Patient's question:
The baby is 1.5 years old. At one year old, they had a fever-related seizure that lasted for about 1-2 minutes and recovered on their own. At that time, it was caused by rotavirus infection. The most recent episode was afebrile seizure. On the first day, the baby had two episodes of abdominal pain and vomiting at night, leading to a visit to the doctor. The doctor diagnosed a stomach flu and prescribed an umbilical patch. The next day, the baby was in good spirits, and their bowel movements were normal due to medication, but they had a runny nose. A massage therapy session was performed on the baby in the evening, but they slept poorly due to nasal congestion.On the third morning, the baby woke up in good spirits with a temperature of 37.3°C. While on the way to the massage therapy session, the baby suddenly had a seizure. The seizure was characterized by stiffness in the limbs, the head turned to the right, vacant staring eyes, and direct gaze. They were taken to the nearest hospital emergency room, where their temperature was 37.2°C, and the total seizure duration exceeded 30 minutes. Their breathing was abnormal, sometimes dropping to 0, mostly around 13, 7, or 8 breaths per minute. Afterward, the baby was admitted to the ICU.
The next day, the baby's vital signs were stable, and tests such as MRI, lumbar puncture, electrolytes, and blood sugar were all normal. I would like to ask, what could have caused this in the baby? What should be done immediately during a seizure? Which hospital can provide a complete cure? I urgently request your help—please, urgently, urgently~~
Doctor's answer:
Intermittent use of anticonvulsant drugs: This means no medication is taken on a daily basis, but when a fever-related illness occurs, the anticonvulsant drug (such as diazepam solution) is administered rectally or orally at the onset of fever when the body temperature reaches 37.5°C. Diazepam suppositories can also be used.2) Long-term use of anticonvulsant drugs: For children with high fever seizures that occur more than 5 times a year and have episodes lasting over 30 minutes each time, long-term use of anticonvulsant drugs may be considered, while also monitoring for potential adverse drug reactions.