Myoclonus twins, hockey treatment

  Patient Question: Disease:Myoclonus Description:Hello Dr. Wang, we are your regular patients, I went to you years ago to ask about the child’s treatment with “ice ball” and the child’s myoclonus.  Last time, I increased the medication to 3.5/mL of sodium valproate and 1.25/ml of levetiracetam each time in the morning and afternoon. After the medication was increased, the child’s head nodding worsened in the first three or four days, and the seizures were frequent, especially when he was excited. The frequency of seizures tends to be stable, 1-2-5/h. When the situation is good, the child has one seizure per hour, usually every hour, and the seizures are aggravated and continuous when the child is agitated.  The child is in good spirits, loves to be anxious, has not regressed in intelligence, has learned new things, is now 1 year and 10 months old, does not walk, only calls mommy (but is not clear about the meaning of mommy), understands some common words and instructions, recognizes people, can play, chases things, lifts legs upstairs, and can pick up green beans with subtle movements, compared to children of the same age there is a significant lag, about 8-10 months behind.  On the 8th of February, we will do a blood level test for the child tomorrow. (The last concentration was 36.) Help wanted: I don’t know when you’ll be seeing your child after New Year’s Eve, so I’d like to leave a comment here to ask about it.  We want to treat our child with “ice ball” and would like to consult your opinion.  The hospital department you are visiting: Department of Pediatrics, The Third Affiliated Hospital of Xinxiang Medical College, Department of Pediatrics, Wang Jiaqin replied: I’m going to work next week, can you tell me if the propofol is for epilepsy or immune deficiency? Patient Question: Hello Dr. Wang, thank you for your reply, we want to treat epilepsy.  The Third Affiliated Hospital of Xinxiang Medical College, Department of Pediatrics, Wang Jiaqin replied: In general, if the effect of drug therapy is not good, then consider using propecia, and the child’s valproic acid blood concentration is not enough, this time the results will be adjusted, if the effect of these two drugs is not good, you can also adjust the other drugs.