Seizures in Infants: Signs and Parental Concerns

Unsure if the baby is experiencing a seizure?

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 doctor said there were no issues.
After returning home, he showed no problems.
However, on the night of October 30, the child suddenly cried intensely to the point of losing his voice.
Noticing something was wrong, I immediately picked him up to comfort him.
He cried silently, blinking his eyes, with a stiff neck and a darkened face.
I quickly held him against my chest in a side-lying position, and after about 10 seconds, he slowly began to cry out again, with his voice sounding strained.
Five seconds later, he opened his eyes as if he had no strength, then closed them again, and after a moment, he was fine and continued to play.
Since he hadn't taken his evening epilepsy medication yet, I immediately gave him his medication, and after that, I carried him to the room where he fell asleep.

On the morning of November 1, the child suddenly started crying again, with a strained voice as if he couldn't catch his breath, and he didn't want to be held.
He kept squirming when I put him down on the bed.
I quickly opened the door to let in some fresh air, which helped a bit, and after comforting him, he fell asleep again.

I would like to ask the doctor if what happened on October 30 was an epileptic seizure, and what was going on with him on November 1?

Juzi Mama, 20~29 year old female. Ask Date: 2015/11/01

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.

Reply Date: 2015/11/01

More Info

Understanding seizures in infants can be a complex and concerning issue for parents, especially when they are dealing with a child who has a history of epilepsy. Based on the symptoms you've described, it is essential to consider several factors that could help clarify the situation.

Firstly, the episode on October 30th, where your child was crying intensely, had a stiff neck, and displayed unusual eye movements, could indeed be indicative of a seizure. The fact that he was unresponsive for a brief period and then returned to normal behavior afterward aligns with what is known as a postictal state, which is common after a seizure. The sudden onset of crying, followed by the physical symptoms you observed, suggests that this could have been a seizure rather than just a typical crying fit.

On November 1st, the symptoms you described—crying, difficulty breathing, and restlessness—could also be related to seizure activity, but they might also indicate other issues such as anxiety, discomfort, or even a reaction to the medication. It's important to note that seizures can manifest in various ways, and not all seizures involve convulsions. Some may present as changes in behavior, unusual movements, or altered consciousness.

Given that your child is on medication for epilepsy, it is crucial to monitor his symptoms closely and maintain regular communication with your healthcare provider. If these episodes continue or worsen, it may be necessary to adjust his medication or explore further diagnostic options, such as an EEG (electroencephalogram), which can help identify abnormal brain activity associated with seizures.

As a parent, it is natural to feel anxious and concerned about your child's health, especially when dealing with epilepsy. Here are some steps you can take to manage your concerns and ensure your child's well-being:
1. Keep a Detailed Record: Document each episode, including the date, duration, symptoms, and any potential triggers. This information can be invaluable for your healthcare provider in assessing your child's condition.

2. Medication Adherence: Ensure that your child takes his medication as prescribed. Missing doses can lead to increased seizure activity.

3. Emergency Plan: Develop a plan for what to do in case of a seizure. This may include knowing when to call for emergency help and how to keep your child safe during an episode.

4. Consult with Specialists: Regular follow-ups with a pediatric neurologist or an epilepsy specialist can provide you with the latest treatment options and management strategies.

5. Educate Yourself: Understanding epilepsy and its manifestations can help you feel more empowered as a parent. Resources from reputable organizations can provide valuable insights.

6. Support Networks: Connecting with other parents who have children with epilepsy can provide emotional support and practical advice.

7. Monitor Development: Keep an eye on your child's overall development and behavior. If you notice any significant changes, discuss them with your healthcare provider.

In conclusion, while the episodes you've described could be related to your child's epilepsy, it is essential to work closely with your healthcare team to determine the best course of action. Your vigilance and proactive approach will play a crucial role in managing your child's condition and ensuring his safety and well-being.

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