Patient: Description of condition (onset, main symptoms, hospital visited, etc.): My child is 5.5 weeks from January 2010 to February 2010 sleep at night dreaming and crying for a while before waking up, waking up and saying he was scared, and then asking again in the morning and not knowing. In May 2010, he had a fever of 38.5 to 39 degrees, and after taking Nimesulide, he said he was dizzy in the forehead, and after a few days, he had a fever again and said he had a foreheadache. The doctor told me to take my child to another hospital for an EEG, and the result was a mild abnormality in the topography of the brain, which the doctor said was viral encephalitis. The child vomited once in the middle, often stomach pain just fever when eating antipyretic, fever receded on the tube, after the child said headache to the hospital to see rhinitis, the second look to do brain CT said hypoxia recommended surgery, did not do, prescribed cefixime granules and propionic acid Vorticazone nasal spray, the third EEG said viral encephalitis recommended infusion 7 days to check, the child is not encephalitis?
Patient: imaging: mild hypertrophy of adenoids, clear parapharyngeal space, bilateral pharyngeal crypts. The opening of the eustachian tube is basically symmetrical. The bones at the base of the skull showed no significant abnormalities. Both inferior turbinates are enlarged. The tonsils were enlarged.
Doctor: 1. EEG abnormalities alone are not a basis for diagnosing viral encephalitis; EEG abnormalities can also occur in cases of vomiting and fever; based on your description, I do not think your child has viral encephalitis; moreover, viral encephalitis is a self-limiting disease that can heal on its own even without treatment for about 2 weeks.
2, the child cries during sleep, general sleep disorders are common, such as frequent episodes, we recommend polysomnographic EEG monitoring examination to further clarify.
Patient: Thank you, Dr. Chen. I still don’t know why my child has a headache after a fever, is it something else caused by the fever? He doesn’t have a fever anymore, but he still says he has a headache from time to time, starting with forehead pain now he has forehead and right side pain together, and he also says his left nostril hurts, what’s going on? Doctor: 1. Headache is a very common symptom, if there is no organic lesion in the head CT, it is usually a functional headache, the most common ones in children are migraine, tension headache, headache caused by upper respiratory tract infection and pentatomycosis, these headaches usually do not cause serious consequences, there is no need to worry too much.
2.Specific to your child’s case, please add the following information: When do headaches usually occur? How long does it last? Is the pain severe? What is the child’s behavior during the pain, does he/she sleep or toss and turn? Is there any change in the child’s complexion during the pain? Is there any vomiting? Are there any triggers for headache attacks? Is there any periodicity?
Patient: When I wake up in the morning or from 11:00 to 12:00 pm, I sometimes wake up in the afternoon for a nap and say that it hurts, but it doesn’t last long, at most 20 minutes. Doctor: 1. According to the characteristics of the medical history you provided, the headache is episodic, and I consider the possibility of migraine in children. If the symptoms are not severe and do not affect daily life significantly, you can temporarily observe without using it first. If the headache attacks are frequent, you can consider taking “Cyclozanide” orally to prevent headache attacks, half a tablet each time, three times a day.
2.In addition, the child said that the left nostril is painful, and the CT examination found that the adenoids are mildly enlarged, tonsils are enlarged, and both inferior turbinates are enlarged, so we cannot exclude the headache caused by pentatomic diseases.