Patient's question:
Medical history and treatment outcomes: Childhood convulsions, took a lot of traditional Chinese medicine, with minimal efficacy.Auxiliary tests: Video electroencephalogram (VEEG) for 9 hours, both wakefulness and sleep were normal, but no EEG was performed during the onset.
Current general condition: Seizures occur before going to sleep.
Medical history: Four months.
Duration and frequency of this episode: Approximately 20 to 30 seconds, with brief periods of consciousness in between, possibly followed by another seizure.
Detailed condition and consultation purpose: Before going to sleep or while playing in bed, suddenly lies flat on his back, with both legs slightly lifted and stiff.
Doctor's answer:
It should be epilepsy. Treatment principles: [1] Use rapid and effective anticonvulsant drugs to control seizures. [2] Maintain vital functions, prevent and control complications, pay special attention to the management of cerebral edema, acidosis, respiratory failure, and high fever. [3] Actively identify the cause and control the underlying disease. [4] After the seizure stops, long-term antiepileptic treatment should be initiated. Specific medications should be used under the guidance of a doctor.