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Re: re:seizures

> here's a thought re: the 9 week old with seizures...could it be
pyridoxine
> dependent?  on the beach without medical texts can't remember if that
> presents that late...but remember neurologists always trying an IV slug
of
> pyridoxine in the young infant who is having frequent seizures...Eve,
keep
> us up to date on final diagnosis
>
> F. Wayne van Saun, MD

Pyridoxine is a good thought, but don't neurologists depend on an abnormal
continuous EEG to note a change when pyridoxine is given?  This child's EEG
was read as normal.

I got a mini-update after speaking with the baby's nurse last week...they
added Dilantin to her Phenobarbital and also added what she called
"vitamins".  Carnitine, etc, I presume.  She was seizure-free for 24 hours
at that point.  She may be discharged this weekend and I'm hoping that I'll
get a copy of the discharge summary.  I'll keep you all posted.  When I
spoke with the resident last week, the top 2 thoughts were an inborn error
of metabolism or infantile spasms.

Eve H. Switzer, M.D.