Patient's question:
Gender: FemaleRegion: Henan
Description: The first two convulsions were due to high fever, and the last three were without fever. The first convulsion occurred on January 21, 2011, with a high fever of 39.4°C. The second convulsion occurred on December 30, 2011, with a high fever of 39.5°C. The third convulsion occurred on February 15, 2012, without fever. The fourth convulsion occurred on February 25, 2012, without fever. The fifth convulsion occurred on March 14, 2012, without fever. Each time, the patient experienced abdominal bloating and indigestion, and each convulsion was accompanied by throat inflammation, which was more severe in the first two cases.
Past Treatment and Effects: Intravenous fluids and medication did not improve the condition. Brain CT and EEG were normal, but blood tests showed elevated myocardial enzymes.
Desired Help: What could be the cause of the feverless convulsions? How should they be treated? Could food stagnation cause convulsions?
Doctor's answer:
The child's state of not having a fever and twitching has a high possibility of epilepsy. In this regard, although the electroencephalogram did not capture any epileptic waves, it does not mean there is no epilepsy, or it can be decided to do a video electroencephalogram for a better understanding. As for the child's frequent seizures without high fever, although the electroencephalogram is normal in clinical diagnosis, it is still necessary to follow epilepsy treatment. This is mainly because the harm to the child's brain caused by one pulse is very great. As for the parents' concern about the potential side effects of medication on their child's body, the side effects of medication can all be prevented, but abnormal brain pulses cannot be prevented by human means. Compared to the two, frequent recurrence of twitching is believed to cause greater harm to the child. Therefore, it is recommended to follow epilepsy treatment.