Question

Do symptoms such as the eyes moving towards the center and suddenly rolling back occur in children with pediatric epilepsy, and are they signs of recurrence?

Answer

The recurrence of pediatric epilepsy can manifest in various forms, including bowing spasms, nodding spasms, and lightning-like spasms. These recurrences are usually brief, lasting from 2 to 10 seconds, and are characterized by the entire body, especially the head and upper body, bending forward. They often occur repeatedly, sometimes even dozens of times in a row, typically when falling asleep or waking up, accompanied by loss of consciousness, sweating, bluish facial discoloration, and fatigue with drowsiness. The electroencephalogram during the recurrence period may show varying patterns, while during the intervals between recurrences, characteristic high-frequency disordered rhythms are often observed. Pediatric epilepsy usually stops before 18 months of age. After recurrence stops, some may evolve into other types of recurrence. Treatment with hormones tends to be effective.