Source: Hangzhou Net Recently, a boy in Hangzhou suddenly screamed strangely in the middle of the night, and his hands and feet twitched on one side. Doctors diagnosed him as having an epileptic seizure and thought it was related to him staying up late playing games. Summer vacat

Source: Hangzhou.com

Recently, a boy in Hangzhou suddenly screamed strangely in the middle of the night and his hands and feet twitched. Doctors diagnosed him as having an epileptic seizure and thought it was related to him staying up late playing games.

Summer vacation is coming, and the "mythical beasts" are released. Therefore, doctors specially remind that playing games for a long time or staying up late to watch videos can easily induce epilepsy. June 28 is International Epilepsy Awareness Day. We hope that parents and all parties will pay attention to it.

Midnight Horror

The boy suddenly screamed strangely, and his side was twitching.

"Doctor, please check on my son. He was fine before, but after staying up late tonight, he suddenly became like this." It was almost one o'clock in the morning, in Zhejiang Province In the emergency room of the Neurology Department of the People's Hospital, a sleepy-eyed boy cuddled next to his mother. The mother had tears in her eyes and the father frowned. They eagerly told Jin Bo, the deputy chief physician of epilepsy in the Department of Neurology, about their son's onset.

The boy Xiaojing (pseudonym) is 14 years old this year. A few hours ago, he proposed to play a game, but it was often difficult to end it once he started playing. It was already 11 o'clock, and after her parents tried to persuade her, Xiaojing reluctantly went to bed. But not long after, something unexpected happened.

"We were lying down and it was almost midnight. suddenly heard a strange cry, 'wuwu', like crying, but also like calling. In the middle of the night, I got goosebumps all over my body." later found out that it was coming from his son's room. When the news came out, the couple pushed the door in and took a look, and were shocked: Xiaojing, who was lying on the bed, had her mouth tilted to one side, and her hands and feet on one side were shaking and twitching. She couldn't speak and could only make a vague "woo" sound... It took a few minutes to recover, and after a while, Xiaojing closed her eyes again. "It can't be more serious!" The parents quickly woke up Xiaojing and took him to the hospital.

Brain tumor? Or... On the way to the hospital, the news that Xiaojing's parents had seen on the Internet kept flashing in their minds. The more they thought about it, the more frightened they became. The mother couldn't help crying.

After Director Jinbo carefully inquired about his medical history, he initially considered that the child had an "epileptic seizure", but further examination was needed to confirm the diagnosis. After admission, epilepsy sequence cranial magnetic resonance imaging, 24-hour video electroencephalogram and other examinations were completed. Director

Jinbo carefully read the films and EEG waveforms. The child had no structural lesions of the brain, but something suspicious was found on the video EEG, that is, there were typical high amplitudes in the central area and central temporal area. The spikes and slow waves are more pronounced during sleep at night. The truth is that the child has benign childhood epilepsy with central temporal spikes (BECTS)! When they heard the word "benign", the parents of the children finally let go of their worries.

"Staying up late playing games is an important trigger for this epileptic seizure." Director Jinbo of told the children that children should try to avoid the intake of chocolate, coffee, etc. after being discharged from the hospital; they should also avoid excessive fatigue, staying up late, and large mood swings.

Avoid long-term video games

Appropriate outdoor sports and activities

Geng Yu, director of the Neurology Department of Zhejiang Provincial People's Hospital, said that there are currently more than 9 million epilepsy patients in our country, of which two-thirds are adolescent patients under the age of 18. Benign childhood epilepsy is the most common epilepsy syndrome in childhood, accounting for about 15%-25% of childhood epilepsy. The male-to-female prevalence ratio is 3:2, and most patients develop symptoms between the ages of 5 and 10. The main characteristics are: focal motor and sensory seizures on the face and oropharynx . Most cases only occur during sleep, with low seizure frequency. The EEG characteristics are spike-wave discharges in the central temporal region, especially during sleep. Discharge increased significantly.

"Children who have the first attack, or only 1 or 2 attacks per year and are very mild, such as drooling in sleep and twitching at the corner of the mouth, can be temporarily observed without rushing to drug treatment. However, children with frequent attacks or general convulsions should Take anti-epileptic drugs," Director Geng said.

Director Geng said that some children may have cognitive dysfunction such as reading, language, and executive function, especially those with higher frequency of seizures (especially general convulsions) or those with status EEG. If parents find that the patient's intelligence has declined significantly, they need to be followed up for follow-up in time. The vast majority of children with BECTShave a good prognosis. The disease usually goes into remission around the age of 16 and rarely relapses in adulthood.

The final exam is over and summer vacation is coming. Students usually have a lot of pressure to study, tight constraints, and suppressed desires; during long vacations, if management is neglected, they are likely to "revenge" online, play games and watch videos, and their schedules are extremely irregular.

"Sound and light stimulation, long periods of time, excessive fatigue, etc., and high mental stress can lead to abnormal excitement of the cerebral cortex, which often easily causes epileptic seizures." Director Geng Yu suggested that during the summer, teenagers, especially epilepsy patients (take medication on time) ) You should arrange your work and rest time reasonably, try to avoid watching TV or playing games for long periods of time or staying up late; appropriate outdoor sports and activities, such as going to libraries, exhibition halls and other useful activities.

Source: Hangzhou Net Hangzhou Tong Client Reporter Yang Wei Correspondent Song Lisheng Pictures provided by the hospital