Question

A five-and-a-half-year-old child had a seizure due to high fever. Now, after undergoing an EEG and MRI, it has been found that there are suspicious spikes and sharp waves throughout the brain during sleep, accompanied by high activity in bursts, as well as a suspected arachnoid cyst in the right temporal area. Ask about the symptoms and diagnosis of pediatric epilepsy.

Answer

Seizures occurring during a fever in children may be a manifestation of febrile convulsions. If there are multiple seizures during the fever or if each seizure lasts longer than 15 minutes, or if the seizures are limited to one side of the body, it may be a complex febrile convulsion. If seizures occur without fever, it is necessary to consider a diagnosis of epilepsy. Epilepsy can have serious effects on children, and if not treated correctly or treatment is delayed, the condition may deteriorate rapidly. Therefore, parents should closely monitor their child’s condition and seek medical attention promptly.