Patient's question:
On the evening of the 27th, my daughter was doing homework while we were watching TV in the living room. Suddenly, we heard the sound of a stool falling to the ground, followed by a shout from my daughter. We quickly ran over and found her lying on the floor, unconscious with rigid limbs, her head tilted backward, her eyes rolled back, and her breathing paused. We immediately laid her flat and pressed the Renzhong (CV6) and Hegu (LI4) acupoints. She started foaming at the mouth, and it took about 4 or 5 minutes before she woke up.Doctor's answer:
According to the situation you described, this child indeed needs to be considered for epilepsy. The first step is to determine whether it is primary or secondary epilepsy. Although the child's cranial CT shows no abnormalities, the child previously had fever symptoms, and the electroencephalogram revealed moderate diffuse abnormalities. Therefore, it is best to perform a lumbar puncture to examine changes in the cerebrospinal fluid and rule out epilepsy caused by encephalitis. Currently, in addition to treating pneumonia, further treatment should be based on the results of the cerebrospinal fluid examination. If the cerebrospinal fluid results suggest encephalitis, focused treatment is required. If the cerebrospinal fluid is normal, the current epilepsy symptoms can be carefully observed, and antiepileptic treatment is not necessary at this time. If there are any concerns, consult an electroencephalogram specialist.