Children with Epilepsy EEG is the gold standard surgical risk

The reporter learned from the Guangzhou women and children's Medical Center, epileptic children now account for more than half of the children with neurological outpatient, because the symptoms of epilepsy many and diverse, parents is not easy to distinguish and judge, if the child has similar to epilepsy, the best time to attack were recorded video for the doctor to judge. The hospital department of Pediatrics director, nerve rehabilitation department director Jian Ning Mai, ictal EEG is the gold standard for the diagnosis of epilepsy, does not necessarily need to do 24-hour EEG, the treatment of epilepsy is still mainly rely on Western medicine, surgical risk, options need to be careful.

Hypochondriasis: video recorded by a doctor to judge

Wheat Jianning introduced epilepsy is a common disease of the nervous system of children, 70% of cases with birth before intrauterine distress, birth asphyxia and genetic related. Pediatric neurology outpatient with more than half of all children with epilepsy. 75% to 80% of epilepsy patients have onset in childhood, 1~3 years, 5~7 years old is the peak incidence two. "The clinical manifestations of epilepsy in children are diverse and complex, and of different ages have different performance, in addition to convulsions, mouth foaming at the mouth outside, there are some typical attacks, such as some newborns in a month or two large have smile attack, such as stereotyped the blink of an eye, mouth and sucking actions, feet on the single action, whole body suddenly a dating etc., some older children with absence seizures, such as the class suddenly distracted more than 10 seconds and 1 minute." The multiplicity of symptoms caused a certain degree of difficulty in diagnosis of epilepsy in children, if not timely identification, drug control, repeated attacks will cause secondary brain injury and accident casualties.

"Now many parents will be more sensitive to the abnormal performance of children, but the children to the hospital to see a doctor, a description of the symptoms are not necessarily accurate, different parents described version may be different. It is recommended that parents, any suspicious symptoms, the first time to record the video, the doctor to judge.

Diagnosis: EEG is the gold standard.

Epileptic and tic disorder, hysteria, children headache disease identification, at present, at the onset of EEG is the gold standard for the diagnosis of epilepsy. Wheat Jianning said interictal EEG is normal and does not mean really no problem, even if there are problems, not necessarily related to seizure, however, there is no need to frequently do 24-hour EEG, "according to the characteristics of the onset to induce, generally only half an hour EEG can capture abnormal brain waves. For example, EEG abnormal in most is in light sleep stage, some children just sleep onset, require that children in the night before the examination, less sleep, to come to the hospital to check to sleep, so it's easier to see. " Electroencephalogram (EEG) operation in a timely manner is also very important, not qualified technicians will be the normal sleep wave as epileptic discharge, resulting in Misdiagnosis; and some non specialist children's Hospital, the doctors give children electroencephalogram (EEG) before taking the medicine, so that children enter a state of deep sleep not catch abnormal brain waves, he said.

In addition, 80% children with epilepsy and other diseases, such as cerebral palsy, mental retardation, hyperactivity, sleep disorder, you need to check other diagnosis.

Treatment: surgery should be careful

Wheat classification said that for the vast majority of patients with epilepsy, drug treatment is still the main means. In the control of seizures after medication, the general should adhere to the 2 ~ 3 years. Epilepsy drugs in the presence of certain side effects, the doctor will help children and parents in the control of seizures and improve the quality of life between to find the best combination of points. In addition, now the new antiepileptic drugs, side effects also than in the past greatly reduced, if you are worried about the side effects of their withdrawal or reduction, again at the onset of treatment difficulty will increase greatly.

After the treatment, reasonable and normative, about 30% of the children can be cured, about 30%~40% patients can reduce the number of attacks, but there are still 30% children with medically refractory epilepsy. He reminded parents, traditional Chinese medicine in the treatment of epilepsy is certainly invalid, but can be assisted to improve inner environment, reduce the number of attacks, "some of the so-called folk medicine actually often contain old western medicine in the treatment of epilepsy, side effect is very large. In addition, the 5% of epilepsy with the child's brain developmental will be self-healing, but some parents mistakenly believe that the effect is taking Chinese traditional medicine, in fact not the case."

For the surgical treatment of epilepsy in children, the wheat Jianning said carefully, not only to consider the effect of the operation, the brain of children injuries and operations affect future brain function should be considered.

To prevent attacks: avoid excessive excitement

For children with epilepsy, in addition to treatment with drugs, daily life should also pay attention to the prevention of seizures. Avoid excessive fatigue, excitement, avoid excessive stimulation of the senses, such as light, sound, pain, there are obvious attack incentives, incentives are to be avoided, such as some children hyperventilation, apnea will induce an attack, some of the children in case of hot water will attack, some of the children in case of light will occur. Spicy, greasy, hot, cold and spicy food easy to induce epilepsy, alcohol, tea, coffee should be banned. Some condiments should also be limited, such as pepper, mustard, garlic etc.. For some children, some drugs such as cefotaxime, ciprofloxacin, norfloxacin, some antasthmatic can also cause epilepsy. Fruits and vegetables are not too many taboos.