What is it like during a grand mal seizure in children?

Patient's question:

A few weeks ago, when my son was at home, every time he wasn't paying attention, he would fall to the ground and then start having. After taking him to the hospital, a thorough examination revealed that he had epilepsy. During the recurrence, he suffered from grand mal seizures. I would like to ask, what are the characteristics of grand mal seizures in children?

Doctor's answer:

A grand mal seizure is characterized by sudden loss of consciousness, followed by intense tonic-clonic convulsions, often accompanied by screaming, cyanosis, incontinence, bitten tongue, frothing at the mouth with saliva or blood, dilated pupils. The intense pain recurs after persisting for several seconds or minutes and then naturally subsides, leading to a state of coma. Upon regaining consciousness, there may be a brief period of dizziness, restlessness, and fatigue. The individual cannot recall the recurrence process. If the seizure persists continuously, resulting in continuous coma, it is referred to as a status epilepticus, which is often life-threatening.

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