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Management of refractory neonatal seizures

Authors Neubauer D, Soltirovska-Salamon A, Osredkar D, Paro-Panjan D

Received 27 October 2013

Accepted for publication 19 November 2013

Published 26 February 2014 Volume 2014:4 Pages 17—29


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

David Neubauer,1 Aneta Soltirovska-Salamon,2 Damjan Osredkar,3 Darja Paro-Panjan2

1Department of Child, Adolescent and Developmental Neurology, 2Department of Neonatology, University Children's Hospital Ljubljana, Ljubljana, Slovenia; 3University of Oslo, Oslo, Norway

Abstract: The risk of seizures is highest during the neonatal period. Currently used therapies have limited efficacy and the treatment of neonatal seizures has not significantly changed in recent decades. Controversies still exist as to whether neonatal seizures can cause damage to the developing brain per se, or if the associated neurodevelopmental problems are caused by the underlying condition(s). However, during recent years, there has been substantial progress in the diagnostic possibilities for uncovering the etiologic cause of seizures. This article addresses the most common and important (treatable) etiologic causes of neonatal seizures, and discusses some of the diagnostic tools available. Current therapeutic approaches and their efficacy are discussed, with the aim to present the current knowledge on the topic.

Keywords: neonatal seizures, electroencephalography, etiologic considerations, treatment options

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