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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Right Brain Hemorrhage

Hi, I’m Seema, having two and half year old son who is suffering from right brain hemorrhage since from one month old baby. Here is the detailed scenario, When my son was one month old baby, suddenly he fell ill and after radiological examination the doctor said that he is having sub dural hemorrhage with intraventricular extension (right brain hemorrhage),during that period he got convulsions. Convulsions were controlled with phenytoin, gardenal and midazolam drip. In the medical report they have mentioned, Final diagnosis: intracranial hemorrhage secondary to late hemorrhagic of new born. Then he recovered, during discharge they suggested to give EPTOIN medicine 2.5ml (morning and night). We continued giving him Eptoin syrup and he grown with normal behavior. We consulted famous pediatric neurologist in India name Dr.Kumaresan MD, DCH, DM, he suggested us to do MRI scanning when my son was 7 months old. In the scanning report they have mentioned, Observation: significant atrophy involving right temporal, parietal, occipital lobes with dilatation of right lateral ventricle He also suggested continuing with Eptoin syrup and visiting him once in 6 months. Then when he was one and half year old we did EEG for him, The report suggested that, Conclusion: EEG is mildly abnormal and the findings suggest frontal parietal dysfunction only. But my kid activity was very normal as like other children. Once again we consulted doctor before coming to Beijing, he suggested the same Eptoin syrup morning 2.5 ml and night 5 ml and folic acid tablet once in three days in night. Currently my son is two and half year old, he is doing very normal activity. But last month suddenly he fell sick and he got fever of 102 F and he got seizure(he turned his neck left side and hold his left arm aside)for about 10 secs, after that he went sleep for 5 minutes and then woke and he was normal. Quickly we ran to hospital and consulted doctor. Doctor said that he is having some ear infection so he had fever they gave fever medicine and antibiotic. Now he is fine doing well. So we here i would like to know wehther we have to consult pediatric neurologist in Beijing as of now???? Please help me on this. Thank u in advance. Seema
Tue, 9 Feb 2016
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Pediatrician 's  Response
Hi Seema, from what you ve mentioned, it seems that your child has a stable neurologic condition with apparently normal development well controlled with medications. His last episode of seizures was due to high fever spike following a probable otitis media (middle ear infection). This is very common in preschool age group. The recent seizure is mostly because his seizure threshold is low along with high grade fever. Any new lesion in the brain is unlikely. But having a Neurologist in the vicinity who is known about his medical condition is always good in the case that he can be looked after easily if any future emergencies occur.
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Suggest Treatment For Right Brain Hemorrhage

Hi Seema, from what you ve mentioned, it seems that your child has a stable neurologic condition with apparently normal development well controlled with medications. His last episode of seizures was due to high fever spike following a probable otitis media (middle ear infection). This is very common in preschool age group. The recent seizure is mostly because his seizure threshold is low along with high grade fever. Any new lesion in the brain is unlikely. But having a Neurologist in the vicinity who is known about his medical condition is always good in the case that he can be looked after easily if any future emergencies occur.