Convulsions, babies

The normal body temperature is 36.8°C. Babies under 6 months of age who have a higher temperature than 37.7°C should be referred on the same day. Babies over 6 months should be referred if their temperature is above 38.2°C. Babies who have had a temperature-related convulsion lasting 15 minutes or longer should receive pharmacotherapy in the form of either lorazepam, diazepam or clonazepam. Febrile convulsions in children usually cease spontaneously within 5-10 minutes and are rarely associated with significant sequelae and therefore long-term anticonvulsant prophylaxis is rarely indicated. Parents should be advised to seek professional advice when the child develops fever so as to prevent the occurrence of high body temperatures. 

A mother calls to teU you that her week-old baby is having convulsions. She says the baby exhibited signs of a serious ear infection soon after birth. A physician prescribed penicillin G that apparently was well tolerated. The signs and symptoms of the ear infection appeared to be greatly reduced, but the baby began to have convulsions about an hour after receiving the last injection of penicillin. What would you advise the mother to do ... 

A 23-year-old pregnant woman developed antepartum bleeding at 35 weeks and a tonic-clonic convulsion and hypothermia at 39 weeks, having used heroin 4 hours before. She had further tonic-clonic seizures, became obtunded, and required intubation. She had occasional runs of ventricular bigeminy. A cesarean section was performed. The neonate had poor respiratory effort and required ventilation. Blood chemistry suggested inappropriate secretion of antidiuretic hormone, acute renal insufficiency, and acute pancreatitis. She and the baby recovered after 2 weeks. 

Convulsions occurred in a baby born to an opioid-dependent mother. This case is unusual, as convulsions due to neonatal opioid withdrawal do not usually occur in the first 24 hours after delivery it suggests that naloxone should be used with great caution in children born to opioid-dependent mothers (13). 

Vitamin B6 deficiency diseases are very rare. In 1954, a batch of commercially prepared baby food was overheated during its preparation. Overheating apparently destroyed the vitamin B6 present in the food. Babies who were fed with the food had convulsions became unusually irritable, and developed unusual behaviors. As soon as the babies were given vitamin B6 supplements, these symptoms disappeared. Such instances among humans are so rare that they become the... 

I lived in the country so I never went to abcc. Whenever the child was sick I took him to the family doctor. When he developed seizures, which were frequent, the doctor assured me that it was not epilepsy so he probably would get better as he became older. He treated the convulsions without any reference to the atomic bomb. They spoke with candor of the problems of being parents of a Pica baby, as they are called. Pica is the word for flash, a reference to the blinding light of the bomb. 

In babies ethanol can lead to convulsions. According to the WHO [14] ethanol has to be avoided in oral preparations for children less than 6 years. Chronic exposure to ethanol (>1 week), even in small doses, is in principle contraindicated in children aged less than 6 years and should be hmited to 2 weeks in children aged over 6 years, if a positive risk-benefit balance is not demonstrated. 

Deficiency of vitamin severe enough ro lead to clinical signs is extremely rare, and clear deficiency has been reported in only one outbreak, during the 1950s, when babies were fed on a milk preparation which had been severely overheated during manufacture. Many of the affected infants suffered convulsions, which ceased rapidly following the administration of vitamin B. ... 

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