Question
On the evening of the 27th, while my daughter was doing her homework and we were watching TV in the living room, we suddenly heard a chair fall. Then we heard her call out, and when we ran over, we found her collapsed on the ground, unconscious, with her limbs stiff, her head thrown back, and her eyes rolled up. Her breathing stopped, and she spat out foam. It took about 4 to 5 minutes for her to regain consciousness.
Answer
Based on your description, it is indeed necessary to consider whether your daughter may have epilepsy. First, we need to determine whether the epilepsy is primary or secondary. Although the child’s cranial CT scan showed no abnormalities, she had a history of fever and electroencephalogram (EEG) showed moderate widespread abnormalities. Therefore, it is recommended to perform a lumbar puncture to check for changes in cerebrospinal fluid (CSF) to exclude epilepsy caused by encephalitis. Currently, in addition to treating pneumonia, treatment should be based on the results of the CSF examination. If the CSF examination shows encephalitis, further treatment is required; if the CSF is normal, it can be observed temporarily for epilepsy symptoms without necessarily immediately initiating anti-epileptic treatment. If there are any discomforts, please call for consultation.