Patient's question:
Hello, my baby is 7 months old and has been diagnosed with epilepsy. She just started medication. When she has a seizure, her whole body twitches, her eyes roll back, and her lips turn purple in the same direction. All initial EEG and other tests came back normal. After another EEG test 15 days later, it showed an abnormal EEG. Could you please take a look and tell me what type of epilepsy it is and if it can be treated? I have attached the test results. Can she eat various types of fish? Can she eat bananas and goat milk? Why does she always have seizures during sleep or just after waking up?Doctor's answer:
Hello, epilepsy is a chronic, recurrent syndrome of transient brain dysfunction characterized by repeated seizures caused by abnormal discharges of brain neurons. It is one of the common neurological diseases, with a prevalence rate second only to stroke. The incidence of epilepsy is related to age. It is generally believed that the highest prevalence rate occurs in infants under one year old, followed by a gradual decrease in the 1 to 10-year-old age group.Recommendations:
① For grand mal seizures, phenobarbital, sodium valproate, and carbamazepine are commonly used.
② For complex partial seizures: phenytoin and carbamazepine.
③ For absence seizures: clonazepam and diazepam.
Medication should be started at a low dose and gradually increased to achieve the minimum effective dose that controls seizures without causing toxic reactions. When switching medications, the principle of adding a new drug while gradually reducing the old one should be followed. Abrupt discontinuation of medication is not recommended.
Dietary restrictions mainly include spicy, fried, and alkaline foods.