癫痫的早期症状有哪些?宝宝睡觉手脚抖动是小儿癫痫吗?

2019-12-07 儿科主任王东记 健康号

很多宝宝晚上睡觉都会不自觉得出现“抽搐”、手脚抖动的现象,这些不自主、无意识的手脚抖动通常是新生婴儿普遍存在的现象。随着宝宝年龄的增长,大脑发育不断完善后,这种不自主的抖动会逐渐减少,宝宝长到3、4个月时会慢慢消失。

每个孩子都是一个家庭的未来与希望,拥有一个健康的孩子,开心地玩耍,是每个父母最幸福的事情。最近有家长向我咨询:宝宝睡觉手脚抖动是怎么回事?是不是生病了?不会是癫痫吧!相信不少家长都会有此疑问,那么事实真是这样吗?宝宝睡觉手脚抖动是小儿癫痫吗?

其实,很多宝宝晚上睡觉都会不自觉得出现“抽搐”、手脚抖动的现象,这些不自主、无意识的手脚抖动通常是新生婴儿普遍存在的现象。随着宝宝年龄的增长,大脑发育不断完善后,这种不自主的抖动会逐渐减少,宝宝长到3、4个月时会慢慢消失。

宝宝睡觉手脚抖动的原因

1.宝宝还处于发育阶段,大脑皮层功能发育还不完善,神经纤维周围的绝缘组织即神经髓鞘还没有形成,有外界轻微刺激的时候,如寒战、声音、光亮、疼痛以及突然改变宝宝的体位,导致神经冲动同时波及大脑控制四肢肌肉的神经纤维,引起四肢肌肉抖动。

2.宝宝在睡眠期间发生抖动则是因为有一部分脑细胞处在休眠状态,另一部分脑细胞仍处在兴奋状态。若周围环境发生变化,如灯光或声响,都有可能导致宝宝出现手脚不自主的抖动,这是一种正常的睡眠生理现象,医学临床上称为“睡眠肌阵挛”。

如何区分是癫痫还是生理反应呢?

1.影响不同。癫痫是由于婴儿的大脑神经系统出现异常,常见于流脑、病毒性脑炎或高热惊厥,对大脑发育有一定影响,有可能产生神经系统的后遗症。而宝宝睡觉手脚抖动是正常生理现象,一般不会影响宝宝大脑发育。

宝宝癫痫的早期症状表现

一个月或几个月的孩子突然双眼发直,口唇发青;一岁以内的孩子点头样发作;突然的表情变化,惊恐或不自然的发笑;头眼向一侧偏斜,面色发红或发青;突然出现幻觉,如幻视、幻嗅等。

2.抖动时间不同。癫痫发作形式的肌阵挛常在清晨醒来后不久出现,睡眠肌阵挛顾名思义常在宝宝睡眠时出现。

什么抖动需要就医?

1.如果宝宝睡觉抖动和惊跳过多,或者四个月以后仍这样,应该及时找儿科医生检查。

2.身体某个部位突然、有力、快速地抽动,如突然点头、弯腰或后仰,也可表现整个身体突然后倾或倒向一侧。

3.四肢肌肉突然收缩,常表现为肢体突然抖动,手中的东西也会甩出,抽动前后意识不丧失,跌倒后能很快站起来。

4.抖动时间过长,发作持续2-10秒,但不超过30秒。

5.宝宝一天抖动次数过多。

总的来说,宝宝绝大多数肢体或身体抖动都是正常的生理反应,家长不必担心,千万不要给孩子乱安病,及时正规检查才是正确的做法。

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    2019-12-09 tsing_hit
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