Patient's question:
Boy, 6 years and 7 months, at 10 p.m. on December 7, experienced hand and foot convulsions for the first time again, with purple lips and upward rolling of the eyes, but no low fever. The episode resolved spontaneously within 5 minutes. At the age of 1, a thorough examination revealed leukodystrophy of the brain. Subsequently, the child received one year of nutritional injections and rehabilitation treatment. No further follow-up examinations, including cranial MRI and video EEG, were conducted. The clinical diagnosis was epilepsy because it was the child's first recurrence. Therefore, we would like to consult with an authoritative expert in epilepsy to determine if medication should be initiated immediately.Doctor's answer:
Based on your description of the condition and the detailed examination results of your child that you uploaded, the diagnosis of primary epilepsy in your child is currently inconclusive. It is considered that your child's primary epilepsy may be related to congenital white matter development disorder? According to your description of the condition, the parents should first allow the neurology department doctor to diagnose the specific type of epilepsy based on the clinical symptoms of the child. Because different types of epilepsy require different medication treatments. If the child only has ordinary benign epilepsy, it may potentially resolve on its own in the future. However, if the epilepsy is secondary due to other causes, the specific cause must be identified for targeted treatment. The above suggestions are for the question "Male child, 6 years and 7 months, 10:00 PM on December 7th." I hope it is helpful to you. Wishing you good health!