#asktheexpert
Hello sir, my son is 3 years old .He had a brain fever along with fits a month ago.he admited for one day.MRI report came normal. No fits since then.Is there any possibility fits may come again? what precautions can be taken to avoid fits in the near future? Can other test like EEG be necessary to be tested if brain MRI is normal?

Question

#asktheexpert 
Hello sir, my son is 3 years old .He had a brain fever along with fits a month ago.he admited for one day.MRI report came normal. No fits since then.Is there any possibility fits may come again? what precautions can be taken to avoid fits in the near future? Can other test like EEG be necessary to be tested if brain MRI is normal?

Accepted Answer

dear mom. 
it is better to once eeg done. 
also it may be febrile convulsion. 
to avoid it in future avoid getting yiur chikd high grade fever, talk to yiur doctor fir further advice

Accepted Answer

I'm glad to hear your son is doing better after his recent health issues. Here’s a comprehensive response to your concerns:

1. Possibility of Seizures (Fits) Recurring:

Risk of Recurrence: While many children who experience a single episode of seizures (especially if related to a viral infection or fever) may not have future seizures, there is still a possibility of recurrence. Factors like the underlying cause of the seizures and the child’s overall health can influence this.

Follow-Up: It’s essential to have regular follow-ups with your pediatrician or a pediatric neurologist, who can monitor his progress and determine any further evaluations needed.

2. Precautions to Avoid Seizures:

Medication Compliance: If your doctor prescribes any anti-seizure medications, ensure they are administered as directed.

Avoiding Triggers: Identify and avoid known triggers (such as high fevers, lack of sleep, or dehydration).

Monitor for Fever: Since febrile seizures can occur with high fevers, monitor your son’s temperature and manage fevers promptly with medications as advised by your healthcare provider.

Healthy Lifestyle: Ensure he has a balanced diet, sufficient hydration, regular sleep, and a stress-free environment.

Educate Caregivers: Make sure that anyone caring for him (family members, daycare staff) knows what to do in case of a seizure, including staying calm and calling for help.

3. Further Testing (EEG and Other Evaluations):

EEG: An electroencephalogram (EEG) measures electrical activity in the brain and can help assess the risk of seizures. Your healthcare provider may recommend an EEG, especially if there are any concerns about future seizures or if your son had a history of unusual behavior or symptoms.

Other Tests: Depending on your son’s history and current health status, additional tests might be warranted. Discuss with your doctor whether any further evaluations or monitoring are necessary.

4. Consulting Specialists:

It’s advisable to have a consultation with a pediatric neurologist for a tailored plan based on your son’s specific case. They can provide recommendations on the need for any additional tests and guide you on the best management strategies.

5. Ongoing Monitoring:

Keep a log of any unusual behaviors, activities, or symptoms, as this can be helpful during medical consultations.

Conclusion:

With proper management and care, many children with a history of seizures lead normal lives. Staying proactive about his health and maintaining regular check-ups will be crucial. Always feel free to reach out to your healthcare provider with any concerns or questions about your son’s health.