Patient's question:
The baby is 1.5 years old, male, weighing 20 jin. On the evening of October 8, he developed a high fever of 39°C, accompanied by vomiting and diarrhea. Physical cooling measures were administered. In the morning of October 9, the fever subsided, but diarrhea symptoms persisted. He showed poor appetite and was only given the gut-regulating medication Mimi Ai without taking any other medications.On the afternoon of October 11, while being held by his mother in a conscious state (without any stimulation, just being quietly held, without shaking or playing), he suddenly arched his upper body backward, his lips pressed tightly together and turned purple, his eyes rolled back, and his whole body became stiff. After being massaged by an adult for nearly 5 minutes, he improved. When taken to the hospital for examination, the doctor suspected epilepsy, but since the episode had passed, even an EEG would not yield any results. Therefore, no EEG was conducted.
The family is very worried and has three questions:
1. Can this condition be preliminarily diagnosed as epilepsy?
Doctor's answer:
It's still not certain if it's epilepsy. It could be caused by abnormal brain discharge due to high fever, or conditions like encephalitis. You can start with an electroencephalogram (EEG) to see the normal state. An EEG during an episode is the most accurate. Continue to monitor the baby for any recurrence of similar symptoms, such as episodes without infection or fever. Try to avoid stimulating the baby's spirit during the day, such as not scaring them, and provide them with a sense of security to reduce fever and colds.