Question
The child suddenly had a seizure at eleven months old, without fever, and was found to have floppy limbs and a cyanotic face while eating. It was suspected that the child choked and had difficulty breathing, but after being slapped a few times, the child cried a few times and improved. Afterwards, the child’s spirit was weak, and it took 3-5 minutes to arrive at the rural hospital. It was found that the child’s hands were tightly clenched, the eyes were rolled up, the jaw was tightly clenched, the face was cyanotic, and the body was convulsing. The rural doctor pinched Yongquan and the baby woke up, and the convulsions lasted for 2-3 minutes. The child vomited during the 120 ambulance ride to the county hospital. The brain CT scan showed neurodevelopmental disorders with water accumulation outside the brain. The hospital infused 10 days of drugs to nourish brain cells (Ginkgobiloba) and conducted several days of rehabilitation treatment before discharge. At discharge, the child was normal and there were no abnormalities, and there was a noticeable bald spot on the back of the head, suggesting hypocalcemic convulsions, and no further tests or treatment were done.
Answer
The symptoms of the child are suspected to be Infantile Spasms or Lennox-Gastaut Syndrome, both of which are intractable epileptic encephalopathies that can cause developmental regression. Suggest booking an appointment for further diagnosis and treatment.