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Kids With Special Needs and Disabilities
Reply to "Loaded question: MERLD and autism "
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[quote=Anonymous][quote=Anonymous][quote=Anonymous]^also it's not really a question with eses - you medicate. Most parents with bects don't medicate because there are no seizures, or very rare seizures. [/quote] I understand this slightly differently -- you medicate with ESES (or Landau Kleffner) (even in the absence of seizures) to eliminate the epileptiform activity because that is what interferes with learning; not to supress seizures. Those medications may be different from the more commonly used AEDs (ie steriods and benzos). With BECTS medication would be an AED to supress the seizures, and since the seizures are generally infrequent or not severe, and remit, in many cases BECTS patients don't medicate. However there now is evidence that BECTS causes lingering learning disabilities, so maybe the idea is to medicate to supress epileptiform activity similar to ESES? Anyway, very confusing, and the #1 thing is to have a great neuro that you trust. [/quote] I think that's correct but even for lk or eses you may use an aed. And yes there is new research that all spiking can cause lingering issues so that's why some neuros believe it appropriate to medicate in some cases. Our neuro described the spikes as making the brain irritated which makes sense. And explains our son's just totally erratic behavior at times. [/quote]
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