What to do about neonatal seizures? What is a neonatal seizure

What are neonatal sleep seizures?

What to do about neonatal sleep seizures.

1. Inquire about the mother's health and medication history during pregnancy, whether there is a family history of epilepsy, which is helpful to understand whether there are convulsions caused by congenital or hereditary diseases; Secondly, it is extremely important to understand the perinatal situation, whether there are pregnancy-induced hypertension symptoms, whether there is intrauterine distress and birth asphyxia, and to determine whether there is perinatal intracranial injury. The time of seizure onset has certain significance for the differential diagnosis, and the occurrence of convulsion within 2 3 days after birth should be considered to be caused by perinatal asphyxia, birth trauma, hypoglycemia or hypocalcemia, and purulent meningitis and sepsis are more common after 1 week.

2. Small-for-gestational-age infants and preterm infants are prone to hypoglycemia, post-term infants are more prone to hypoxic brain injury, and macrosomia infants are prone to head injury. Intrauterine viral infection should be considered in patients with jaundice, rash, and hepatosplenomegaly immediately after birth. Organic lesions of the nervous system often present with impaired consciousness, changes in muscle tone, and decreased or absent primitive reflexes, while those with metabolic abnormalities do not have such neurological symptoms.

3. The concomitant symptoms between convulsive episodes have reference significance for differential diagnosis. Those who are generally well at the time of seizures are hypocalcemia; Hypoglycemia should be considered in pallor, hypotonia, hyporesponsiveness, and in small-for-gestational-age or preterm infants; The presence of staring, cerebral screaming, and bulging bregma suggests an intracranial organic lesion. Convulsions occur on the basis of symptoms of physical infection, and purulent meningitis is often considered; Recurrent seizures are not only unfound, but may be congenital metabolic diseases.

4. For convulsions caused by bacterial infection, adequate antibiotics should be used to control the infection; For patients with metabolic diseases, blood glucose, calcium, magnesium, and sodium should be corrected; For patients with abnormal metabolism of benzoic acid, the content of this amino acid in food should be limited; Vitamin B6 dependent shocks require long-term vitamin B6 use; Tetanus antitoxin is used for neonatal tetanus to neutralize free toxins.

The elders often say that the baby is scared, will it be what modern medicine calls "convulsions", so what is a convulsion and what form of existence? Read on.

Neonatal convulsions are an activity of the cerebral cortex, which is the embodiment of brain dysfunction, and the baby may suddenly have general or local muscle twitches and joint movements, and may become delirious and severe. In this case, there is a high possibility that the child will die directly.

This will be more likely to occur in premature infants, so when parents find out that their child has this kind of divination, they should immediately take the baby to the hospital for examination and **, so that the child can stabilize, get a good **, and recover health.

Triggers of neonatal seizures

Usually, there are many causes of baby seizures, including intracranial lesions, metabolic abnormalities, birth abnormalities, infections, etc., which can cause children to have seizures to a certain extent. What we call intracranial lesions refers to the child's meningitis, intracranial hemorrhage, and tumors, which will cause the child's brain to dysfunction and not be able to develop properly.

1. The cerebral cortex cannot be allowed to work normally, transmit information normally, and issue instructions normally, so the baby will have convulsions;

2. Metabolic abnormality, which means that the child suffers from low blood calcium, hypoglycemia, lack of vitamin B, and some mineral elements, and the lack of these substances in the body will also cause baby convulsions to varying degrees;

3. Infectious convulsions refer to the infection of the child's central nervous system, if the child has a very severe fever, it will also cause the child to have convulsions to a certain extent, or suffer from sepsis and other similar types of pre-rolling convulsions, which is a pathological factor;

4. If the mother has intracranial hemorrhage during childbirth, then the child will be hypoxic and cerebral congestion during childbirth, which will cause the baby's brain dysfunction to a certain extent, so it is also possible to have convulsions.

What to do about neonatal seizures?

If the newborn has a seizure, what parents must do is a comprehensive physical examination, in other words, they must take the child to the hospital to check the size of the child's head circumference, intracranial pressure, etc., after these examinations, they will probably be able to know the factors that cause convulsions.

At the same time, it is also necessary to check the child's blood sugar and blood conditions, and give the child EEG, head CT, etc., which are the main physical examination items, so as to detect the problem as soon as possible, and give appropriate health care so that the child can become healthy.