Seizures in a Non-communicative Child

Anna Tielsch-Goddard, MSN, CPNP-PC

Disclosures

J Pediatr Health Care. 2010;24(4):270-274. 

In This Article

History of Present Illness

A 5-year-old non-verbal child with autism whose case is followed by the neurology department comes to the neurology clinic because of new-onset seizures. The patient was in a rural area of Mexico visiting his grandparents during the summer for several months. When he returned to the United States 2 weeks ago, his mother reported a first-time seizure that she described as total body jerks with teeth clenched and drooling from the corner of his mouth. This episode lasted for approximately 2 to 3 minutes. She does not know if these seizures were happening while the child was in Mexico. The mother reports that the patient has had increased irritability and has been holding his head when rocking in a chair at night for the past few weeks. The mother reports that this behavior is new. She also has noticed that he holds his head as he walks around the house and has been sensitive to bright lights. When the mother noticed a second seizure and postictal vomiting 1 week ago, she brought the child in for an examination.

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