Conversation: The conversation between human and AI assistant.
[|Human|] I am an LPN that is taking care of my little cousin who is a 3yr old m and he was diagnosed with pachygyria and in february developed seizures. They re not grandmal, he stares, then rolls his eyes in the back of his head, stiffens arms flexed and legs straight. Of course, as you know he has low muscle tone and I work with him by doing ROM, putting wrist supports and DAFOS on him for atleast 2hrs a day, and also put him in a stander, which he hates, but I m willing to try anything to improve his quality of life. I just really would like his parents to get a little sleep. He s got an appt. w/ a sleep specialist on friday and a sleep EEG in October. I just wanted to know if you had any suggestions. I d appreciate any tips. Thank You, Dee-Dee
[|AI|]  Hello thanks for asking from Chat Doctor Pachygyria is a congenital disorder with malformation in brain. It usually manifests as seizures, mental retardation, developmental delay. Your cousin is 3 years old, and he is having sudden abnormal movements of extremities with rolling of eyeballs and no loss of consciousness. Most likely these are partial seizures. He is on DAGOS for foot deformities. One thing that need immediate attention is his seizure. Repeated seizures may cause damage to brain neurons which will further potentiate the mental retardation. So control of seizures should be first priority. He has schedule of EEG and after making diagnosis he should be given anti-epileptic Chat Doctor.