Question: My 4 year old granddaughter has had 3 episodes of waking but not being able to fully wake, urinating, eyes rolling back and very dilated, and not being able to stand on her own. After the episode seems to pass she has a stomach ache followed by throwing up. She falls back asleep and seems fine after a hour or 2. My daughter took her to emergency room first 2 times and then to a childhood neurologist. She had eeg which looked normal to the dr. He suggested it was most likely a sleep disorder, childhood migraine or possible seizure. Has anyone else experienced these symptoms?
Hello. I wanted to let you know she should have a sleep study done during the night when she normally sleeps. This is called a PSG and her child’s Dr can order one. This sounds like a sleep disorder. It occurs during sleep. I hope this helps and the sleep study to determine the problem.
Good Luck
If all three episodes have been very similar in how your grandaughter behaved or in what your daughter observed, I would suspect the possibility of a seizure disorder. An EEG (electroencephalogram) was a very appropriate test to order but it is possible for a test to be normal if at the time the brain activity was monitored there were no seizure discharges from the brain. Intermittent or only occasional seizure discharges from the brain are most easily seen at times of transition from wake to sleep and some seizure discharges only occur during sleep. Making the brain tired through sleep deprivation is common technique to try to record seizure discharges more easily and to ensure a sleep recording. A repeat sleep-deprived EEG with a sleep recording may be all you need to identify a seizure problem. If a repeat EEG is normal, an overnight sleep test (PSG) may be indicated but make sure an expanded hook up for seizure monitoring is used in addition to the other monitors typical of sleep studies. Your neurologist or physician can help you determine any additional testing needed and prescribe anti-seizure medication if indicated.
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