Patient's question:
Started having convulsions on the 6th day of a natural birth, and on the 7th day, the temperature was 37.3°C, with jaundice at 11.3. Admitted to the Children's Hospital of Zhejiang Province for hospitalization. Tests including MRI, EEG, video EEG, chest CT, ultrasound, and blood tests were all normal. Discharged after 7 days, diagnosed with neonatal convulsions. On the 7th day after discharge, which was the 20th day of birth, the convulsions recurred. The baby's eyes were wide open, face purple, no fever, and after about 1 minute of convulsions, began crying loudly. EEG at the hospital was still normal, and 1g of a sedative was administered intramuscularly. The next day, convulsions still occurred, but later subsided. By the 27th day of birth, the frequency of convulsions increased and was accompanied by vomiting. Subsequently, consulted a famous doctor, Xu Guiqi, at the Provincial Traditional Chinese Medicine Hospital, who diagnosed it as fetal convulsions. Medication was taken on the same day. On the 28th and 29th days, convulsions remained frequent, with about 10 episodes. Very worried, phenobarbital had been administered twice—on the 6th and 17th days of birth. Should the child continue to receive sedatives from the hospital for these convulsions, given the poor appearance of the child?Doctor's answer:
From the medical history, the seizures are frequent, and regular antiepileptic treatment should be administered. Even in benign neonatal seizures, if they affect daily life and hinder growth and development, treatment should still be considered.