system
3 years old suffering from Agyria Pachygyria complex
human
my son age 3yrs is suffering from agayria psychgyria(according to MRI ) complex,he is getting attacks 3-5 times a day,taking syp soval 2.5ml,tegretal syp 5ml twice a day.His progress is zero,i m very poor,I know sir he is never be able to stand.i only want to control his attacks.pls help me sir email id-yarmantu@gmail.com mob-9835066006
gpt
Hi , Your child is suffering from both agyria and pachygyria , hence the term Agyria Pachygyria complex.This is diagnosed radiologically by MRI brain . Pachygyria  is a congenital malformation of the cerebral hemisphere. It results in unusually thick convolutions of the cerebral cortex. Typically, children have developmental delay and seizures, the onset and severity depending on the severity of the cortical malformation. Infantile spasms are common in affected children, as is intractable epilepsy. Agyria is the congenital malformation or absence of the convolutions of the cerebral cortex. Also called lissencephalia.This also produce intractable epilepsy Your child is already on 2 antiepileptic drugs .Dose has to be titrated as per his body weight , once dose reached at the maximum then third drug to be added.Clobazam will be the next drug of choice.For all these you need to consult Neurologist/ Pediatric neurologist.Dont worry ,hope his seizures are controlled.Meantime start him on ketogenic diet ( diet with low carbohydrate and high fat content) Regards Dr Sandhya Manorenj Neurologist Hi Tech city Hyderabad