Question
Case Description: After about a week and a half of birth, the infant sometimes loudly screams in the middle of sleep at night, followed by crying that won’t stop. This also happens several times during the day. Previous treatment and outcomes: No treatment has been administered. Only patting has been used. Desired assistance: Seeking medical guidance to understand the cause and find a solution.
Answer
Hello, the child’s condition seems to involve some instances of startling. It is important to observe the situation and avoid causing the child any further startling. At the same time, consider supplementing the child with calcium and cod liver oil. Keep the sleeping environment quiet, and continue to observe. If the episodes occur frequently, a timely CT scan should be conducted. Based on the patient’s medical history and age, it is primarily necessary to rule out conditions such as epilepsy or encephalitis. It is recommended to undergo tests for trace elements, electroencephalogram (EEG), and brain MRI to accurately determine the cause of seizures, then further treatment can be based on the etiology. Consider using dynamic EEG as there is a possibility of epilepsy; it is essential to rule out diseases such as brain tumors.