Question
A friend or relative’s child has experienced several seizures. Sometimes, during an activity, they suddenly stop talking and look blankly as if not seeing anything, with a dull expression. Occasionally, their eyes may roll up, and they may make chewing and swallowing motions even when not eating. I would like to get some help: What detailed examinations should be done when a child shows signs of epilepsy?
Answer
When a child has another seizure, an electroencephalogram (EEG) is the most basic and important tool for diagnosing epilepsy. It should be said that every diagnosis of epilepsy must involve a detailed EEG examination. Ideally, it is best to conduct an EEG during a recurrence period. The most common examination is a detailed brain imaging test, such as a brain CT or MRI. In addition, detailed checks of blood sugar and electrolytes should be done, and additional detailed examinations should be decided based on the child’s specific situation to rule out other causes that could lead to seizures.