Q: My son is 7 years old. He is a CP child (spastic). He is suffering from myoclonic jerks from the past few months. He gets minimum 4 and maximum 7 during the day time. But he doesn't get them while sleeping. His weight is 16 kg. He is being treated with the following: topamac 50 mg: 1.5 tab BD valparine 200 mg: 7.5ml BD. He is a progressive child, but this is affecting his progress. He is loosing interest in eating except snacks. How can his condition be controlled?

A:Your son who has spastic CP with myoclonic jerks, needs to be controlled for his jerks and also should get aggressive occupational therapy for his spasticity. There are newer medications to control myoclonic jerks, which if controlled well shall help in improving his progress. But this should be done under the supervision of a paediatric neurologist.