Patient's question:
The baby is 1.5 years old. At one year old, they had one episode of fever-related seizure, lasting about 1-2 minutes, and recovered on their own. At that time, it was due to rotavirus infection. The most recent episode was afebrile seizure. On the first day, they had two episodes of abdominal pain and vomiting at night, leading to a visit to the doctor. The doctor diagnosed a stomach flu and prescribed an umbilical patch. The next day, the baby was in good spirits, and their bowel movements were normal due to medication, but they had a runny nose. A massage therapy session was done in the evening, but the baby slept poorly due to nasal congestion.On the third morning, the baby woke up in good spirits with a temperature of 37.3°C. While on the way to the massage therapy, the baby suddenly had a seizure. The symptoms included stiffness in the limbs, head turned to the right, and staring, unblinking eyes. They were taken to the nearest hospital emergency room, where the temperature was 37.2°C, and the total seizure duration exceeded 30 minutes. Breathing was abnormal, sometimes dropping to zero, mostly around 13, 7, or 8 breaths per minute. The baby was then admitted to the ICU.
The next day, the baby showed stable vital signs. Brain MRI, lumbar puncture, electrolytes, and blood sugar levels were all normal. I would like to ask: What could have caused this in the baby? What should be done immediately during a seizure? Which hospital can provide a complete cure? I urgently request your help, please, urgently, urgently~~
Doctor's answer:
Intermittent use of anticonvulsant drugs: This means no medication is taken on a daily basis, but when suffering from a febrile illness, medication is administered immediately upon the body temperature rising to 37.5°C. Rectal administration of diazepam solution or oral diazepam can be used, or diazepam suppositories can also be applied.2) Long-term use of anticonvulsant drugs: For children with high fever seizures that occur more than 5 times a year, or those with high fever seizures lasting more than 30 minutes each time, long-term use of anticonvulsant drugs is recommended, while also paying attention to potential adverse drug reactions.