What are the options for ADHD treatment in children?

Question

Hello doctor,

My nephew is 6 years old, and his weight is 44.09 lbs. He has been diagnosed with ADHD or three years. We had started his medication and behavior therapy around 40 days back under the consultation of a pediatrician and a psychologist. After 10 days, we consulted a neuro-psychiatrist who recommended us an EEG brain (sleep). The EEG report was abnormal, as non-epileptic discharges were captured. The doctor prescribed liquid Valprol in some dosage.

Since the finding was abnormal, we thought of getting a second opinion from a neurologist with a video EEG this time. The video EEG (awake and asleep) under consultation with a senior neurologist gave absolutely normal findings. We showed this video EEG report to the previous doctor and asked him why is the difference in his (abnormal) and elsewhere video EEG (normal) report.

The former doctor said that once the patient has been detected with abnormal findings, then subsequent normal findings cannot contradict the fact that the patient has the issue of non-epileptic discharge. We are confused about whether we should give him the syrup Valprol or not.

Please guide.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your concern and seen the reports (attachment removed to protect patient identity). It seems like there is a discrepancy. It would be wise to take into account that both results are true positives.

It is warranted that you go to your child's neurologist to confirm if these are seizures. Most of the time, a video EEG (electroencephalography) confirms the presence of seizures.

If it was not caught on video EEG, a thorough history and physical exam are warranted for your nephew. You can continue the valprol for now and let your neurologist discontinue it at the proper time.

I hope this helps.

Thank you.