Epilepsy in a child with autism

Epilepsy may be one of the comorbidities in children with autism. Autism is a neurodevelopmental disorder that affects social interaction and communication. Epilepsy, in turn, is characterized by repeated episodes of involuntary and unpredictable seizures.

In children with autism, epilepsy manifests itself in a variety of ways. For some, these are typical generalized tonic-clonic seizures with loss of consciousness and muscle contractions, while for others, more specific forms of epileptic seizures, such as seizures of epileptic activity without visible seizures or episodes of sensitivity to light or sound.

It is important to note that each case of epilepsy in a child with autism is unique, and consultation with a pediatrician and neurologist is recommended to obtain more specific information and develop an individualized treatment and support plan.

Symptoms

Children with autism are often susceptible to several additional problems, one of which is epilepsy. These children have a higher risk of developing epileptic seizures than ordinary children. Learning the symptoms and having awareness are important aspects for parents and pediatricians to promptly identify and manage these problems.

Here are some common symptoms of epilepsy that may occur in children with autism:

  • Unusual tics and movements. Epilepsy may result in involuntary movements such as flapping, scratching, or turning the head. It is important to distinguish these movements from the stereotypical behavioral patterns associated with autism. The duration and intensity of these movements may vary, so parents and pediatricians should be alert to notice any changes and seek medical advice.
  • Lack of gaze. Epilepsy can cause temporary loss of eye contact and gaze. Children with autism may already exhibit a lack of eye contact in their usual behavior, so it is important to monitor any changes in this aspect. If the absence of gaze becomes more frequent or prolonged, you should consult a doctor.
  • Inattentiveness and inability to concentrate. Epileptic seizures can cause short-term disturbances in attention and concentration. In children with autism, who already have difficulty concentrating and inattentiveness, these symptoms can be difficult to identify. Paying attention to behavior changes and regular discussions with your doctor will help determine whether these symptoms are the result of epilepsy.
  • Unusual sensory sensations. Children with autism often experience sensitivity to certain sensory stimuli—sounds, smells, textures. However, with epilepsy, these sensory sensations can become even more pronounced and cause discomfort or even seizures. It is important to note any changes in your child's responses to sensory stimuli and discuss them with your doctor.

Consultation with a pediatrician or epilepsy specialist can help you identify and manage symptoms of epilepsy and develop an individualized treatment plan for your child with autism. Regular monitoring of the condition, timely seeking of medical help, and parental support will significantly reduce risks and increase the baby's quality of life.

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Causes

In children with autism, epilepsy can occur for various reasons. Here are some of them:

  1. Genetic factors. Some genes may predispose you to develop both autism and epilepsy. Hereditary predisposition may play a role in the occurrence of these two conditions in children.
  2. Neuroanatomical disorders. Changes in brain structure and function may be associated with the development of epilepsy in children with autism. Some of these changes may be common to both conditions.
  3. Insufficient integration of the nervous system. Children with autism often have abnormal connections in their nervous system. This can lead to disturbances in the electrical activity of the brain and cause epileptic seizures.
  4. Neurochemical imbalances. Changes in the levels of certain brain chemicals, such as neurotransmitters, contribute to the development of epilepsy in children with autism.
  5. Environmental impact. Certain environmental factors, such as infections, injuries, and exposure to toxic substances, increase the risk of developing both epilepsy and autism in children.

It is important to note that these factors may interact with each other to create unique combinations that influence the development of epilepsy in children with autism.

Diagnostic methods

At VIVERE CLINIC, we offer a wide range of diagnostic methods to identify and evaluate the causes of epilepsy effectively. Our team of highly qualified specialists using state-of-the-art technology provides accurate and reliable results that serve as the basis for determining the appropriate treatment.

Below are some of the diagnostic methods available at VIVERE CLINIC:

  1. Electroencephalogram (EEG): This is a non-invasive method that monitors the brain's electrical activity. An EEG can detect abnormalities in electrical signals that may indicate the presence of epilepsy. VIVERE CLINIC performs various types of electroencephalograms, including short-term (30 minutes), medium-term (1 hour), and long-term (3 hours or overnight) monitoring of brain activity.
  2. Epi protocol Magnetic resonance imaging (MRI): MRI is used to visualize the brain and detect structural abnormalities that may be associated with epilepsy. Epiprotocol MRI typically involves a high-quality series of brain images to detect the location of epileptic activity.
  3. Genetic Test Epilepsy Panel: This specialized genetic test examines genes associated with inherited forms of epilepsy. It involves analyzing specific genes that may be responsible for causing epileptic seizures. This allows for a deeper exploration of the genetic factors contributing to a patient's epilepsy.
  4. Whole exome or genomic sequencing: this is an advanced genetic analysis that allows you to study all the functional regions of the human genome. Whole exome or genomic sequencing can be useful to determine the presence of genetic mutations or variants that may be associated with epilepsy or other medical conditions.

Diagnostic methods at VIVERE CLINIC are focused on identifying the causes of epilepsy using modern and advanced technologies. Our specialists work closely with patients to develop personalized diagnostic plans based on their unique needs and circumstances. We strive to provide the most accurate and timely diagnosis possible so that our patients receive the best possible treatment and future rehabilitation.

Prevention

It is important to remember that prevention in this case is limited and is based on avoiding triggers and maintaining the overall well-being of the child:

  • Temperature control: With viral infections, it is especially important to be attentive to changes in body temperature. Monitor the child's condition and use temperature-lowering methods if necessary. This includes using antipyretics and cooling techniques, such as bathing in water at room temperature, to prevent sudden fluctuations in body temperature.
  • Regular visits to the doctor: Regular scheduled examinations with a pediatrician and neurologist will help monitor the condition of epilepsy and autism in a child. If any problems or changes in condition occur, it is important to tell your doctor.
  • Reduce stress: Managing stress can help reduce the possibility of epileptic seizures. Developing a consistent schedule and implementing relaxation strategies such as breathing exercises, massage, or meditation are helpful, as are providing the child access to safe environments and support for emotional well-being.

Suppose you have concerns or questions about your child's epilepsy and autism. In that case, seeking advice and guidance from experienced healthcare professionals such as a VIVERE CLINIC pediatrician and neurologist who can offer a personalized and clear care and treatment strategy is important.

Treatment

Treatment of epilepsy in children with autism involves a combination of different approaches, including medical therapy and management of physical factors. Here are some of the main treatments used in such cases:

  1. Antiepileptic drugs (AEDs). A doctor who specializes in treating children with epilepsy and autism may prescribe a specific AED based on the characteristics of the seizures and the child's general condition. The dosage and type of drug are determined based on the individual needs and responses of the patient.
  2. Exclusion of a somatic factor that can provoke an epileptic seizure. For example, infections, other medical conditions, or metabolic changes can cause seizures. If a somatic factor is detected, the doctor will take measures to eliminate or manage it to prevent epileptic attacks.
  3. Individual approach to treatment. Rates of autism and epilepsy in children can vary greatly. Therefore, it is important to consider each patient's needs when developing a treatment plan. To reduce the frequency and intensity of epileptic seizures and improve overall quality of life, doctors choose the most appropriate methods and drugs in each individual case.
  4. Regular observation and adjustment of treatment. The doctor will regularly evaluate the child's condition, analyze the treatment results, and, if necessary, adjust the dosage or choose other AEDs or methods.

It is important to remember that each patient is unique, and treatment for epilepsy in children with autism must be individualized. Parents and pediatricians should work closely with doctors to discuss any changes in symptoms and treatment effectiveness to ensure the best outcome and well-being of the child.

Recommendations

If your child is diagnosed with autism and suffers from epilepsy, we recommend contacting an epileptologist at VIVERE CLINIC for consultation after an electroencephalogram (EEG). An epileptologist is a specialist in the diagnosis and treatment of epilepsy who can provide expert advice and help determine the best treatment plan for your child. It is important to see a qualified healthcare provider to ensure your child receives the best medical intervention and appropriate therapy.

Price

VIVERE CLINIC specializes in the diagnosis and treatment of epilepsy in children with autism. We are proud of our highly qualified specialists and individual approach to each patient. We understand the importance of a transparent pricing policy and taking into account the financial capabilities of patients. We are ready to discuss the cost of treatment, consider payment options, and help patients find the most affordable solutions. It is important to note that treatment costs may vary depending on each patient's specific situation and needs. We recommend that you contact our specialist to obtain more accurate information about the cost of treatment of epilepsy in children with autism at VIVERE CLINIC.

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Протягом останнього року консультувалися з Макаром Васильовичем Шейко з приводу діагнозу та подальшої тактики лікування доньки. Отримали вичерпні відповіді на свої запитання, та насправді кваліфіковану допомогу. Можу сміливо радити лікаря як фахівця, що призначить лише потрібний обсяг досліджень, максимально глибоко та експертно оцінить результати - вважаю, саме в цьому полягає основна цінність консультації. І найголовніше - при зовнішній стриманості та небагатослівності, Макар Васильович дійсно переймається результатом лікування і прагне допомогти дитині, а не просто призначити препарати за протоколом. Щиро вдячна лікарю та клініці, сподіваюсь, з Вашою допомогою зможемо отримати добрі результати.

Світлана

Хочеться щиро подякувати Шейко Макару Васильовичу! За допомогу в вирішенні, лікуванні та правильному встановленню діагнозу нашої хвороби! Бо як виявилось сама більша проблема в тому щоб правильно встановити саме діагноз. Пред історія така .В дитини (14 років) в один прекрасний день опускається повіка, діагнозів в Охматдиті нам ставили багато, робили безліч обстежень але все марно ,поки шукали підтвердження, повіка самостійно піднялася. На цьому нам сказали все, пройшло і нічого не бачимо, можливо перехідний вік, як стане гірше звертайтесь. Так через місяць стало гірше, опускається ще одна повіка і додається двоїння в очах, швидка стомлюваність. Що ми пережили один Бог знає. Слава Богу що нам порадили клініку VІVERE, там ми потрапили на прийом до Макара Васильовича, чесно за пів години нам попередньо поставили діагноз (ми 4 місяці бігали по різних спеціалістах) а саме Мітохондріальна дисфункція, потрібно ще було доздавати аналізи. І відразу назначили лікування. Моєму подиву не було меж після першого прийому ліків призначених в дитини відразу стабілізувався стан очей, на протязі тижня пройшло двоїння (диплопія), дитина ожила. Відповідно ми ще лікуємось але дуже дякуємо за компетентність, уважність і правильний підхід.

Леся

Лікуємо нашого хлопчика і бачимо позитивні результати, хлопчик став краще розмовляти, з'явився апетит, з'явилось бажання пробувати нові продукти, легше реагує на все, легше домовлятися. Дякую лікарю Володимиру Михайловичу Стефанишину.

Юрій

В клинике уютно и светло. Приятно удивляет всегда быстрое реагирование на вопросы и просьбы девушек-регистраторов, их доброжелательное отношение. Ни один вопрос в вайбере не остался без ответа. Дважды были с сыном на консультации у Шейко Макара Васильевича. Неординарный, профессиональный и, в то же время, душевный, можно сказать дружеский подход, к решению проблем пациента, у Макара Васильевича. Также 2 года назад мы были на приеме у иммунолога Мельник Леси Игоревны. Остались тоже очень довольны. Впечатлило глубокое понимание проблемы, а также достаточно доступное объяснение и интересное изложение информации.

Елена Моцарь

Доброго дня! Нарешті я написала відгук, вже півроку з вами) Я мама дитини, яка до 18 років мала купу діагнозів, які і близько не мали відношення до нашої хвороби! Уявіть, скільки часу було витрачено... лікування ніяке (звісно) не допомагало, а ставало ще гірше. Доки нам не порекомендували Шейко Макар Васильовича! Сказати, що Він нам допоміг , це нічого не сказати! Макар Васильович врятував мою Софію! Завдяки правильній діагностиці, ми маємо НАШ діагноз (рідке орфанне захворювання) і правильне лікування. Я бачу поліпшення, моя дитина як заново народилася! Макар Васильович - це дбайлива і дуже чутна Людина, якій довіряєш! На прийомі немає оцього бар'єру лікар-пацієнт, ви як прийшли до друга, який вас підбадьорить, вислухає. Дуже рекомендую!

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Olga Selezneva
The first step toward solving a problem is to realize that it exists

Electroencephalography (EEG) in children and adults for differential diagnosis of seizures and epileptiform states in various diseases, as well as dynamic monitoring during specific therapy.

Olga Selezneva
Functional diagnostics doctor of the highest category, neurologist

Stage: 34 years

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Makar Sheiko
Changing Psychiatry Together

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Medical Director of VIVERE Clinic Highest-category psychiatrist and geneticist

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Larysa Nifontova
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Treatment of children with ASD PANS/PANDAS/PITANS treatment Treatment of opportunistic infections Treatment of immune deficiencies Treatment of dermatoses of various etiologies (acne, rosacea, dermatitis) Treatment of fungal and viral diseases (herpes, warts, molluscum contagiosum), allergic dermatosis, streptoderma, eczema, atopic dermatitis Treatment and support of chronic dermatoses in order to prolong remission periods and reduce the number of relapses

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