I'm mother of a girl (soon will be 6 years old), which lately had certain health issues: vertigo, dimming of vision, weakness, headaches very rare, in case she gets scared of conditions above her lips go whiter (you can notice when fear manifests on her face), she is often stares, but aware (doesn't have Automatic behaviors (eyes freeze, ticks, shakes) during that time).
Starting 2-3 months ago, she had issues very occasionally. But on June 4th she had about 10 strikes, and another cca 10 strikes 2 days after (on June 6th). Till today she didn't had any new strikes. Even when strike happens - vertigo, dimming, fear from vertigo - she is always conscious and communicate what is happening to her - she don't turn off or ˝go away˝.

After visiting physicians they found Iron deficiency she is taking Ferritine (with B vitamins and C vitamin) each day.
They sent us to neurologists which suspected she has an Focal Seizures. She had 3 EEGs: awake, sound/light stimulated EEG and Sleep-deprived sleep EEG. ONLY on Sleep-deprived sleep EEG she had epileptiform discharges recorded.

Neurologists are suggesting Eftil (Valproic Acid+ Natrium Valproat) usage in next 3-5 years.

Before we agree in medications on such long term, I wanted to be clear on what is happening to her, and read more about it. I found Iron deficiency can cause Attention deficit disorder ADD - I didn't mention this side of her to a dr., because we didn't know it could have something to do with her issues.
I believe she might have ADD from Iron deficiency, pressure in kindergarten (she is doing pre-school program, with older kids in her group. I'm advicing her not to do that, if she feels uncomfortable, but she is ambitious)...

Finally, my question is about correlation with Iron deficiency, ADD and EEG (epileptiform discharges recorded in the sleep EEG in ADHD): Is there any difference between EEG discharges in ADHD and in Epilepsy record, in sleep-deprived EEG?

Neurologist was circumspect when deciding she needs therapy. I believe facts about her health we provided were crucial in making this decision. My dilemma is if she didn't had iron deficiency at that moment, maybe she wouldn't have vertigo, fear, weakness... (when all of this happened iron was 3.9 from minimal 11!). Or that was a trigger for starting illness? I understand it is delicate to come up with diagnosis that will change her life.

Below are 3 EEG's she made (I. and II. are similar, in awake condition) 3rd is in sleep, I tried to translate them correctly (we are from Serbia, I'm sorry for mistakes, I'm not too familiar with terminology):

I
In passive EEG OA is pronounced well, medium voltage, a well regulated amplitude, dominating waves of 6Hz subdominant waves of 5.7Hz. On the primary activity in the frontal regions with superimposed beta activity. Visual blockage well-defined.
During the HV OA without significant changes. Present is difference in voltage on left and right side, at the expense of the left.

The conclusion: EEG Theta type. In today's finding no signs of specific electrocortical cerebral dysfunction.


II
In passive EEG OA is pronounced well, medium voltage, a well regulated amplitude, dominating waves of 6Hz subdominant waves of 5.7Hz. On the primary activity in the frontal regions with superimposed beta activity. Visual blockage well-defined.
All the while recording present more voltage steep waves of 3-4Hz in CPTO regions on both sides simultaneously. During the HV and IFS OA without significant changes.

The conclusion: EEG Theta type.nIn today's finding no signs of specific electrocortical cerebral dysfunction. All the while recording present more voltage steep waves of 3-4Hz in CPTO regions on both sides simultaneously.


III
EEG was performed after sleep deprivation, OA is pronounced well, medium voltage, a well regulated amplitude, irregular mixed, dominating waves of 8 Hz subdominant waves of 7.9 Hz.
The primary activity in the frontal regions with superimposed beta activity. Visual blockage moderately developed. During HV OA without significant changes. During the recording of sleep, present spike waves on both sides synchronous synchronous and asynchronous pronounced on the left side. All the while recording present voltage asymmetry at the expense of the left.

The conclusion: EEG indicates the actual present epileptic activity in the form of a spike waves on both sides synchronous and asynchronous prominent on the left.

Does this EEG tells it needs to be treated with medicament? She didn't have any new strikes since 6/4 and 6/6.

I'm sorry for extensive explanations, I wanted to be precise about everything, I'd be happy if anyone can give an advice, or experience. We'll surely visit another neurologist for second opinion.