Eight-month-old baby with high fever, sleeping and clenching fists - is it convulsion?

Patient's question:

A 6-month-old baby cannot lift their head, can roll over, has a normal appetite, and shows no significant abnormalities, but sometimes they shake. Is it a seizure if an 8-month-old baby has a high fever and sleeps with clenched fists?

Doctor's answer:

Analysis of the Condition: Hello! Febrile convulsions are a common emergency symptom of central nervous system dysfunction in children, more prevalent in infants and toddlers. Most febrile convulsions are caused by various infectious diseases, with upper respiratory infections being the most frequent. The typical clinical manifestations of an episode include sudden loss of consciousness, often accompanied by upward rolling of the eyeballs, staring or strabismus, facial muscle or limb rigidity, spasms, or continuous twitching. The duration of an episode can range from several seconds to a few minutes, and it may recur repeatedly, even progressing into a continuous state.
Advice: Therefore, I believe you must also understand from the above description that simply clenching the fists is not indicative of a febrile convulsion, as babies' hands naturally tighten under normal circumstances. Febrile convulsions do not leave any long-term sequelae, and even if they have passed, it doesn't matter if parents haven't observed them. However, it is important to take the child to the hospital immediately if they develop a fever in the future, as delaying treatment can worsen the condition!
Sincerely wishing you and your family good health! May your baby grow up strong and healthy!

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