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. 2015 Aug 8;4(3):45–49. doi: 10.5409/wjcp.v4.i3.45

Table 1.

Clinical characteristics of neonates receiving levetiracetam

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.