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Diagnosis: Concerned mother presents with 15 month old baby who is having recurrent seizures. She requests an MRI, sleep deprived EEG with intercranial leads.

User Hantoren
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A 15-month-old with recurrent seizures may undergo diagnostic tests like an EEG and MRI to identify the cause. These tests, alongside analysis of symptoms and family medical history, help diagnose conditions like epilepsy or other neurological disorders.

Step-by-step explanation:

Understanding Recurrent Seizures and Diagnostic Approaches

Seizures in infants and children can be indicative of a variety of neurological conditions. When a child experiences recurrent seizures, medical professionals often employ several diagnostic tools to understand the underlying cause and best treatment options. Among these tools is electroencephalography (EEG), which records brain activity and can offer insight into which regions of the brain are involved during a seizure. Another diagnostic tool is magnetic resonance imaging (MRI), an imaging technique that provides detailed images of the brain's structures, potentially revealing abnormalities that could contribute to seizure activity.

Conditions such as epilepsy, a disorder characterized by recurrent seizures, can emerge due to a combination of genetic and environmental factors. Seizures in children can also point to more serious conditions like neurodegenerative diseases or infections affecting the nervous system. In some cases, a neurologist might request advanced testing, such as the use of intercranial leads during EEG or the analysis of cerebrospinal fluid for specific proteins like 14-3-3, which might be present in conditions such as Creutzfeldt-Jakob disease.

Seizures symptoms can vary, ranging from temperature instability and apnea in early onset disease to bulging fontanel and hemiparesis. The array of symptoms associated with seizures necessitates a thorough diagnostic process to ensure accurate diagnosis and treatment. The use of MRI, sleep-deprived EEG, and other diagnostic measures help clarify the nature of a child's recurrent seizures and guide the subsequent medical intervention.

User Raffaeu
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