When a child trembles but has normal eye movements, could it be epilepsy?

Patient's question:

Bao is now 4 months and 23 days old. After a thorough check-up, it was found that the gap between the brain cavities has widened by 0.7 cm. Currently, her head is not very stable when upright, she will not leap, and her head and body occasionally tremble. One month ago, a two-hour EEG was normal. She experienced brain hypoxia at birth and a subarachnoid hemorrhage, but there is no breathing difficulties. She has already undergone 4 courses of neurotrophic medication. Given her current condition, what should I do? Her eyes are normal when she trembles—could it be epilepsy?

Doctor's answer:

After reading your description, the main cause of infantile epilepsy is likely aspiration during birth and birth injuries. It's highly possible, but since the EEG was normal two hours ago, I recommend conducting a 24-hour ambulatory EEG during the days when the child experiences frequent episodes to identify the cause and start timely treatment. Hypoxia during birth could have triggered subarachnoid hemorrhage. Try to relax and maintain a positive mood. Prevent colds and other recurring issues, stay warm, and ensure good ventilation.

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