Patient's question:
Gender: FemaleRegion: Henan
Description: The first two convulsions were during high fever, and the last three were without fever. The first convulsion was on January 21, 2011, with a high fever of 39.4°C. The second was on December 30, 2011, with a high fever of 39.5°C. The third was on February 15, 2012, without fever. The fourth was on February 25, 2012, without fever. The fifth was on March 14, 2012, without fever. Each time, there was abdominal bloating and indigestion, and each convulsion was accompanied by throat inflammation, which was more severe in the first two cases.
Past Treatment and Effects: Intravenous fluids and medication did not improve the condition. Brain CT and EEG were normal. Blood tests showed elevated myocardial enzymes.
Desired Help: What is the cause of the feverless convulsions? How should they be treated? Can food stagnation cause convulsions?
Doctor's answer:
The child's state of non-feverish twitching has a high possibility of epilepsy. Regarding this, although the electroencephalogram did not capture any epileptic waves, it does not mean there is no epilepsy, or it can be decided to perform a video electroencephalogram for further understanding. For the child's frequent seizures without high fever, although the electroencephalogram is normal in clinical diagnosis, it is still necessary to follow epilepsy treatment. This is mainly because the harm to the child's brain caused by a single lack of pulse is very significant. As for parents' concerns about the potential side effects of medication on their child's body, these side effects can all be prevented. However, abnormal brain pulses cannot be prevented by human means. Compared to the two, frequent recurrent seizures are believed to cause greater harm to the child. Therefore, it is recommended to follow epilepsy treatment.