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Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.
are you there?
is she a normal 18 month old in terms of development?
any medical problems, any meds? what happened, she blinked and with that was a single jerk?
no she kept blinking and her whole head would jerk when blinkingg
how long did it last?
a minute or so but a few different times
and no fever
any chance of an infection?
no but she woul blink hard
family history of seizures?
any change in her level of consciousness you could sense, was she sleepy as this was happening?
no not that im aware she looks fine but she kinda spaced out too
ok well this sounds like an "absence" spell with frequent eye blinking , which is called an automatism
can you video tape it with your phone?
that would help the neurologist
so does she have a temperature or anything like a respiratory complaint?
is she irritable?
normal urination in the diaper, no new smell in the diaper (urinary track infection)
u know she was irratable now that i think about it
well the concern is always that she is developing something, like meningitis
from an ear infection etc
but the key is fever
and without that, and a stiff neck
there is no reason for immediate concern
is that bad im her dad and first time but could it be something neurological
it could be
I was going to say this is a simple motor tic
but you describe frequent eye blinking that is prolonged, and the jerking that was synchronous?
that can be a seizure in a 18 month old
she needs a peds neurologist, it is 1 am where I am,
where are you?
where could i take her should i take her to the hospital now shes sleeping
I would say no if she is comfortable and sleeping
but you might get her looked at tomorrow
im in california
take that phone video with you
so it is 10 pm
where are you in CA?
so you Irving
I would take her to the pediatrician in the am if she is sleeping and normal
and forget the ER
the pediatrician can determine if she needs a scan or anything else emergent
just keep an eye on her tonight ok?
if she spikes a temperature
then you have to take her
my wife has recently been using alot of ant poison around the house could this be something
well it could be, but with ant poisoning, or any poisoning, there is usually a change
in consciousness, before the seizure starts
there is a type of seizure called an infantile spasm
that can start at this age
it is frequent eye blinking, and an increase in trucal tone, she gets a little rigid
and then some jerks
it could be an infantile spasm
hard to say from here
how do i address this
but the key tonight is to make sure she does not have some brain infection
well this is not a life threatening condition
infantile spasms will not kill her
she will just jerk occasionally
but she needs a diagnosis, and needs to be seen by a peds neurologist
she was wathching tv when it started up
starting with the pediatrician
did she sit up kind of?
would you feel more comfortable to take her to the ER tonight?
well yes if it could be serious
it could be serious, but it is not a life threatening condition if she is sleeping right now comfortably
if you take her to the ER, you need to take her to one that can do an MRI scan of the brain
I would not CT her
serious in the sense that she could have a seizure disorder starting
and there can be brain issues causing a seizure in a child her age
is this long term
but from one event, although you said she has been doing this a few times
hard to say if this is long term without a diagnosis as to cause
she will need an imaging study, an MRI and an EEG examination
and then a diagnosis you will get
and if it is infantile spasms for example, you might or might not choose to treat them
in that type of disorder, about 50% grow out of them as they grow up
and 50% develop a seizure condition into adolescence
but you will not figure any of this out in the ER tonight
you would only take her if they have a peds neurology program, like UC Irving
because unless she has meningitis, they will just check her vital signs and send her home
i work alot and get home late my wife is too busy with other kids so she doesnt really put too much tought into anything but im really scared shes my first. so i havent studied her lately
ok is meningitis bad
but with meningitis, you are not sleeping
is st. joseph any good in orange
let me look
not at all for an 18 month old
you need a peds program
no peds program at St Joseph
what kind of hospital do i look for a good one?
is this close?
i think so have to look
yes it is
well that is the place to take her, with your cellphone if you caught her
during a spell
what are the odds its not serious
probably 50/50 based on what I know here
not serious tonight though
not if she is sleeping comfortably, and is normal otherwise during the day
do you have any other questions ?
ok thank u so much u are a big help although im scared alot till i know other wise. U pointed me in the right direction anything i should look for during the night
so any irritability during the night, awakening her, then you have to consider taking her to the ER at that hospital I suggested ok?
or calling her pediatrician
what should i ask for at the hospital what kind of test
they will examen her
and maybe check her blood for a variety of screening tests
and then maybe a MRI scan of her brain if she has findings on examination to consider an infection or some process
in her brain, which right now is unlikely, but I mean if she bolts up screaming tonight
and they will get an EEG which is a brainwave test in the morning
is all of this expensive
yes, it can be without insurance
so I would avoid the ER if you can
does medical cover any of this i lost my insurance
what do you mean by medical?
med i cal i think
I am in NYC
in california, you are covered
for most emergency visits
k I'll sleep a lil better i appreciate ur help
you are welcome
Dr Frank T
please rate my service if you can
if you get test results and need an explanation
get back to me ok?
God bless u and yes
not to worry