Epilepsy Foundation

Ty's seizure affect his right side the most. After he has them he has right-sided weakness. But I have noticed even if he hasn't had a seizure that day (that I know of) his right side is still weak. Example: when walking up stairs like on playground equipment. When he goes to put his right leg up onto the next step (holding onto railing with left hand) he is stable and does just fine. But she he then goes to put weight on his right leg to bring his left leg up he buckles and ends up crawling up. Then he stands up and tries again. Puts his right foot up and tries to bring the left up and buckles and crawls up the step again. Now if he changes it and puts his left foot up the step and brings his right foot up he does ok, except he is wobbly while his right leg has to hold all the weight to bring his left leg forward. Walking he does fine and running is ok, a little different than normal kids, but no real concern. He is right handed and right side dominant so that brings even more of a concern to me, you know?


His follow up neuro appt isn't til June (earliest he could be seen). So I dunno, any suggestions? He turns 3 this month so I know EI won't be of much or any help. Anyone else experience this?

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Does he have rt sided weakness ALL of the time or some of the time?

If some of the time I would wonder about a few things.

First, Todd's paralysis which occurs after a seizure:

http://www.ninds.nih.gov/disorders/toddsparalysis/toddsparalysis.htm

 

Active motor seizure (ictal hemiparesis)

http://www.ncbi.nlm.nih.gov/pubmed/10378762

 

Hemiplegic Migraines (you can have them w/o headaches):

http://emedicine.medscape.com/article/1142731-overview#aw2aab6b7

 

If you see the weakness all of the time, I would call the pedi and/or neuro sooner rather than later and tell them.

I think it would be good to rule out stroke and other structural abnormalities.

 

My daughter had a stroke but she also has most if not all of the issues mentioned above.

 

J

I would say he has it most of the time but not necessarily all the time, you know what I mean? Like about 70% of the time he has, or maybe around 65%. It's really only noticeable when doing anything right sided (like writing) or walking up and down stairs and the it's very noticeable after seizures. I'll call his neuro today and talk to the nurse and relay my concern and look at the links you gave me. Thanks!

jjbeck said:

Does he have rt sided weakness ALL of the time or some of the time?

If some of the time I would wonder about a few things.

First, Todd's paralysis which occurs after a seizure:

http://www.ninds.nih.gov/disorders/toddsparalysis/toddsparalysis.htm

 

Active motor seizure (ictal hemiparesis)

http://www.ncbi.nlm.nih.gov/pubmed/10378762

 

Hemiplegic Migraines (you can have them w/o headaches):

http://emedicine.medscape.com/article/1142731-overview#aw2aab6b7

 

If you see the weakness all of the time, I would call the pedi and/or neuro sooner rather than later and tell them.

I think it would be good to rule out stroke and other structural abnormalities.

 

My daughter had a stroke but she also has most if not all of the issues mentioned above.

 

J

My son get Todd's Paralysis right after every seizure he has.  My sons seizures are only on the left side of his body and that is where the Todd's is after a seizure.  My sons is severe enough that he can't lift his arm or walk.  Not sure if there are different levels it can be.  It lasts about an hour or two after the seizure and then he is back to normal.

Sharon

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