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. 2024 Feb 16;96(2):427–435. doi: 10.1038/s41390-024-03063-0

Table 2.

Clinical characteristics, diagnoses, outcomes of neonates with seizures.

Baby Gestation (weeks) Respiratory status at time of seizure Seizure burden Clinical seizure semiology Laterality Anti seizure medication used* Muscle paralysis Diagnosis(**) MRI finding (***) Outcome and neurological exam at discharge
ventilated FiO2
1 38 Yes 100% High No clinical seizures Right Ph,Md no HIE Acute ischemic change within the cortex of both cerebral hemispheres Alive, normal
2 38 Yes 100% High Left arm twitching Bilateral Ph, Py, Md yes HIE Not done Died
3 40 Yes 21% High Left arm and leg clonic jerking Bilateral Ph, Py, Md no Perinatal Stroke Bilateral ischemic changes of the left MCA territory with ischemic change within the left PLIC Alive, central hypotonia with significant head lag
4 41 Yes 21% Low Rhythmic jerking of all four limbs Bilateral Ph no HIE Normal Alive, normal
5 38 Yes 100% High Extensor posturing of right arm and cycling movements Bilateral Ph no HIE Severe hypoxic ischemic injury of bilateral basal ganglia, thalami and PLIC Alive, tube feeds
6 39 Yes 21% High Left arm twitching with desaturations Right Ph no HIE Normal Alive, normal
7 36 Yes 21% Low Clonic jerks in arms Bilateral Ph, Md no HIE Severe hypoxic ischemic injury of bilateral basal ganglia, thalami, PLIC, optic tracts Alive, central hypotonia with significant head lag
8 40 No 21% High Left sided arm and leg → generalisation Bilateral Ph,Py,Md no IVH Moderate volume intraventricular hemorrhage with early hydrocephalus Alive, normal
9 41 Yes 100% High Tonic jerks left upper limb Right Ph. Md yes Perinatal Stroke Encephalomalacia - distribution suggestive of right MCA infarction Alive, tone abnormalities at discharge
10 37 Yes 100% High All four limbs - rhythmic jerking Bilateral Ph,Py,Md,Lt yes ARPKD Severe global ischemic changes Died
11 38 Yes 30% High All four limbs - rhythmic twitching and abnormal posturing Bilateral Ph, Md, Py no HIE, hypoglycemic Severe white matter changes bilaterally Alive, abnormal tone and movements at discharge and needed NG feeds

*Ph Phenobarbitone, Py Phenytoin, Md Midazolam, Lt Levetiracetam; Diagnosis column abbreviations (**): HIE hypoxic ischaemic encephalopathy, ARPKD autosomal recessive polycystic kidney disease. MRI column abbreviations (***): MCA middle cerebral artery, PLIC posterior limb of the internal capsule. Outcome abbreviation: NG naso-gastric.