this is an EXCELLENT video to demonstrate this form of seizures and this Youtube channel is very beneficial particularly for the ER situations,
Neonates and Infants don't present with the typical Tonic-Clonic or Myoclonic patterns when they develop a seizure, they are atypical in their presentation.
A Seizing Neonate may show Jitters or Repetitive pattern of movements in the form of staring ,blinking , fixed deviation of the eye to one side without being corrected by a spontaneous motor movement, tongue protrusion, chewing movement, apnea (may be noticed through a drop of O2 saturation detected using pulse Oximeter)
Management of neonatal seizures:
A- Stoppage of seizures:
Phenobarbital is the first line, if fails Phenytoin can be administered
and always keep in mind that the beat way to control seizures is to detect the cause and correct it,
B- Work-up is simple but you have to know that EEG in neonates may be normal, infantile seizures will show hypsarryhthmia , full labs CBC with differential , blood chemistry, electrolytes, glucose , blood culture, coagulation profile, amino acids profile and TMS, cranial ultrasound and lumbar puncture for CSF analysis and culture.
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