Patient's question:
The child, who is 1 year and 9 months old, has been experiencing twitching of the corners of their mouth and occasional eye rolling after sleeping well in the past year. They also suddenly drop their head and clench their fists. Otherwise, they are fine and have normal intelligence. They didn't have these symptoms when they were younger, and neither of the parents has a history of this condition....Doctor's answer:
Epilepsy is a chronic disease characterized by sudden, abnormal electrical discharges in brain neurons, leading to transient dysfunction of the brain. An epileptic seizure, on the other hand, refers to a clinical diagnostic phenomenon caused by abnormal and excessive hypersynchronous neuronal discharges. Its features are sudden and transient symptoms, which can vary greatly depending on the location of the neurons generating the abnormal discharges in the brain. These manifestations may involve sensory or autonomic nerve activity, accompanied or not accompanied by changes in consciousness or alertness.Medical advice:
① For generalized tonic-clonic seizures: phenobarbital 90-300 mg/day, sodium valproate 0.6-1.2 g/day, carbamazepine 600-1200 mg/day, etc.
② For complex partial seizures: phenytoin 0.2-0.6 g/day, carbamazepine 0.2-1.2 g/day.
③ For absence seizures: clonazepam 5-25 mg/day, ethosuximide 7.5-40 mg/day.
④ For status epilepticus: lorazepam must be administered intravenously at a dose of 10-20 mg per time.
The above advice is for the question, "Can pediatric epilepsy be completely cured?" It is hoped to assist you. Wishing you good health!