The 9 -year -old boy suddenly screamed and walked around at night.

The little boy who lives in Shaoyang (pseudonym) is 9 years old. He has no obvious causes a month ago that he has difficulty in falling asleep at night or suddenly screaming. He walks around aimlessly. Sometimes he also said that he saw his grandmother and heard someone call him. Always stick to adults and do not want to be alone. There were no problems in local hospitals, but the symptoms of both were repeatedly developed.

A few days ago, the family took both to the pediatric clinic of the Second People's Hospital of Hunan Province. After asking the situation, the outpatient doctor initially considered both spiritual behavior abnormalities, and further accepted the reasons for the admission to find out.

After being hospitalized, Dr. Wang Dongmei, in charge of the doctor, improved a series of related examinations such as video cerebral electrocardiogram, skull magnetic resonance, waist -through cerebral spine, psychological testing, under the guidance of the chief physician of the pediatric director Xue Yimao, to eliminate psychological diseases, cerebrovascular diseases, etc. , Electro -EEG reminds epileptic seizures, and the ultimate diagnosis is night leaf epilepsy. The mystery that plagues the double family is finally revealed.

At present, after the treatment of antiepileptic drugs, the condition of both both has improved.

What is night leaf epilepsy?

NOCTURNAL Frontal Lobe Epilepsy (NFLE) is a kind of epilepsy syndrome during sleep. Symptoms such as disorderly dance, shouting, screaming and other symptoms are often mistaken for non -epilepsy such as sleep disorders. Essence

What are the clinical manifestations of veteran epilepsy at night?

Patients with veteran epilepsy at night mainly occur during sleep seizures. The cause can be genetically genetically (such as analogical inheritance). Men are mainly male, and the age of onset is often found in adolescence. Most of the seizures appear in the shallow sleep period.

The most common type of dysentery seizures at night is awakening in sleep, manifested as night -limbs dancing, walking around, stereotypes, usually not more than 20 seconds. This type of seizure is found in about 75%of children. Speed ​​speed and shortness of breath are often accompanied by symptoms.

How to diagnose at night leaf epilepsy?

The best diagnostic method is video-brain electro-screen records. The clinical characteristics of seizures will help distinguish. In most cases, the scalp electrocardiogram cannot be found to be abnormal in the seizure period or even the seizure period. Deep and difficult to capture.

How to treat at night?

When there are some mental behavior abnormalities in the child, you should go to the hospital immediately. First of all, the diagnosis must be clearly diagnosed. You can go to neurology first, improve the relevant examinations such as electrocardiogram, imaging, etc. If necessary, you can improve the waist -through examination. You can start internal medicine treatment after the diagnosis of epilepsy is clear, that is, drug treatment. If you can take oral drugs to control epileptic seizures, then you can follow the doctor's advice to adjust the drug in neurology.

If the skull imaging examination is perfected, the lesions are found in intracranial, and the lesions are prompted to be more limited, then consider seeking surgical methods to solve it, that is, to accurately find the lesion site, and then use surgery for surgery.

Xue Yinan, director of the pediatric department of the Second People's Hospital of Hunan Province, reminds that the diagnosis of epilepsy and treatment must be very cautious. They need to be carried out under the guidance of a professional doctor. Drug plan.

Experts emphasize that epilepsy treatment is a long -term management process that doctors and patients cooperate together. We must take regular medication and adhere to long -term treatment. Do not believe in the so -called recipes and secret recipes. If the attack is fully controlled for a period of time, and at the same time combined with the results of the electrocardiogram, you can decide whether to reduce or stop the medicine. In short, the specific treatment plan should be dependent on the actual situation of the individual. When any discomfort or abnormal manifestation of the child, you need to seek medical treatment in time, and early treatment is found early.

(Edit ZS.)

Hunan Medical Chat Special Author: Liu Yingting, Second People's Hospital of Hunan Province

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