Question
The baby had a neuroblastoma surgery and two days later, the infection recurred and the baby experienced two seizures. As of 25 days post-surgery, the baby has not had a recurrence of similar symptoms for more than ten days after the last seizure, but now shows a very poor response to external stimuli and occasionally fixates their eyes.
Answer
Neuroblastoma is a neuroendocrine tumor that can occur at any part of the sympathetic nervous chain, most commonly in the adrenal medulla. Where did the baby’s tumor originate? If the baby has another major seizure, brain swelling may occur. In the coming days, brain edema may develop, and the baby may experience symptoms such as nausea, vomiting, and a dazed expression. If the baby’s surgical site is in the temporal lobe and frontal lobe, this situation may also arise due to postoperative edema. Additionally, if the baby’s brain infection has not yet fully healed, these symptoms may also occur. In summary, you need to have regular follow-up appointments, closely observe the child, and take medication as prescribed by the doctor.