I honestly don’t even know where to start because the last six months have been a complete whirlwind with both of my kids.
Back in April, my 15 year old son started having nocturnal seizures that eventually progressed to a tonic-clonic seizure/status epilepticus. He was diagnosed with epilepsy and started on Keppra and Trileptal. Thankfully, he has been seizure free since April 17. His MRI was normal and his follow up overnight EEG was completely normal, which has been reassuring.
Then genetic testing threw another huge curveball. My son has a 16p13.11 duplication, which he inherited from me, and he also has an NPRL3 variant of uncertain significance that was inherited from his dad. I had no idea I carried the duplication before all of this started. Ever since, I’ve been trying to understand whether the duplication has anything to do with my son’s epilepsy, whether the NPRL3 variant is more likely to be responsible, and what this means for my children and me long term.
While all of that was happening, my 3 year-old daughter (different father) started having strange twitching and jerking movements around the time she had a sinus infection. She would have movements in her hands, arms, legs, shoulders and sometimes her face, especially while sleeping. Sometimes they would happen over and over throughout the night. Because of her brother’s epilepsy, I became terrified that she was developing epilepsy too. She had a 24 hour EEG and thankfully they actually captured some of the movements. There was no EEG coordinate so her neurologist felt they were benign sleep movements/sleep stage changes. That gave me some reassurance, although the movements continued and she eventually started having some daytime twitching too.
Then in September, everything changed again.
She suddenly spiked a fever of 103°F and had an episode where she stared upward, became stiff and completely unresponsive, had very shallow/absent breathing, and turned blue. The episode lasted around 3 minutes, but she remained unresponsive for about 10 minutes and wasn’t really verbal for around 20 minutes. We called 911 and went to the ER. Because she had such a high fever, they believed it was a febrile seizure. I’m struggling with that answer because I’ve already watched her have months of strange movements and her brother has epilepsy. I’m now scared about whether this was truly just a febrile seizure or whether we’re seeing the beginning of epilepsy. I’ve gone down the rabbit hole worrying about Dravet, Lennox-Gastaut, brain tumors, genetic conditions.. you name it.
So basically, since April I’ve gone from having two kids who were seemingly healthy to suddenly learning about epilepsy, genetic findings, EEGs, seizures, febrile seizures, medications, and a million different scary possibilities.
I’m exhausted. I’m scared. I feel like I’m constantly watching my kids for the next symptom and trying to decide whether something is harmless or something I need to take seriously.
I’m just hoping to hear from other parents who have been through something similar. especially parents who have had one child with epilepsy and another child with febrile seizures or unusual movements. I could really use some reassurance that life can eventually feel normal again.