Question
My child is 7 years old and has had a history of high fever convulsions since the age of two, with multiple occurrences. Last month, there were two convulsions due to fever, and he often wakes up from sleep at night. Is this a sign that it has transformed into epilepsy?
Answer
If high fever convulsions occur frequently, they may evolve into low fever convulsions or even fever-free convulsions, ultimately leading to the development of epilepsy. It is recommended to go to a large hospital for a 24-hour EEG examination immediately. If the current EEG shows normal results but the frequency of seizures is high, medication may be needed to maintain control. If the EEG shows abnormalities, it can be diagnosed as epilepsy, and it is usually necessary to take valproate oral solution and levocarnitine oral solution, which typically do not cause intellectual disability.