What does it mean when a newborn rolls their eyes upward while awake?

Nov 30, 2021 Source: Cainiu Health
Disease description:

My baby is over five months old. Yesterday, I suddenly noticed that he/she was rolling his/her eyes upward. Could you please explain what causes newborns to roll their eyes upward while awake?

Doctor's answer (1)
Dr. Li Xuemei
1. Hypocalcemia: In children with hypocalcemia, neuromuscular excitability is relatively increased, potentially leading to muscle spasms, emotional instability, and irritability. Therefore, if your child frequently rolls their eyes upward (exhibits upward gaze deviation), carefully observe whether other abnormal symptoms are present. Additionally, during infancy—when organs and the central nervous system are still immature—children may exhibit behaviors such as rolling over, kicking legs, crying, laughing, or upward eye deviation during sleep. 2. Febrile seizures: Febrile seizures typically occur suddenly, representing a classic clinical presentation. Thus, when parents notice their child rolling their eyes upward, they should closely monitor for additional seizure-related symptoms before making any conclusions.