What are the symptoms of epilepsy in children?

Written by Li Jiao Yan
Neonatology
Updated on September 13, 2024
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Epilepsy is a chronic brain disorder caused by various etiologies, characterized by repetitive, episodic, and transient central nervous system dysfunction due to abnormal and excessively synchronized discharges of brain neurons. The clinical manifestations of childhood epilepsy are complex and varied, commonly including loss of consciousness, localized or generalized muscular rigidity or clonic convulsions, and sensory abnormalities; there may also be abnormal behaviors, emotional and perceptual disturbances, memory changes, and autonomic nervous system dysfunction.

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Written by Tang Bo
Neurology
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What precautions should epilepsy patients take?

Patients with epilepsy should pay attention to establishing regular daily routines and avoid staying up late. They should not participate in potentially dangerous activities such as climbing or swimming. Also, they should minimize consumption of stimulating beverages like cola, Sprite, Red Bull, and coffee. It is advisable to eat more vegetables and fruits and reduce the intake of spicy and stimulating foods. Maintaining a regular life schedule is important, and playing electronic devices or using mobile phones for extended periods should be avoided. All sorts of exciting situations can easily trigger an epileptic seizure, so it is crucial to eat regularly without becoming too hungry or too full. Moreover, taking anti-epileptic drugs regularly and following medical guidance from doctors at the hospital is necessary.

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Written by Tang Bo
Neurology
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What is epilepsy?

Epilepsy is a common disease in neurology and includes many types, generally including primary epilepsy and secondary epilepsy. Primary epilepsy refers to cases where the cause is unknown, while secondary epilepsy has a clear cause. Common causes include developmental disorders of the cerebral cortex, tumors, and cerebrovascular diseases, traumatic brain injuries, and central nervous system infections, including encephalitis, meningitis. Cerebrovascular diseases such as cerebral hemorrhage and cerebral infarction can also induce epilepsy. Additionally, certain neurodegenerative diseases, such as motor neuron disease and late-stage Parkinson's disease can also trigger epileptic seizures. Patients with ischemic hypoxic encephalopathy and toxic encephalopathy may also experience epileptic seizures, and some systemic diseases may also lead to epileptic seizures.

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Written by Tang Bo
Neurology
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What are the clinical manifestations of epilepsy?

Epilepsy is caused by abnormal discharges of brain cells, and the symptoms and clinical manifestations vary depending on the area of discharge. Main symptoms can include sudden loss of consciousness, rigidity followed by clonic convulsions, and may also involve cyanosis or purpling of the face, tongue biting, frothing at the mouth, urinary incontinence, dilated pupils, continuing for several seconds to minutes before stopping. This condition is called a generalized tonic-clonic seizure. Some patients may also experience sudden brief loss of consciousness and interruption of ongoing actions, with a blank stare and unresponsive to calls. They may perform simple automatic actions like swallowing or chewing. Generally, there is no falling, and the patient has no memory of the episode afterwards. This type of seizure is known as an absence seizure. Additionally, some may experience rigidity and clonic convulsions in one limb or a localized area, etc.

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Written by Zhang Hui
Neurology
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What are the psychological manifestations of patients with epilepsy?

Patients with epilepsy disorder display various psychological disturbances, which have received extensive attention from neurology experts in recent years. Overall, the psychological manifestations of epilepsy patients primarily include: First, refusal to speak, where epilepsy patients exhibit clear symptoms of being uninterested in anything, valuing themselves very lowly, and lacking self-worth. Second, anxiety, which is also a common emotion among epilepsy patients who constantly worry about having seizures, especially in public places, leaving a significant psychological impact on themselves. Third, epilepsy patients usually possess a fairly obvious sense of inferiority, feeling unable to lift their heads in front of others. Fourth, complex psychological disturbances, where epilepsy patients typically experience coexisting psychological disorders, such as simultaneous anxiety and depression, or compulsions coexisting with depression. Therefore, accurate diagnosis and treatment of epilepsy must pay close attention to the psychological expressions of the patients.

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Written by Tang Bo
Neurology
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What are the dietary precautions for epilepsy?

People with epilepsy should avoid consuming stimulating beverages such as cola, Sprite, Red Bull, and coffee. They should eat more vegetables and fruits and less spicy and stimulating foods, paying attention to these dietary recommendations. Additionally, maintaining a regular lifestyle is important; avoiding prolonged use of electronic devices is advised as these, along with previously mentioned beverages like cola and Red Bull, can overexcite the brain and trigger epileptic seizures. It is also imperative to take anti-epileptic drugs regularly under the guidance of a doctor and not to miss any doses.