Patient's question:
1-year-old often has strabismus for a long time without realizing it and is accompanied by convulsions. The doctor said it's epilepsy. How to check if a child has epilepsy?Doctor's answer:
Hello, the incidence of pediatric epilepsy is relatively high, and it has a severe impact on health. Due to the physiological characteristics of newborns, combined with changes in the nervous and humoral systems, the clinical features of pediatric epilepsy differ in some aspects from those of adults.(1) Gender, age of onset, and seizure types: Generally, males are more affected than females, with the highest incidence in young children. Additionally, age and seizure type are closely related. For example, infantile spasms almost always occur before the age of 1, motor seizures typically begin before the age of 6, absence seizures most commonly occur between the ages of 1 and 8, and the onset age for other types of epilepsy is also often within 10 years of age. Neonatal epilepsy is often concealed and tends to be focal, while older children exhibit more obvious convulsions that are generalized.
(2) Seizure manifestations: The incidence of different seizure types varies with age, and their clinical manifestations are closely related to the degree of maturation of the central nervous system. In addition to the common grand mal seizures that can occur at any age in children, neonatal epilepsy typically presents with stereotyped repetitive movements and is often accompanied by abnormal eye movements.