Mini seizures are correctly termed complex partial seizures. In my professional opinion, TH either
lied or she contact an unbelievably incompetent pediatrician about Kyron’s partial seizures.
Below is information that pediatricians follow when pediatric patients are experiencing partial seizures. Because the etiologies can be LIFE THREATENING PROBLEMS, no competent pediatrician would tell any parent to bring the child into the office in a week or so. Notice that one cause of non-febrile seizures is MENINGITIS. No competent pediatrician would blow off Kyron’s supposed symptoms when it could infect his ENTIRE school and community and maybe even the pediatrician and his/her own family. The etiology could also be drug/toxin overdose which could result in immediate death if not immediately assessed and treated.
New Onset Non-Febrile Seizure


Etiologies include:

Infectious- meningitis/encephalitis, abscess, shigellosis, parasite

Idiopathic

Metabolic- hypo/hypernatremia, hypoglycemia, hypocalcemia, inborn errors

Drugs/toxins- a very long list!!

Congenital structural abnormalities- neurofibromatosis, malformation, atrophy

Anoxia

Trauma- subdural hematoma, epidural hematoma, concussion, shaken baby syndrome

Vascular- stroke (embolic/thrombotic), collagen vascular disease
Tumor

Laboratory tests should be ordered based on individual clinical circumstances that include suggestive historic or clinical findings such as vomiting, diarrhea, dehydration, or failure to return to baseline alertness. Laboratory evaluation may include electrolytes, glucose, calcium, magnesium, and phosphorus; urine drug screen; CBC.
A lumbar puncture is of limited value in the initial evaluation of children with simple afebrile seizures, UNLESS there is concern about meningitis or encephalitis. Consider a CT scan/MRI if the exam or seizure is focal.


An EEG is recommended as a part of the neurodiagnostic evaluation. It aids in predicting the risk of recurrence and helps classify the seizure type.
The risk of recurrence after a first unprovoked seizure is higher (>50%) for remote symptomatic cases (e.g. prior insults such as static encephalopathy, head trauma, intracranial bleed) or with Todd's paresis. Status epilepticus as a first seizure does NOT increase the seizure recurrence risk.
http://clinicaldepartments.musc.edu/pediatrics/divisions/emergencymedicine/residentmanual/seizures/
I can pull up hundreds of references showing the etiology of non-febrile seizures. They all state the same thing. They all show that the etiology could be something very deadly and even contagious. NO half-way competent physician would disregard and delay assessment of a child with such symptoms.
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