NEONATAL SEIZURES - FOCAL CLONIC

Summary:

This is a term baby delivered by SVD to a G2P1+0 lady with an uneventful pregnancy.Mother is a diabetic on diet control only. Apgar Sccore was 8 and 9 at 1 and 5 minutes respectively.
Baby was doing well in the admission nursery maintaining normal blood sugar in the first 24 hours. Shortly thereafter developed focal clonic seizure activity confined mainly to Left side of the body. So was shifted to NICU.
Clinically after abortion of the fit (by loading with phenobarbitone), baby was stable on room air with unremarkable physical exam. except for mild hypotonia on the affected side.

Initial lab workup:CBC,Electroytes,Blood gas and CSF profile were normal.
Blood, Urine and CSF C/S were negative.
CT brain scan was normal.
TANDM-MS was unremarkable.
Protein C,S and antithrombin III were normal.
MRI brain 3 days later showed Right fronto parietal cerebral infarction.

Baby was discharged 2 days later with diagnosis of neonatal arterial stroke.

Category:

Education

Tags:

• seizure
• neonatal
• stroke
• infant
• of
• diabetic
• mother
• IDM
• focal
• clonic
• phenobarbitone
• 99nicu

[vergo824]

My twins had them all the time when they were in the nicu. they are 2 now and everything has been fine. Esp I think my youngest is starting to have them again

[atefshafei]

There are many causes of such form of fits...are not the same ,..with different prognosis.....

this case was a form of neonatal arterial stroke which impeoved quickly and is doing well now...

[Godlikebeauty]

may i know how the baby is now? my baby is having the same when he was 3 days old...