welcome to Just Answer
what do you think?
what about this nasal dermoid?
what abuot it?
was there an intracranial extension?
and that was imaged with MRI?
and ct yes
both said no intracranial extension
so that also excludes temporal lobe anomalies
i don't know
and did he ever get an eeg?
i asked for it yesterday in the ER and they said NO
i was shocked
do i need one?
I have a 3 year old, can you wait one min?
i will be right back
what are temporal lobe anomolies?
so temporal lobe anomalies
would be congenital changes in the temporal lobe of the brain
no one said anything about this to us
he had a full MRI of his brain so they would have looked at everything
I am just thinking of possibilities
yes they did, so can i assume this would have been ruled out?
so what do you think is going on? i'm terrified, he is not himself
it's like he is another kid
and he has emotionally distanced himself from me...we are like glue the two of us now he is pushing me away
well is he going through some new stress situation
yes, being with his dad for 8 hours, it started right when he came home from being with him
but why would he be this way with me?
hard to say why, but kids can react
with confusion, tics, memory loss, loss of balance, change in personality, head and tongue tick?????
the question I had was is there any change in level of conciousness
he has been more sleepy yes
since he came home from his dads
that night he slept very early
i was suprised and noted it expecting him to be up late
so what happened in the er?
did they do any blood work?
has he spiked a temp
they said his exam was normal whatever that means...and said they cant do a neurology referral because they are short staffed (like what?) and he had to see a pediatrician first and he/she would make the neuro referral if warranted. he sees this ped on thurs but he also sees his surgeon tomoror and i'm going to beg that he make the neuro referral as it is his hospital
does he need a tox screen?
no blood work
tox screen for what?
I don't know, what happened at his dad?
he said the visit went fine no incident
i have no idea
so do i need blood work, a tox screen?
no just a urine
what do i do?
who does that?
I would get the eeG
i can't get to see them don't even have a referral yet
it will take many months
if his exam is normal, he really can't have anything new on the MRI
they wouldn't consult neuro based on what they saw of him in the ER
but what exam? all they did was walk with him
it was a joke
well they have to look in his eyes,
check his eye movements
they tried but my son wouldn't cooperate
when they checked his eyes he didn't' follow much of the object he had to be prompted to follow it it was like he didn't even see it, the doc told me this is NORMAL for a 2 year old
do you think so?
he is 2 or 3
why a tox screen? to see if he injested something?
he should track
I have no idea online
but change in mental status
he will be 3 in 2 months
and some question
you routinely check his urine
why would i routinely check his urine?
oh sorry i misunderstood
no you dont check it
the er checks it
if there is some suspicion of change in behavior
but they wouldn't do any testing
it was weird
should i go to the family doc and get him to send us to the ER requesting the tests?
you need to take him to a doctor that knows him
a parent cant go into the er and say i want urine screen blood work and an eeg lol
whoever that is
I know that
they think i'm crazy
but you just tell the doc that knows him from the past
if i tell them what i want
so you think, blood work, urine screen, eeg
that there is an obvious change in his behavior, and tics
and you want to know if this could be an absence attack
what is that?
that pretty much covers it
an absence attack?
that is a type of temporal lobe seizure
coud this just be stress? have you seen anything like this?
it has "automatisms"
sure this could be stress, but you would expect him to revert back
can you lose cognitive function from a seizure, like permanently
tics especially in boys
are mostly stress responses
that is what i'm very afraid of, he is sooooo bright
no you don't lose it permanently
but if there is a change
by a lip smacking
then that can be an absence attack
the old term is petit mal seizure
and it is very common
it can start in this age group
so can he lose iq from this?
usually before age of 4
if it is a seizure how long does it take for him to come back? it's been 48 hours
usually absence kids are very bright
and most lose it in adolescence
yes he is super bright
but with that brightness
he can have tourettes
or some tic disorder that is stress related
but as this is the first time
you have to cover all aspects
so the ER was a good idea
I am not sure why they did nothing
who diagnose and treat tourettes and seizures?
you only treat tourettes if it is reallly necessary
i will go back in there tomorrow and just miss work if his surgeon doesn't advocate for us tomorrow?
as the drugs are lousy
a neurologist does this work? for tourettes and seizures?
yes the surgeon that did the dermoid should have a clue here
a pediatric neurologist
does all that
you should video tape him ok?
it may take months to see one though
if we are lucky that is
and show the docs this behavior
i have been video him
im so scared
i want him back to normal
can he change like this permanently?
it's like he is not my child
i don't know him
he is vacant
we this is not a serious problem in the sense of danger to him
he did ask repeated questions sometimes a few months ago...id ask a question and he's say "what" 4 times...i thought his hearing was off...he has also done these weird hand movements at times and swiped his arms across his face and made airplane sounds
if he in not infected, his vitals are normal
yes we need the blood work immediately
any chance of a strept infection?
in the past?
you do need the blood work
strept? what does that mean?
he has been coughing and sneezing for a month now
he could have syndenham's chores
i thougth it was mould in the house and am having the air quality tested (as there is aproblem of mould in the attick that is getting fixed)
strept infection is a nasty sore throat
he could have had it weeks before
he hasn't cmoplained about his throat
what is syndenhams chores?
I will get you a webpage hang on
look at it now ok?
so should i take him to the hospital tonight for this? or wait to speak to the surgeon tomororw morning
look at the symptoms
lets try to put our heads together
can they test for syndenhams chores through blood work?
they check a white count and an ASO titer
ok so i have to go in a few mins
can we summarize?
you have been very helpful...
there is also something called PANDAS
look at PANDAS
it has the tics etc
maybe he has PANDAS
ive always thought he has ocd, i have anxiety and he is very very particular about how things are to go
does a blood test rule it out?
so can i ask my gp to test for pandas and syndenhams chores?
that sounds like a plan
tell him about the tics, the emotional change
and ask him about these two
how do you treat pandas?
does it go away?
or does the infections leave the child permanently like this?
you treat it with antibiotics
should i take him to the ER tonight for the blood work?
or wait til tomorrow morning?
this can wait until tommorrow morning
if he has no fever
he is on advil and tylenol all the time
and no other problems like respiratory or cardiac symptoms
I see ,
he is coughing a lot
off and on for a month
the docs check his lungs and they aren't concerned
mostly at night
so take him in tommorrow ok?
anything else for me?
no I think that is it
get back to me anytime ok?
how do i do that?
Dr Frank T
you just come back to this posting
and write something
and I will be notified
ok i will thank you :)
it might not be right away but I will be back
what about regressive autism? only thing is, his speech is back to normal and his balance, he has continued with head nodding/tics, eye tics have stopped, had blood test, no infection found, throat swab in for pandas, eeg ordered, allergy testing panel ordered, hearing test ordered, and sent to have a full psychological assessment for autism. but if it was autism and a sudden loss of speech memory, tics, loss blaance etc...it wouldn't come back would it?