Question

The child experiences limb twitching and clamped teeth for about 1-2 minutes. The 24-hour dynamic EEG describes: The first two stages of sleep show scattered sharp waves and spike-slow wave complexes. Other tests (CT, MRI, EEG) are normal. Can a diagnosis of epilepsy be made solely based on the 24-hour dynamic EEG?

Answer

Based on the child’s symptoms and EEG responses, epilepsy can be largely confirmed; it is recommended to undergo antiepileptic treatment. The treatment of epilepsy mainly includes medication and surgery. Medication treatment involves giving regular antiepileptic drugs based on a clear diagnosis, with most epilepsy cases being cured or controlled through regular medication. Only a small number of epilepsy cases are drug-resistant; surgery is generally used for intractable epilepsy. It may be considered to see a traditional Chinese medicine practitioner, and appropriate administration of medications such as Liushi Rolling Phlegm Pill, Niuhuang Qingxin Pill, etc., in combination with acupuncture treatment may have some effect.