Table 1.
Patient 1 | Patient 2 | Patient 3 | Patient 4 | Patient 5 | Patient 6 | Patient 7 | Patient 8 | Patient 9 | Patient 10 | Patient 11 | Patient 12 | |
Gestation (wk) | 38 | 39 | 35 | 38 | 41 | 29 | 36 | 23 6/7 | 30 | 39 | 36 | 40 |
Apgar score (1 and 5 min) | 9, 10 | 9, 10 | 9, 10 | 9, 10 | 8, 10 | 7, 9 | 0, 0 | 4, 6 | 0, 0 | 0, 0 | 0, 0 | 4, 7 |
Age of seizure onset (days of life) | 19 | 10 | 8 | 1 | 1 | 0 | 0 | 3 | 0 | 0 | 0 | 0 |
Etiology | GBS meningitis | HSV encephalitis | Suspected mitochond-rial | Hypoglycemia | Sulphite oxidase deficiency | E. Coli meningitis | HIE | HIE | HIE | HIE | HIE | HIE |
Neuroimaging | Cystic encephalo-malacia | Cystic encephalo-malacia | Cystic encephalo-malacia | Normal | Cystic encephalo-malacia | Hydrocephalus with generalized atrophy | Cystic encephalo-malacia | Cystic encephalo-malacia | Peri-ventricular leukomalacia | Normal | Peri-ventricular leukomalacia | Diffuse cystic encephalo-malcia |
Electrographic seizures | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
Clinical status epilepticus | No | No | No | No | No | Yes | No | No | No | No | No | Yes |
Hypothermia | - | - | - | - | - | - | No | No | No | Yes | Yes | Yes |
Anticonvulsant order | PHB/MDZ/LEV | PHB/LEV | PHB/LEV | PHB/LEV | PHB/LEV | PHB/MDZ/THI/LEV | PHB/MDZ/LEV | PHB/MDZ/LEV | PHB/MDZ/LEV | PHB/MDZ/LEV | PHB/MDZ/LEV | PHB/MDZ/LEV/THI |
LEV loading dose (mg/kg) | 15 | 20 | 10 | 7.5 | 10 | 10 | 15 | 16 | 18 | 10 | 8 | 20 |
Mm maintenance (mg/kg per day) | 27 | 40 | 20 | 60 | 20 | 30 | 36 | 5 | 36 | 20 | 15 | 40 |
Seizure after 24 h | No | No | No | No | No | Yes | Yes | No | Yes | Yes | No | Yes |
Seizure after 72 h | No | No | No | No | No | No | No | No | Yes | Yes | No | Yes |
Anticonvulsant at discharge | LEV | TPM/LEV | PHB/LEV | PHB/LEV | Not applicable | TPM/LEV | Not applicable | LEV | LEV/TPM | LEV | PHB/LEV | PHB/LEV |
Outcome | Mild delay | Severe delay | Severe delay | Normal | Death | Severe delay | Death | Severe delay | Moderate delay | Mild delay | Severe delay | Severe delay |
GBS: Group B streptococcus; HSV: Herpes simplex virus; HIE: Hypoxic ischemic encephalopathy; PHB: Phenobarbitone; MDZ: Midazolam; LEV: Levetiracetam; THI: Thiopentone; TPM: Topiramate.