What causes epilepsy in children?

Written by Liu Shi Xiang
Neurology
Updated on December 15, 2024
00:00
00:00

The causes of epilepsy in children primarily include congenital factors and acquired factors. Congenital factors are mainly due to premature birth, difficult labor, umbilical cord around the neck, neonatal intracranial hemorrhage, drug factors, etc. Acquired factors mainly include brain trauma, central nervous system infections, cerebrovascular disease, intracranial tumors, and other causes. Therefore, when a child exhibits symptoms of epilepsy, it is necessary to promptly visit the department of neurology to conduct relevant examinations to determine the cause. The examination methods mainly include CT, MRI, EEG, cerebrospinal fluid analysis, etc. After identifying the cause, symptomatic treatment methods should be adopted to control the symptoms of epilepsy episodes. In clinical practice, controlling epilepsy is mainly achieved through drug treatment, with commonly used medications including carbamazepine, sodium valproate, gabapentin, etc. For some patients with refractory epilepsy, surgical treatments may also be used to control symptoms.

Other Voices

doctor image
home-news-image
Written by Yan Xin Liang
Pediatrics
52sec home-news-image

Can children's epilepsy be effectively treated?

Can childhood epilepsy be cured? Firstly, it depends on the type of epilepsy. If the symptoms are not very severe, the frequency of convulsions is low, and comprehensive exams such as brain MRI and genetic testing show no problems, and the child's intellectual development is normal, then this type of epilepsy might be curable. Generally, after 2 to 3 years of effective antiepileptic drug treatment and then gradually discontinuing the medication if there are no further seizures, the condition can usually be controlled. However, some types of epilepsy are associated with underlying diseases, such as cerebral palsy, inherent metabolic genetic disorders, poor brain development, or organic brain lesions. The treatment outcomes for these types of epilepsy are not good, and they are generally difficult to control.

doctor image
home-news-image
Written by Li Jiao Yan
Neonatology
1min 31sec home-news-image

What are the early symptoms of epilepsy in children?

Epilepsy is a particularly common chronic disease in life. If the brain is underdeveloped and there are neurological disorders, it can cause epilepsy. What are the early symptoms of childhood epilepsy? The manifestations of a child's epileptic seizure are diverse, but all have the characteristics of sudden onset, sudden cessation, and periodic attacks. Common types in children include major seizures, absence minor seizures, and benign childhood epilepsy. During a major seizure, the child suddenly loses consciousness, breathing stops, the complexion turns cyanotic, the pupils dilate, the limbs stiffen, and the hands clench into fists, then switching to paroxysmal convulsions, foaming at the mouth, with the attack generally lasting 1-5 minutes. Children with absence seizures appear to suddenly lose consciousness, stop their activities, and stare upward or roll their eyes, but they do not fall down or convulse, lasting 1-10 seconds, with consciousness quickly recovering after the attack. Benign childhood epilepsy seizures often involve twitching of one side of the face, lips, and tongue, possibly accompanied by abnormal sensations in those areas, inability to speak, and drooling, typically with clear consciousness, and more frequently occurring at night.

doctor image
home-news-image
Written by Tang Bo
Neurology
57sec home-news-image

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.

doctor image
home-news-image
Written by Yuan Jun Li
Neurology
1min 7sec home-news-image

Do you need to take medication for epilepsy long-term?

Patients with epilepsy are clinically divided into primary and secondary types. Primary epilepsy is mainly treated with medication, and most patients require long-term use of anti-epileptic drugs to control seizures. Some patients can completely control the symptoms of epilepsy with medication; if they are seizure-free for three to five years, it is referred to as clinical cure, and they may discontinue the medication. For patients experiencing primary epilepsy seizures, treatment focuses on the cause of the condition, such as common diseases like cerebrovascular diseases, including cerebral hemorrhage, cerebral infarction, brain tumors, encephalitis, brain parasite infections, and cranial trauma. After the primary disease is cured, symptoms of epilepsy may be controlled in these patients. If some patients still experience epilepsy seizures after treatment, they should continue taking long-term oral anti-epileptic drugs to control the seizures.

doctor image
home-news-image
Written by Hu Qi Feng
Pediatrics
46sec home-news-image

Care for children during epileptic seizures

During an epileptic seizure, it is crucial to control the seizure promptly by using sedative and anticonvulsant medications. While administering these drugs, it is important to closely monitor for consistent breathing. Additionally, during a seizure, it is necessary to ensure that the airway remains clear, provide oxygen, and, if required, use mechanical ventilation to maintain airway patency. Prevent biting injuries to the tongue and position the head to one side so that secretions can flow out of the corner of the mouth, preventing reflux of stomach contents and risk of choking. Protect brain function and vital organs, and prevent cerebral edema. After the seizure has stopped, long-term administration of antiepileptic drugs should be continued to prevent recurrence.