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This is an archive article published on July 20, 2023

Seizures in young kids: Things parents should keep in mind

According to Dr Sanjay Vhora, Neurosurgeon at Ruby Hall Clinic, Pune, any injuries during pregnancy or delivery would cause brain injury which will lead to convulsions or seizures in children.

seizureSome children may exhibit behaviors that resemble seizures but have different causes, such as breath-holding spells or night terrors. (Source: Freepik)

There are various reasons why young children may experience seizures. According to Dr Sanjay Vhora, Neurosurgeon at Ruby Hall Clinic, Pune, any injuries during pregnancy or delivery would cause brain injury which will lead to convulsions or seizures in children. Any tumour in the young ones could also be the cause of convulsion.

Dr Bimal Prasad Padhy, Consultant – Neurology, CARE Hospitals, Nampally, Hyderabad, attributed seizures in young children to brain infections or inflammation, injuries or trauma, or epilepsy.

“Febrile seizures could also be the cause, which occur in association with a high fever, often seen in children between 6 months and 5 years of age. Though most febrile seizures are harmless and occur due to the rapid rise in body temperature,” Dr Padhy said.

Signs and symptoms of seizures in young children

These symptoms may vary depending on the type of seizure, according to Dr Padhy. These include:

*Loss of consciousness or altered awareness
*Involuntary movements, such as jerking of limbs
*Staring spells or vacant episodes
*Rapid eye blinking or eye rolling
*Strange or repetitive behaviors
*Unusual sounds or vocalizations
*Loss of bladder or bowel control
*Fatigue or sleepiness after the seizure
*May have prodermal symptoms like burning smell or smell of different things, suggestive of aura before convulsion.

It’s important to note that not all episodes of altered behavior or movements are seizures, according to Dr Padhy. “Some children may exhibit behaviors that resemble seizures but have different causes, such as breath-holding spells or night terrors. Consulting a healthcare professional for an accurate diagnosis is crucial,” he added.

brainhealth During febrile seizures, focus on fever management by using appropriate antipyretic medications as recommended by a healthcare provider. (Source: Freepik)

How to prevent them?

Preventing seizures in young children depends on the underlying cause. Some preventive measures, according to Dr Padhy, that may help include:

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*Ensuring a safe environment: Minimize potential hazards and create a safe living environment for the child.
*Proper medical care: Follow regular check-ups and vaccinations recommended by healthcare professionals to prevent infections and other illnesses that may trigger seizures.
*Managing fever: During febrile seizures, focus on fever management by using appropriate antipyretic medications as recommended by a healthcare provider.

How to provide first aid?

If you witness a young child having a seizure, it’s important to stay calm, and take the following steps for first aid, as per Dr Padhy:

*Ensure the child’s safety: Clear the area around the child of any objects that may pose a risk of injury.
*Do not restrain the child: Allow the seizure to run its course and avoid holding the child down or trying to stop the movements.
*Protect the child’s head: If possible, cushion the child’s head with a soft object or pillow to prevent injury.
*Time the seizure: Note the time when the seizure starts and ends. If the seizure lasts longer than 5 minutes or if it’s the child’s first seizure, seek emergency medical assistance.
*After the seizure ends: Gently roll the child onto their side to prevent choking on saliva or vomit. Do not put anything in the child’s mouth.
*Comfort the child: Stay with the child and provide reassurance as they recover from the seizure.

Remember, each child’s situation is unique, and treatment should be tailored to their specific needs. Consulting with healthcare professionals specializing in pediatric epilepsy is crucial for appropriate diagnosis, treatment, and ongoing management.

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