What other test (s) can diagnose epileptic seizures in severe dev. Delay child > 5y/o (beside eeg)?

Observe,Video EEG. The label of epilepsy is generally applied when a patient has recurrent neurologic events originating from the brain structures. A normal eeg does not rule out epilepsy, nor does an abnormal eeg always mean epilepsy. Some specialty centers will do a 24hour video eeg to try to capture the events with a simultaneous eeg as they may come at unpredictable times. Some events may not be seizures at all.

Related Questions

5 years ago I was diagnosed with epilepsy after 1 seizure (in a stressful situation) with an EEG test (+normal MRI results).could it be wrong/sth else?

My response. First, epilepsy means more than one seizure, and you had a solitary event. Second, the diagnosis was probably correct, and your EEG likely showed abnormal findings c/w a risk for further events. But if you have been stable for 5 yrs, seems worthwhile to repeat EEG, if you are on medicines and see if you could taper off. Discuss with local neurologist. Read more...

Following a severe tbi, I was having possible seizures. Sharp waves were found on my left temporal lobe on eeg. Does that mean I have epilepsy?

Correlations. Brain trauma can eventuate with post-traumatic epilepsy, and the question of possible seizure activity is supported by a focal eeg abnormality c/w seizures. Your physician can pull all of this together, and i cannot confirm whether your possible szs. Are indeed in need of anti-epileptic drugs, but sounds like this may be your safest scenario. Best of luck. Read more...

In 98 an EEG showed I had epilepsy could this have been wrong I have not had a seizure since I was on a high dose sleepin med at the time I was 16?

Complex case. I suspect you were misdiagnosed. An eeg can show an abnormality but not define epilepsy. Migraine, medication effects, sleep deprivation can all affect the eeg. Medication for the eeg was probably not appropriate. Read more...
well.... First, that was quite a while ago, so it would bear revisiting. In addition, there are many normal variants on eeg which can easily mislead; there are some excellent epilepsy doctors in the twin cities. You can pm me if you need info. Read more...

In 98 an EEG showed I had epilepsy could this have been wrong I have not had a seizure since I was on a high dose sleepin med phenabarbital I was 16?

Unlikely. If anything an epileptic pattern on your eeg while taking Phenobarbital is more worrisome because that drug often stops seizure activity. Read more...
Depends. By definition, a diagnosis of epilepsy requires that you have at least 2 seizures. If your seizure was caused by sleeping medication, chances are that you do not have a seizure disorder, and the eeg read the brain activity at that time at that time however, if you are taking medication for seizures right now, it's probably doing its job, and you should continue to take it. Read more...
May have resolved. Infection, high fever, certain meds/drugs, tumors, hyponatremia (low salt) are usual suspects for seizure. Eeg shows electrical activities of seizure so it maybe that you had something abnormal then and since has resolved. If u r not taking med and no seizure for 14 yrs, the chance is good that you don't really have epilepsy. Consult doc. Good luck. Read more...

Eeg disgnosis indicates that I'm normal but I'm diagnosed to have epilepsy because of the seizure. Can you explain?

Go back & ask again. Every normal eeg carries the disclaimer "the absence of epileptiform discharges on a routine eeg does not rule out the presence of a seizure disorder." about 1/2 of epileptics have normal interictal (between-seizures) eegs. No competent neurologist would call you "normal" based on an eeg. You may well have misunderstood. Request clarification. You're the patient, not the eeg. Read more...
Limited value. Eeg is like listening to an idling car engine. It may sound fine but start backfiring in a stress setting. Oftentimes eegs are normal except during the seizure. We are lucky sometimes to induce seizure discharges on eeg by activation, but up to 20% of eegs remain normal even in patients with definite epilepsy. If repeated eegs show worsening, that may indicate a progressive disorder. Read more...

Can one be diagnosed with epilepsy after one seizure in their sleep to later find out they had a wrong diagnosis even though 1 EEG was positive. 1 neg?

Common question. Epilepsy is a clinical condition of a risk for recurrent seizures. A single seizure is not epilepsy. Eeg does not diagnose epilepsy. It is a tool used by an experienced neurologist to help with clinical decision making. The diagnosis of epilepsy is a clinical decision based on thorough evaluation of many factors. Some use the concept of increased risk or low seizure threshold. Read more...
Maybe. Nocturnal convulsions occur frequently in epilepsy. Convulsions occur secondary to abnormal electrical firing of nerve cells. But epilepsy is a condition where these discharges are initiated spontaneously in the brain. Abnormal eegs reflect abnormal electrical function which may occur with non-epileptic conditions as well as epilepsy. Even known epileptics may have normal eegs. See neurologist. Read more...