7-year-old Boy's Seizure: A Journey to Find a Treatment

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  • Jerrod Hamilton, an active 7-year-old boy, started experiencing seizures shortly before his seventh birthday. The seizures included twitching in his right arm and episodes of blank staring. His parents took him to their pediatrician, Dr. Madeline Sierra, who ordered tests and referred them to a specialist in neurological disorders. The specialist, Dr. Benjamin Singh, diagnosed Jerrod with partial seizures and prescribed medication. However, the medication was not successful in treating Jerrod's disorder, leading to consideration of a more drastic treatment option involving the removal of the affected portion of his brain.
  • Despite the seizures and their impact on Jerrod's daily life, there is no indication of a brain tumor. Dr. Sierra believes that Jerrod's seizures are a form of epilepsy, potentially treatable with the right approach. The rapid escalation of Jerrod's symptoms prompted the referral to Dr. Singh, a specialist in seizure disorders. The goal is to improve Jerrod's quality of life and control the seizure activity.
  • Jerrod's parents were advised to keep a record of Jerrod's illness, including symptoms, tests, and information from doctors. This documentation will help them make informed decisions about Jerrod's treatment. Although the initial medication did not work, there is hope that a more drastic treatment involving the removal of the affected portion of Jerrod's brain could lead to a significantly better quality of life.
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以下の英文の翻訳お願いできませんか? (1)Jerrod Hamilton is an active 7-year-old boy. Shortly before his seventh birthday, he had a small seizure. When he was out playing with his dad and his dog, his right arm twitched a ittle.In the following days, he had another couple of seizures. During those seizures, he stared blankly, and for a minute or two could not respond to his parents. (2)Jerrod's parents took him to their pediatrician, Dr.Madeline Sierra. "I'd like to order several tests including an EEG and MRI scan. These tests are painless and noninvasive.Starting today,I also suggest that you keep record of Jerrod's illness. Include his symptoms, tests, information from doctors, any treatments or therapies. Document everything. I will help you, but ultimately, you and Jerrod are the ones who will have to make the decisions." Jerrod's tests were done right away. (3)Jerrod's symptoms were escalating. He had daily seizures,and they included disorientation as well as uncontrollable repetitive movements on the right side of his body. He often felt tired and weak after the seizures. Dr. Serra said," There isnothing to indicate a brain tumor.I am more confident that we are dealing with a form of epilepsy, which is probably very treatable. However, given the rapid change in Jerrod's symptoms, I would like to refer you to a specialist in neurological disorders." (4)Dr.Sierra's referral sent Jerrod and his parents to Dr.Benjamin Singh,a neurologist who specialized in seizure disorders.He said, "Based on these tests and some other indications, I believe Jerrod's seizures are what we call' partial' seizures. This means that they only involve part of the brain. Let's start with a seizure medication." (5)Dr. Singh prescribed medication to help treat Jerrod's disorder. The first medication did not succeed. Doctors tried another. After some time and other combinations of medications, it became clear that this type of treatment would not work well. (6)As Jerrod's brain is starting to be damaged by the seizures, Dr. Singh went on to describe another type of more drastic treatment. "The upper part of the brain, the cerebrum is divided into two hemispheres. In Jerrod's case, his seizure activity is located primarily in the left hemisphere of his brain. Sometimes, we can control seizure activity by removing the portion of the brain which is suffering. It can lead to a signifcantly better quality of life for the patient. This may be our best option."

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回答No.1

(1)ジェロッドハミルトンは、活発な7歳の男の子です。七歳の誕生日を迎える少し前に、彼は軽い発作を起こしました。彼が、彼の父親と彼の犬と外で遊んでいたとき、彼の右腕が、少し痙攣しました。その後数日で、彼は、さらに何回か発作を起こしました。それらの発作の間、彼は視線がうつろになり、1、2分、彼の両親に返事をすることができませんでした。 (2)ジェロッドの両親は、彼らの小児科医、マデリン・シエラ医師のもとに彼を連れて行きました。 「EEGとMRIスキャンを含むいくつかの検査を行いたいと思います。これらのテストは、傷みもありませんし非侵襲的(生体内の恒常性を乱す事象がない)です。私はまた、今日から、ジェロッドの病気の記録を付けておくことをお勧めします。彼の症状、検査、医師からの情報、治療や治療法、全ての書類を含めて下さい。私は、あなた方のお役に立ちたいと思いますが、最終的には、あなたとジェロッドが、意思決定をしなければなりません。」ジェロッドの検査は、すぐに行われました。 (3)ジェロッドの症状は、悪化しました。彼は、毎日、発作を起こしました。発作には、見当識障害だけでなく、彼の身体の右側に制御不能の反復的動作が含まれていました。彼は、しばしば、発作の後、疲れと脱力感を感じました。シエラ医師は、「脳腫瘍を示唆するものは何もありません」と述べました。私たちは、一種のてんかんを治療していると考える方がよいです、これは、おそらく治療可能です。しかし、ジェロッドの症状の急激な変化を考えると、私は、あなた方に神経疾患の専門家を紹介したいと思います。」 (4)シエラ医師の紹介で、ジェロッドと彼の両親は、発作性疾患を専門にするベンジャミン・シン医師を訪ねました、彼は、言いました「これらの検査と他のいくつかの徴候に基づいて、私は、ジェロッドの発作は、我々が 『部分』発作と呼んでいるものであるとおもいます。これは、発作が、脳の一部に関連していることを意味します。けいれん薬から始めてみましょう。」 (5)シン医師は、ジェロッドの障害を治療するための薬を処方しました。最初の薬は、成功しませんでした。医師は、別の薬を試してみました。しばらく、他の薬剤の組み合わせを試みた後、この種の治療が、効果を発揮しないことが明らかになりました。 (6)ジェロッドの脳が、発作によって損傷を受け始めるにつれて、シン医師は、さらにより極端な治療法を説明する様になりました。「脳の上部、つまり、大脳は、2つの半球に分かれています。ジェロッドの場合には、彼の発作活動は、主に彼の脳の左半球に位置しています。時には、我々は、病んでいる脳の一部分を除去することにより、発作活動を制御することができます。それは、患者の生活の質の向上に大いにつなげることができます。これが、我々の最良の選択肢かもしれません。」

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