Rattled by the Shakes?
Keyword(s):
The neonatal age group is at highest risk for seizures when compared with other age groups. Neonatal seizures may be subtle and an early timely diagnosis is critical. With a broad differential diagnosis, timely recognition of metabolic abnormalities, such as hypoglycemia, are an important etiology that requires rapid, aggressive management. As with the management of any other sick infant, the clinician should adhere to the ABCs of resuscitation, ensuring adequate airway and cardiovascular support. An algorithmic approach to status epilepticus facilitates termination of seizure activity. Acute treatment of neonatal seizures should be continued until all seizures, both clinical and EEG, are controlled.