for a second, and I often spill my coffee or drop what I'm holding. Now and then my mouth may shut for a split second. Sometimes I get a few jumps in a row. Once I've been up for a few hours, the jumps stop."
How long do they last?
They're very brief jerks. Usually they don't last more than a second or two. There can be just one, but sometimes many will occur within a short time.
Tell me more
Myoclonic (MY-o-KLON-ik) seizures are brief, shock-like jerks of a muscle or a group of muscles. "Myo" means muscle and "clonus" (KLOH-nus) means rapidly alternating contraction and relaxation—jerking or twitching—of a muscle.
Even people without epilepsy can experience myoclonus in hiccups or in a sudden jerk that may wake you up as you're just falling asleep. These things are normal.
In epilepsy, myoclonic seizures usually cause abnormal movements on both sides of the body at the same time. They occur in a variety of epilepsy syndromes that have different characteristics:
Juvenile myoclonic epilepsy: The seizures usually involve the neck, shoulders, and upper arms. In many patients the seizures most often occur soon after waking up. They usually begin around puberty or sometimes in early adulthood in people with a normal range of intelligence. In most cases, these seizures can be well controlled with medication but it must be continued throughout life.
Lennox-Gastaut syndrome: This is an uncommon syndrome that usually includes other types of seizures as well. It begins in early childhood. The myoclonic seizures usually involve the neck, shoulders, upper arms, and often the face. They may be quite strong and are difficult to control.
Progressive myoclonic epilepsy: The rare syndromes in this category feature a combination of myoclonic seizures and tonic-clonic seizures. Treatment is usually not successful for very long, as the patient deteriorates over time.
Who gets them?
The epileptic syndromes that most commonly include myoclonic seizures usually begin in childhood, but the seizures can occur at any age. Other characteristics depend on the specific syndrome.
What's the outlook?
The outlook for patients with the various syndromes that include myoclonic seizures varies widely. See the specific syndromes".
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1 comment:
Hello,
Your blog came up in my google alert . After reading a bit about Matthew I was wondering whether he has been tested for a CDKL5 disorder?
Here is a link to the CDKL5 website http://www.cdkl5.com and my blog
http://www.cdkl5info.blogspot.com
there is a link to mmy family's story from both.
Not many doctors are aware of CDKL5 and the disorders it can cause.
All the best to you all.
If you have any questions please feel free to contact me through my blog.
Leita.
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