Question
At the age of two, the child experienced a fever seizure. Four months and seven months later, the child suddenly exhibited an unconscious state. The Beijing Children’s Hospital conducted an MRI, which showed normal results. Is this sufficient to prove that it is not epilepsy symptoms?
Answer
Case Analysis: The patient had a fever seizure at the age of two and then experienced an unconscious state four months and seven months later. Even though all relevant test results were normal, epilepsy cannot be ruled out. In addition, for the diagnosis of epilepsy, EEG, EEG topography, functional EEG, and ambulatory EEG are crucial examinations. If typical loss of consciousness symptoms occur, even if all test results show normal, epilepsy seizures should be considered. Therefore, it is recommended to conduct further examinations to determine or rule out the possibility of epilepsy. If it is epilepsy, active treatment should be pursued; if not, one can rest assured.