Question

A male child born on March 2, 2009, now 1 year and 1 month old, with a height of 78 cm and a weight of 22 jin (approx. 11 kg). On April 1, 2010, in the morning, he experienced seizure symptoms, including eyes rolling upwards without focus, limbs twitching, hands clenched into fists, overall weakness, mouth tightly closed with a hacking sound, no response to calling, and consciousness returned after about a minute. The same symptoms occurred again at 2 pm that afternoon. He had previously had a cold with runny nose, and medication did not improve his condition.

Answer

The analysis of the condition indicates that the child has a cystic lesion of approximately 2.7 cm x 2.0 cm x 3.5 cm on the right temporal lobe, which may be the main factor causing the seizures. It is recommended to undergo a 10-day physical training program and prepare for surgery to remove the cyst. Additionally, it is diagnosed as vitamin D deficiency rickets, and it is suggested to wean at 12 to 18 months old and gradually introduce complementary foods. Attention should also be paid to the side effects of vitamin D3 and cold symptoms, and consideration should be given to the association between the seizures and the cyst.