Patient's question:
My child has been experiencing febrile seizures since they were a few weeks old, and they will be two and a half weeks old this Friday. They have had a total of four episodes of high fever seizures. The first one was when they were over a year old, and I've forgotten most of it because it was due to gastroenteritis. The high fever lasted for about ten minutes. I pressed the CV3 point (Ren Zhong), which helped somewhat. Their eyes rolled back, their lips turned purple, and their face became pale. They had convulsions. The second time was when they were over two years old, and I've forgotten the duration. It was due to a cold. The episode was very brief. They still had their eyes rolling back and their face turning pale, but the symptoms were lighter than the first time. Both of these times, their hands and feet were cold. The third time, due to a cold, the episode lasted about five minutes. They had convulsions, and they went to the hospital for an IV drip, which resolved the issue. They returned home on their own in the afternoon. The fourth time, due to a cold, they felt very cold after taking a bath. After putting on clothes and sitting to watch TV, I noticed something was wrong with their expression. Their eyes were straight. I pressed the CV3 point for a few seconds, and the child let out a sigh, and the symptoms improved. They looked a bit confused but were able to walk and run. I took them to the hospital. At the hospital, their temperature was measured to be over 38 degrees Celsius. I feel that each subsequent episode has been lighter. So, is there a possibility that it's not epilepsy? The child's grandfather had epilepsy in his youth but has been cured after treatment. The child's mother had a few minor episodes in childhood but has had no further episodes since adulthood.Treatment history and effectiveness:
These episodes were treated with IV drips to reduce inflammation, and the symptoms resolved after treatment.
Help needed:
What should I do? What further tests should I undergo? I have taken them to several hospitals for MRI and EEG, but nothing significant was found.
Doctor's answer:
According to the situation you mentioned, the child has high fever seizures, but it cannot be ruled out that it is epilepsy because of the intergenerational genetic factors. Recommendation: The child's EEG should be performed under natural deep sleep for more accurate results. It is recommended to go to Qilu Hospital in Shandong Province and consult Professor Sun Ruopeng for a definitive diagnosis. The above is the advice for the question "My child has had multiple seizures since a single one, except for two Fridays at the age of 18." I hope it helps you. Wishing you good health!