Benign convulsions or encephalitis?

  Patient: Description of condition (onset, main symptoms, hospital visited, etc.): The patient is female, 4 months old, always in good health, fat (18 pounds at 4 months). 3.5 months old, she woke up in the morning and had a convulsion. After picking her up, she returned to normal. During this period, the baby had a little diarrhea, but no fever (36.4~37 degrees), and she was in good spirits. After that, similar convulsions occurred every 5 or 6 days, all when she woke up from sleep. It happened during the day and at night. Recently, he has not had much diarrhea, but he still has convulsions. Sometimes they return to normal on their own, and sometimes they have to press the human middle or play with the heart of the foot to recover. There have been 5 episodes so far. He was seen at a children’s hospital in Datong and had a blood draw and a 10-minute EEG. There was no calcium deficiency, and the EEG showed slow waves, but no spikes or spikes. The doctor suspected encephalitis, but was not sure. With the above description, can you be sure that there is something wrong with my child? If not, what additional tests are needed to confirm the diagnosis? Do I usually need to be hospitalized? Since my child is too young, I am afraid that I will have to torment him enough to confirm the diagnosis, so I hope you can provide some valuable suggestions so that we can target our examination and treatment. Thank you very much!  Doctor: 1, according to your child has repeated fever-free, seizure convulsions, no abnormal interictal period, ruled out the convulsions caused by low calcium, basically the clinical diagnosis of epilepsy can be made.  2. Long-range EEG and cranial imaging (CT or MRI) need to be improved again, but this type of epilepsy is often normal in any examination, so it can only be clinically diagnosed, and generally does not require hospitalization.  3. A small number of children with very few seizures can heal themselves without treatment as their brain develops and matures, but your child has had 5 seizures in a short period of time, and it is generally recommended that antiepileptic treatment needs to be started.  Patient: Thank you so much for your reply! We have done a 4 hour EEG which showed a normal child’s EEG. All other blood tests are also normal. Can you tell me if this is still epilepsy? I am now drinking Depakene 2ml/time 3 times a day and have not had any seizures. How long do I have to drink this medicine to cure this condition?  Doctor: 1. The previous reply has estimated that all tests should be normal for your child, including EEG, but still the diagnosis of epilepsy should be made.  2, if there has been no seizure, generally take medication for 2-3 years to gradually stop, but some scholars believe that your child’s case can be cured by taking medication for six months.