Question
A child experiences facial and mouth twitching, along with drooling, while sleeping at night, which stops after a while. The examination revealed a calcium deficiency and suggested supplementation. Is the nighttime sleep twitching in children due to calcium deficiency or epilepsy?
Answer
Epileptic seizures can manifest in various forms, including minor seizures and severe bilateral muscle spasms. Frontal lobe temporal lobe epilepsy often causes grand mal seizures without any precursors; lesions in the frontal-parietal central region typically lead to contralateral limb motor or sensory focal seizures; temporal lobe lesions can cause psychomotor seizures; and occipital lobe lesions often come with visual precursors. Most patients have a relatively consistent seizure type, although some may experience changes. Early and intermediate epilepsy may resolve spontaneously over time, with about 25% of patients experiencing spontaneous resolution within 2 years or slightly longer. However, late-stage epilepsy often has a tendency to worsen, potentially evolving from focal seizures to generalized seizures, and in severe cases, may be accompanied by memory loss, personality disorders, and intellectual impairment. Recommendation: Diagnosing epilepsy usually relies on EEGs: EEGs are an important auxiliary diagnostic tool for epilepsy. Combined with various provocation methods, special electrodes, long-term or