Question
Is a 7-year-old child’s high fever and seizures epilepsy?
Answer
(1) Congenital malformations: such as chromosomal abnormalities, congenital hydrocephalus, microcephaly, incomplete corpus callosum, incomplete cortical development, etc. (2) Prenatal and perinatal diseases: Birth injuries are common causes of symptomatic neonatal epilepsy. Bruises, swelling, bleeding, and infarction can also lead to regional brain sclerosis, which forms lesions years later. Patients with cerebral spasms often have concurrent epilepsy. (3) Post-seizure complications after high fever: Severe and prolonged high fever seizures can cause brain damage including neuron loss and gliosis, mainly in the medial surface of the temporal lobe, especially in the hippocampus.