Question
A three-and-a-half-year-old child has experienced three seizures within the first three years of life, with two triggered by sudden high fever. The most recent seizure occurred without timely temperature measurement but with a feeling of fever. The MRI results were normal, but the EEG showed epileptic activity. What could be the cause?
Answer
Recommendation: This situation is quite serious, and it is advisable to seek expert treatment from local hospitals or consider medical treatment in major cities like Shanghai. The incidence of epilepsy caused by trauma ranges from 0.5% to 50%, usually occurring when the patient enters a coma state after being struck. The more severe the brain injury, the higher the probability of epilepsy. Sometimes, surgical interference with brain cells may lead to functional disorders, and epilepsy cannot be completely cured; it can only be temporarily controlled. Long-term use of antiepileptic drugs may cause memory loss, decreased intelligence, slow response, liver and kidney damage, and even intellectual disability or paralysis. The clinical manifestations of epilepsy are diverse, including repetitive seizures, continuous nodding, loss of consciousness, and some may even present with sudden vomiting or frequent falls.