How to treat pediatric epilepsy

  Epilepsy, commonly known as “sheep’s wind”, is a complex, recurrent neurological syndrome with complex etiology common in pediatrics. It is a convulsive seizure caused by paroxysmal, temporary brain dysfunction. The etiology is divided into primary and secondary. The clinical manifestations are recurrent muscle twitches, transient abnormalities in consciousness, sensation and emotion. It is mainly due to the incomplete development of the pediatric nervous system and excessive abnormal firing of the stimulated cerebral cortex. The majority of children are unconscious, eyes are closed or half-open, eyes are upturned, teeth are closed, corners of the mouth are twitching, head is tilted back, limbs are repeatedly flexed and extended, lips are blue, and the body is tense, lasting from ten seconds to several minutes. Epilepsy is a chronic disease with diverse causes and clinical manifestations in pediatric epilepsy, and the first step is to identify the cause to determine the diagnosis. The majority of children are controlled or cured when they follow the doctor’s orders and take their medication on time.  The first thing you need to do is to choose the right treatment for your child’s epilepsy, and to individualize the dosage and simplify the number of times you take it.  1, drug therapy: drugs are phenobarbital, phenytoin sodium, carbamazepine, sodium valproate, paroxetine, ethosuximide, clonazepam, topiramate. Choose the correct drug according to the type of epilepsy.  2, etiological treatment: secondary to brain tumors, encephalitis, cerebrovascular disease and some metabolic diseases, etc. Treatment of epilepsy should also remove the cause.  3, immunotherapy: some children with low immunity can be given immune enhancers.  4, symptomatic treatment: seizures combined with mental disorders can be used flupredinol or Tebri.  Surgical treatment: (1) Indications for surgical treatment: seizures cannot be controlled; unilateral localized lesions or cortical abnormalities can be removed if there is clear localization.  (2) Commonly used surgical methods: ①Cortical lesion resection; ②Front temporal lobectomy; ③Hemispheric cortical resection; ④Stereotaxic surgical treatment of epilepsy.