Diagnosis and treatment of pediatric epilepsy, how to diagnose pediatric epilepsy

2. Whether the anti-epileptic drug ** is effective or not, it is necessary to refer to the type of seizure, whether the dosage reaches the effective dose, etc., and it is difficult to simply judge whether it is effective. If the drug is ineffective, choose a different method.

Epilepsy, commonly known as "epilepsy" or "epilepsy", is a chronic disease in which neurons in the brain suddenly and abnormally discharge, resulting in transient brain dysfunction.

Symptoms of epilepsy:

1. Grand mal seizure: the patient will suddenly lose consciousness, followed by falling, and then there are those manifestations that everyone knows well, such as convulsions, foaming at the mouth, incontinence and so on. The whole body is stiff and will recover on its own within a few minutes.

2. There are two manifestations of petit mal seizures, one is absence petit mal seizures, and the second is myoclonus petit mal seizures. Minor seizures of absence are manifested as stunned, unable to breathe, speech interrupted, and if there is something in the hand, it will fall, and the duration is about tens of seconds. Myoclonus petit seizures are characterized by transient myoclonus of the face, upper extremities, and neck.

3. Localized seizures: transient convulsions or numbness on one side of the face or one side of the body. Sometimes these tics extend from the ends of the limbs to the opposite side.

4. Psychomotor seizures, similar to small seizures of absence seizures, but they will last for a long time, hallucinations, delusions, and some unconscious actions such as chewing, sucking, etc.

The most important way to diagnose epilepsy is to require a complete and thorough medical history.

Secondly, in the case of suspected epilepsy, an electroencephalogram (EEG) is required, and theoretically any epilepsy can be recorded with an electroencephalogram (EEG) to record the seizures or interictal epileptic discharges, but in fact, the current technology and operational limitations suggest that conventional EEG can detect about 50% of the epileptic discharges.

Third, CT or MRI of the head is required, which can not only determine the diagnosis and classification of epilepsy, but also identify secondary epilepsy caused by organic lesions.

In summary, there is no specific test item for epilepsy to make a clear diagnosis, and it must be comprehensively judged before the diagnosis can be made.

High fever and convulsions are convulsions, and it is difficult to say that there will be convulsions without fever, it is possible that encephalitis, brain development malformations, epilepsy, and low blood calcium will all have this symptom, if the EEG is normal, judge your child is low blood calcium in my personal experience, go and test the blood.

1. On the one hand, the diagnosis of pediatric epilepsy depends on the child's common clinical manifestations like convulsions that are not like lamb's madness: rhythmic and tremor, and on the other hand, it is to observe the child's eyes to see if there is any abnormality.

Look at the EEG, do synchronous movements and EEG analysis; In addition to the child's characteristics, it is also necessary to see whether there is a problem with neurological function, if the child has a problem in the brain, then it is necessary to consider whether it is lamb madness, if the child's brain function is very good, it is necessary to identify it according to the characteristics of clinical and electroencephalogram.

Best choice for pediatric epilepsy diagnosis**

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