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A neonatal seizure is a seizure in a baby younger than age 4-weeks that is identifiable by an electrical recording of the brain. [1] It is an occurrence of abnormal, paroxysmal, and persistent ictal rhythm with an amplitude of 2 microvolts in the electroencephalogram,. [2]
Similar to non-familial neonatal seizures, familial seizures may be focal, multifocal clonic, or tonic. The key to diagnosis is a family history of similar events and a normal neurological exam. Seizures occur between a few days to a few weeks of life and resolve by 5 months of age (range 5 days to 2 years).
In 2011, Shellhaas spearheaded the American Clinical Neurophysiology Society's guidelines on continuous electroencephalographic monitoring in neonates. [20] She continued to work with the American Clinical Neurophysiology Society on the standardization of terminology and improved evaluation of normal neonatal EEG and neonatal seizures. [21]
Benign familial neonatal seizures (BFNS), also referred to as benign familial neonatal epilepsy (BFNE), is a rare autosomal dominant inherited form of seizures. This condition manifests in newborns as brief and frequent episodes of tonic-clonic seizures with asymptomatic periods in between. [ 2 ]
Sarnat staging, Sarnat Classification or the Sarnat Grading Scale is a classification scale for hypoxic-ischaemic encephalopathy of the newborn (HIE), a syndrome caused by a lack of adequate oxygenation around the time of birth which manifests as altered consciousness, altered muscle tone, and seizures. [1]
Pyridoxine-dependent epilepsy (PDE) is a rare genetic disorder characterized by intractable seizures in the prenatal and neonatal period. The disorder was first recognized in the 1950s, with the first description provided by Hunt et al. in 1954.