Recently, in the outpatient clinic, I saw several mothers holding their little babies and holding their photographed mobile phones** to show me, feeling anxious about the child's "ruthless" movements when they were happy or excited, worried that it was a seizure. In fact, this trembling episode is an abnormal behavioral phenomenon in the process of children's growth and development, which usually disappears naturally as the child grows older, and does not require special **.
Let's take a look at shuddering attacks. It is a relatively common neurodevelopmental process in infants and young children** abnormal behavior, first reported by Vanasse et al. in 1976. These seizures usually occur in infancy between the ages of 4 months and 3 years, and most often stop spontaneously before the age of 5 years.
Typical manifestations of tremor episodes include sudden paroxysmal head tremors, clenched teeth, and tremors of the head and neck, similar to those of boys after urination, and may also be accompanied by movements such as stiff extension of the upper limbs, clenching of fists, and clenching of teeth. Each episode lasts about 2 to 4 seconds, and the seizures tend to occur in clusters, i.e., recurring after an interval of seconds or tens of seconds, which occur in the waking state and disappear during sleep. Excited or unpleasant emotions tend to trigger trembling episodes, but during the episodes, the child is conscious, neurodevelopmental, and intellectually normal, and EEG findings are normal.
Most children with shivering episodes do not require in-depth clinical examination, less emotional stimulation, less electronic attention, and more outdoor distractions, and most of them disappear on their own as they age. However, if there is impaired consciousness, abnormal eyes and complexion, long duration of the seizure, and uncomfortable manifestations such as crying or drowsiness after the seizure, it is necessary to record the seizure ** and find a pediatric neurologist in time.