Question
An 18-week-old baby was born on December 5, 2008. The first episode of high fever and convulsion occurred on November 15, 2009, with a body temperature of about 38.9 degrees Celsius, lasting for 30 minutes. Medications such as heparin, acyclovir, and luminal were administered. The baby was discharged on November 30th, with the cerebrospinal fluid test result at 3, not reaching the standard of viral encephalitis at 10.Brain CT and two electroencephalogram (EEG) tests were normal. The physician diagnosed it as a high fever caused by viral infection. The second episode of high fever and convulsion occurred on July 12, 2010, with a body temperature of 37.8 degrees Celsius, lasting for about 10 minutes.
Answer
Based on the description, the baby’s condition may be epilepsy. It is recommended to undergo a 24-hour dynamic EEG to assist in diagnosis. Epilepsy is a symptomatic diagnosis disease; some patients may have normal EEGs throughout their lives. It is advised to pay attention to diet, avoid irritating food, and ensure adequate rest.