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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3147
Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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my son is 18 years old. Last night in his sleep he start convusions,

Customer Question

my son is 18 years old. Last night in his sleep he start convusions, he was having a sezier his eyes rolled back. his arms went in the air and his nose bleed alot.
Submitted: 11 months ago.
Category: Eye
Expert:  Dr. Dan B. replied 11 months ago.

Dr. Dan B. : Hello and thanks for your question. I'm sorry to hear about what happened to your son. What questions can I help you with?
Customer :

well i think what i told you speaks for itself, what could be the reasons for this?

Customer :

r u there?

Dr. Dan B. : Yes, I'm here. Give me a minute while I address your question. But first I could use some answers to help guide my answers. Is he taking ANY medicine, herb, supplement, vitamin that you know of ( prescription or not)? Has he been sick and/or had any fevers?
Customer :

nothing no meds. he did have a sore throat about two weeks ago.

Customer :

this the first time this has happen to him

Customer :

his father died when he was 6 months old from marfan syndrome. and he is an identical twin

Dr. Dan B. : Does he have Marfan's syndrome? Does be have any medical problems at all?
Customer :

none

Dr. Dan B. : Did you or anyone else observe this episode?
Customer :

no

Customer :

r u there?

Dr. Dan B. :

Yes, I'm here. Give me just one minute please while I type out my response. It's not a one sentence response.

Customer :

what can cause this to happen. and what should he do if this happens again

Customer :

it say that you went offline. do i ask for another expert? i didnt get any answers or suggestions

Dr. Dan B. :

There are about five dozen things that could potentially cause this type of reaction/behavior. Many things that aren't true seizures/seizure activity can appear as convulsions that may be mistaken for seizures. Certain sleep disorders such as night terrors or panic attacks can appear to cause such movements. Alterations in blood oxygen concentration, blood chemistry levels, infections, toxic ingestions or poisonings. I'm still here...

Dr. Dan B. :

But I'm typing on a smartphone so its taking me a little bit of time to respond. There's still more...

Dr. Dan B. :

But this is just the tip of the iceberg. The bottom-line is that convulsions that wake an individual out of sleep are not normal at all, especially for someone who has previously been healthy. For that reason I would recommend that you not wait until a second episode happens, but that you take him to see his primary care doctor right away to start an evaluation which would include an exam, bloodwork, and possibly xrays. Does this make sense?

Customer :

i did ask my son if he was under stress or having anxiety he said no. but i really did scare him. he said he couldnt beleve the amount of blood that he woke up to. could ths be epilipsy?

Customer :

what should i be watchful for

Customer :

do i have to worry about anersums?

Dr. Dan B. :

Yes, it is certainly possible. I do suspect that the nose bleed was a direct reaction or consequence of the convulsive activity and any amount of blood thrashed around a room can look like a lot. You need to watch out for changes in his level of consciousness/sensorium, fevers, and repeat occurrences. And yes, aneurysms can be a cause of epileptic activity sometimes. But if he were my son, I would be worried about all of the above and make sure he gets seen as soon as possible. I wouldn't recommend just waiting to see if something else happens.

Dr. Dan B. :

Do you have any other concerns or questions about this topic?

Customer :

the problen both twins live on there own.

Dr. Dan B. :

I see; that is definitely a problem when they live on their own, away from concerned parents. I would just do your best to encourage/insist that he either see a doctor where he is, or at least come home to have a workup with his family doctor.

Customer :

thanks

Dr. Dan B. :

My pleasure.

Your feedback is important to me and will help me improve my encounter with future customers. Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any bonus you may feel prompted to provide would be welcomed and is appreciated. If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied.

My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!

Dr. Dan B. :

Anything else I can help you with?

Expert:  Dr. Dan B. replied 11 months ago.
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