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Are we at an onset?
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<blockquote data-quote="Sara PA" data-source="post: 147656" data-attributes="member: 1498"><p>I have a couple of things to add to what the others said.</p><p></p><p>EEG's can only rule in seizure activity, not rule it out. It is estimated that only 50% of temporal lobe seizure activity is detectable by the current available technology. My EEGs did not record seizure activity "that rose to the level of an epilepsy diagnosis" yet there I was on the floor having grand mal (tonic-clonic) seizures. I have a friend who has had temporal lobe seizures for 50 years yet never had a positive EEG. The temporal lobe is deep within the brain and often EEGs simply can't pick up activity, even <em>if</em> the activity is occurring at the time of the test. The temporal lobe controls many things, including emotions. My son's temporal lobe seizures are, for the most part, emotional seizures (better known as "rages"). His most common auras are paranoia, feeling hot and nausea. His rages are of a predicable length of time from onset to return to normalcy (45 minutes) and so regular in length of each phase that I know when he's going to move from one phase to another (provided that nothing triggers a flair-up while the seizure is occurring). I have been aware of this form of seizure activity since before he was 2 years old. He has never had a positive EEG either. My friend, my son, and I all have other types of partial seizures which few people -- including way too many doctors -- would identify as seizure activity. </p><p></p><p>Don't be too quick to label his behavior as defiant. Any child as anxious as your child sounds is going to do all in his power to control his environment so that he can feel safe enough to function. What you see as defiant may simply be his attempt to control his situations so that he can survive. School refusal isn't defiance, it's survival. The Rosa Parks comment isn't defiance or disrespect, it's intellectual rationalization needed to cover up his need to control because that's the only way he can function with his level of anxiety. He feels like he's drowning and he's surviving the best he can. You have one very scared child who feels like he is holding on by his fingertips.</p><p></p><p>by the way, when the doctor prescribed the fluoxetine (Prozac) were you warned about what psychiatric side effects you should be watching for? They include increased suicidal ideation, mood swings and behavioral changes such as increased anxiety, agitation, aggression, anger, hostility, and even homicidal ideation. These side effects can occur either when the drug is started or after it has been taken for a number of months.</p></blockquote><p></p>
[QUOTE="Sara PA, post: 147656, member: 1498"] I have a couple of things to add to what the others said. EEG's can only rule in seizure activity, not rule it out. It is estimated that only 50% of temporal lobe seizure activity is detectable by the current available technology. My EEGs did not record seizure activity "that rose to the level of an epilepsy diagnosis" yet there I was on the floor having grand mal (tonic-clonic) seizures. I have a friend who has had temporal lobe seizures for 50 years yet never had a positive EEG. The temporal lobe is deep within the brain and often EEGs simply can't pick up activity, even [I]if[/I] the activity is occurring at the time of the test. The temporal lobe controls many things, including emotions. My son's temporal lobe seizures are, for the most part, emotional seizures (better known as "rages"). His most common auras are paranoia, feeling hot and nausea. His rages are of a predicable length of time from onset to return to normalcy (45 minutes) and so regular in length of each phase that I know when he's going to move from one phase to another (provided that nothing triggers a flair-up while the seizure is occurring). I have been aware of this form of seizure activity since before he was 2 years old. He has never had a positive EEG either. My friend, my son, and I all have other types of partial seizures which few people -- including way too many doctors -- would identify as seizure activity. Don't be too quick to label his behavior as defiant. Any child as anxious as your child sounds is going to do all in his power to control his environment so that he can feel safe enough to function. What you see as defiant may simply be his attempt to control his situations so that he can survive. School refusal isn't defiance, it's survival. The Rosa Parks comment isn't defiance or disrespect, it's intellectual rationalization needed to cover up his need to control because that's the only way he can function with his level of anxiety. He feels like he's drowning and he's surviving the best he can. You have one very scared child who feels like he is holding on by his fingertips. by the way, when the doctor prescribed the fluoxetine (Prozac) were you warned about what psychiatric side effects you should be watching for? They include increased suicidal ideation, mood swings and behavioral changes such as increased anxiety, agitation, aggression, anger, hostility, and even homicidal ideation. These side effects can occur either when the drug is started or after it has been taken for a number of months. [/QUOTE]
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