Neonatal Seizures Flashcards
1
Q
What usually accompanies a seizure? [3]
A
- Abnormal level of consciousness
- Abnormal movement
- Autonomic abnormalities
2
Q
subtle manifestations of a seizure? [3]
A
- Eye deviation
- Eyelid flutter
- Bucco-lingual movements
3
Q
Clinical signs of a seizure?
A
- Clonic focal or multifocal rhythmic twitching, generalized posturing, or myoclonic twitching.
4
Q
What are the causes of neonatal seizures?
A
intrauterine hypoxia-ischemia which causes abnormal metabolism or infarction.
5
Q
Other causes?
A
Hypo Ca,Na,Mg,Glu and Hyper Na, cerebral haemorrhage, meningitis, encephalopathy, opiate abuse
6
Q
what is a rare cause of seizures
A
pyrodoxine dependency of more than 72 hours
7
Q
Treatment for seizures
A
airway management
treat the electrolyte abnormalities
treat the seizures lasting more than 3 min
8
Q
What are the agents used for treatment? [3]
A
phenobarbitone
levitarazetem
midazolam
9
Q
What investigations would you do?
A
- GLU,CA,MG,NA
- LP
- Confirm on aEEG
- U/S
