Neonatal epilepsy
The baby is currently 111 days old and suddenly exhibited involuntary twitching of the left hand while sitting in a small chair today, approximately four times.
Additionally, a few days ago, while lying on a pillow, there were abnormal movements in the abdomen.
The baby still shows severe startle reflexes.
I would like to know if this could be infantile spasms.
Thank you.
Mao Mao, 30~39 year old female. Ask Date: 2020/09/10
Dr. Xiao Kaiwen reply Pediatrics
It is not possible to determine infantile spasms solely based on such descriptions; however, the presence of involuntary hand movements (especially if accompanied by a vacant stare, which is more indicative of seizure activity) and the severe startle reflex at 111 days old (which should typically disappear by four months) may raise concerns for infantile epilepsy or neurological disorders.
It is advisable to seek prompt evaluation from a pediatric neurologist at a major hospital.
Reply Date: 2020/09/10
More Info
Infantile seizures can be a source of concern for new parents, especially when they observe unusual movements in their newborns. In your case, the sudden involuntary movements of your baby's left hand and the abnormal abdominal movements you described are indeed alarming and warrant further investigation.
Firstly, it's important to understand that seizures in infants can manifest in various forms. They may appear as jerking movements, stiffness, or even subtle changes in behavior. In the context of your baby's symptoms, the left hand's involuntary movements could potentially be a sign of a seizure, but they could also be attributed to other benign conditions, such as myoclonic jerks, which are common in infants and typically harmless.
The abnormal movements in the abdomen could also be related to gastrointestinal issues, such as colic or gas, rather than seizures. However, the presence of these movements, especially if they are recurrent, should be evaluated by a healthcare professional.
Regarding the startle reflex, known as the Moro reflex, it is common in newborns and usually diminishes as they grow older. However, if your baby continues to exhibit a severe startle response, it may be worth discussing with your pediatrician to rule out any underlying neurological concerns.
As for the specific concern about "infantile spasms," which is a type of seizure disorder that typically presents in infants between 3 to 12 months of age, it is characterized by sudden flexing and extending movements, often accompanied by a characteristic pattern on an EEG. While your baby is within the age range for these types of seizures, the movements you've described do not necessarily confirm this diagnosis.
It is crucial to consult with a pediatric neurologist or your child's pediatrician for a comprehensive evaluation. They may recommend diagnostic tests, such as an EEG (electroencephalogram) or MRI (magnetic resonance imaging), to assess your baby's brain activity and structure. These tests can help determine if there is any underlying neurological condition that requires treatment.
In the meantime, keep a detailed record of your baby's movements, including the frequency, duration, and context in which they occur. This information can be invaluable for your healthcare provider in making an accurate diagnosis.
In summary, while the symptoms you describe could potentially indicate seizures, they could also be due to other benign conditions. It is essential to seek professional medical advice to ensure your baby's health and well-being. Early intervention can be crucial in managing any potential issues, so do not hesitate to reach out to your healthcare provider for guidance and support.
Similar Q&A
Understanding Seizures in Infants: Signs and Parental Concerns
Hello Dr. Lan: I have a one-year and two-month-old child with epilepsy that is not caused by a fever. He has been on medication for over two months now. On October 29, he fell and hit the back left side of his head, resulting in a cut from glass. An X-ray was taken, and the docto...
Dr. Lan Shengxing reply Neurology
Dear Orange Mom, the situation described on 10/30 does indeed resemble a seizure. As for 11/1, it is uncertain; if it differs from previous episodes, please take your baby back to the original physician for further evaluation and treatment.[Read More] Understanding Seizures in Infants: Signs and Parental Concerns
Understanding Absence Seizures in Infants: What Parents Need to Know
My son is currently two and a half months old and is cared for by a nanny during the day, while we take him home at night. Last week, the nanny nervously mentioned that she observed my son staring blankly for about a minute, with his eyes fixed straight ahead and his limbs appear...
Dr. Xiao Kaiwen reply Pediatrics
Generalized absence seizures are more commonly seen in children or adolescents, and this type of epilepsy is rare in infants (infantile spasms often present with body stiffness or nodding-like movements). It is recommended to continue observation; if they occur frequently, a cons...[Read More] Understanding Absence Seizures in Infants: What Parents Need to Know
Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Hello Doctor: My daughter was born in mid-June this year, with good development in utero, weighing nearly 3800 grams, head circumference at 40 weeks, and delivered via cesarean section at 38 weeks + 2 days. Everything was normal at birth. During the pregnancy, she underwent amnio...
Dr. Jiang Junyi reply Neurology
Dear Ms. Sherry, First of all, I want to acknowledge that the process of providing support is truly not easy. Regarding pediatric epilepsy, I recommend consulting a pediatric neurologist, as they have more extensive experience in this area. Generally, the common treatment princi...[Read More] Understanding Infantile Epilepsy: Diagnosis, Treatment, and Developmental Concerns
Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Hello, doctor. I am the one who just inquired about the issue of hypoxia in newborns. I would like to ask again, when you mentioned that seizures detected within 24 hours indicate a certain condition, does that mean the baby experienced seizures within 24 hours after birth? We di...
Dr. Gao Chunde reply Neurology
It refers to symptoms that begin within 24 hours of birth, are localized, and can be quickly controlled with medication. The prognosis pertains to the overall damage caused by hypoxic-ischemic encephalopathy.[Read More] Understanding Neonatal Hypoxia: Early Seizures and Prognosis
Related FAQ
(Pediatrics)
Stroke(Pediatrics)
Shaken Baby Syndrome(Pediatrics)
Infant Urination(Pediatrics)
Infant Growth(Pediatrics)
Jaundice(Pediatrics)
Pediatric Vomiting(Pediatrics)
Medical Report(Pediatrics)
Fever(Pediatrics)
Kawasaki Disease(Pediatrics)