I have a two and four months - years-old son . He has fallen down in a fit when he was only eight months .(Just at this time his first tooth began to teethe ).
He hospitalized for one week and took Liskantine syrup .
After four or five months he fell down in a fit and the fit stopped by taking Liskantine syrup .
two months ago it repeated and again he hospitalized to control for one week after that he began to take these medicines : Phenitoin 4cc BD , Liskantine 6.5 cc BD , Imipenem 4cc BD .
After one week the fit began two times in a week .
this why the doctor ordered to stop taking Phenitoin and replaced Carbamazpin 1/2 BD .
This time the fit stopped for one week, Once again it began and this time Imipenem stopped and Clobazam 1/2 BD replaced .
When Clobazam stopped the fit repeated so much, By noticing that Ostazolamid taken but the fits still continues in addition his doctor ordered Garmapenin 1 BD, I haven't still to given him .
How to begin his fit : By aching his left sole of the foot begins and then he cries and blinks his left lid and then the both of them, After that his tooth and his left body spasmed, sometimes his left hand and leg begins to jump .
The distance of his fit is between 4Sec and 20 Sec .
He is also full consciouness during the fit and after that .
All the brain scans and body scans are normal .
thank you very much for your helping .
this the EMG test result, Could you please check it .
This is the report of NCS & EMG performed on the above patient .
1- NCS : Stimulation of :
Right Median nerve : Motor Distal Latency : 3.90 msec
Sensory Distal Latency : 3.40 msec
Conduction Velocity : 53 m/sec
Right Ulnar Nerve : Motor Distal Latency : 3 msec
Sensory Distal Latency : 3.20 msec
Conduction Velocity : 52 m/sec
Left Median Nerve : Motor Distal Latency : 4 msec
Sensory Distal Latency : 3.50 msec
Conduction Velocity : 55 m/sec
2- EMG : Electromyographic study of :
Right & left Abductor pollicis Brevis and Abductor Digiti Minimi revealed no fibrillation But slight reduction of motor unit interference Pattern with increase polyphasic Motor Unit Action potential .
Findings : 1 - Slow nerve conduction .
2- Neurogenic EMG .
3 - Glove and stocking pattern of paresthesia .
4 - Muscle cramps of all limbs .
5 - Vertigo ( on and off )
6 - Blurred Vision ( on and off )
Conclusion :
Above findings are compatible with moderately severe , mixed type peripheral Neuropathy .
Comment : MS should be ruled out in this case ( Brain MRI )
Notice : I did Brain MRI and the result was normal .
Regards .
you should consider nerve reconstruction..Dr Susan Mackinon out of St. Louis MO is a leader in this field
Hi there. Peripheral neuropathy can be caused by nerve compression, entrapment, toxin exposure or inflammation. Associated conditions include alcoholism, autoimmune disorders like guillain barre syndrome, diabetes mellitus, rheumatoid arthritis, lyme disease etc. Motor weakness, cramps, spasms are associated with motor damage and sensory nerve damage produces tingling, numbness and pain which is burning, electric like or extremely sensitive to touch. Diagnosis is by nerve conduction velocity, EMG, EEG and imaging like MRI spine etc. Take care.