 [ Symptoms ] 4 year old girl with delayed milestones speech and convulsions what can we do [ Disease ] actually tegretol is perfect and definitely it takes time to show results well but you need to be having a better even slow progression with convulsions if the convulsions are getting worse or not responding completely to that treatment then a modification is going to be needed concerning the speech a speech therapist should be consulted and he can arrange speech therapy sessions for helping her through it i recommend a hearing test mri of brain