Patient : My son will be turning 3 in February. He is smart and active and in my opinion well rounded. We have few problems with him other than self discipline and maybe a little over excitement that leads to some undesirable behavior. My question comes to a small portion of his behavior that is very concerning and that his doctor has not addressed adequately. At any moment it is possible that he will pause, usually while standing, and he will zone out very intently. His left pupil contracts becoming very small and his right pupil dilates to an alarming size. It is difficult to bring him to snapping out of this but it rarely lasts longer than 20 seconds. My research indicates that this could be a silent seizure, however I have found no mention of the pupil dilation and thought I should seek help. Thank you for your time and any assistance you can offer. I hope this inquiry finds you well.
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