What is infantile convulsion? What are the common manifestations of infantile convulsion?

Convulsions are a manifestation of temporary dysfunction of brain neurons. In severe cases, they may endanger the life of the baby. The main causes include hypoglycemic encephalopathy, neonatal hypoxic-ischemic encephalopathy, neonatal intracranial hemorrhage, neonatal purulent meningitis, and congenital central nervous system malformations.

Neonatal convulsions are common in clinical practice. Under normal circumstances, it is necessary to use sedative drugs to effectively relieve the symptoms of neonatal convulsions. At the same time, it is necessary to actively seek a clear diagnosis of the cause, and if necessary, check blood sugar, brain CT, liver and kidney function, electrolytes, etc. So, what is going on with infant convulsions?

1. Intracranial diseases

Hypoxic-ischemic encephalopathy accounts for 60%-70% of the causes of convulsions, and convulsions usually occur within 24 hours after birth. For hypoxia and traumatic intracranial hemorrhage at birth, convulsions usually occur 2-3 days after birth. Cerebral infarction is usually middle cerebral artery infarction, and convulsions usually occur 1-4 days after birth.

2. Infection

It is more common in meningitis, encephalitis, brain abscess, sepsis, tetanus, etc., with purulent meningitis and sepsis. Infants with intrauterine infection will have convulsions within three days after birth, and postnatal infection is more common within one week after birth. Convulsions caused by neonatal fever are rare.

3. Metabolic abnormalities

Convulsions caused by hypoglycemia occur more than 3 days after birth; hypocalcemia, hypomagnesemia, hypercalcemia or hyponatremia; vitamin B6 deficiency can all cause convulsions, and the use of sedatives is ineffective.

4. Drug overdose

Drug overdose or poisoning. Many drugs can enter the fetus through the placenta. The drug supply is suddenly interrupted after delivery. Convulsions often occur within 6 hours after birth and return to normal within 24-48 hours.

5. Congenital central nervous system malformations

Hydrocephalus, cerebral hypoplasia, microcephaly, etc. can cause convulsions.

Usually, during a baby's convulsion, the baby needs to be placed on the side of the bed with the collar loosened. Parents should never move the baby, keep quiet, and reduce stimulation to the child. Do not pick up the child or call loudly during a convulsion, and place a pad between the baby's upper and lower teeth to prevent the baby from biting the tongue. You can also use a tongue depressor wrapped in gauze. Babies will not cough or swallow during convulsions, so let the baby lie on his side and let the secretions in the mouth flow out by themselves. If the baby secretes too much, suck with a straw, pay attention to the baby's breathing, and make sure the breathing is smooth. In order to avoid suffocation caused by obstruction suffocation, eating and drinking, including drinking water, should also be avoided during a convulsion. When the convulsion stops and wakes up consciously, give liquid or semi-liquid according to the situation.