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Journal of Child Neurology
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Continuous-Display Four-Channel Electroencephalographic Monitoring in the Evaluation of Neonates With Paroxysmal Motor Events

Israel Alfonso, MD

Division of Neonatal Neurology Department of Neurology Miami Children's Hospital, University of Miami

Prasanna Jayakar, MD

Department of Neurology Miami Children's Hospital

Karina Yelin, MD

Department of Neurology Miami Children's Hospital

Catalina Dunayer, MD

Department of Neurology Miami Children's Hospital

Oscar Papzian, MD

Department of Neurology Miami Children's Hospital

Elza Vasconcellos, MD

Division of Neonatat Neurology Department of Neurology Miami Children's Hospital

Nestor M. Valeron, MD

Department of Pediatrics Miami Children's Hospital Miami, Florida

The objective of this study was to determine the value of continuous-display four-channel electroencephalographic (EEG) monitoring to distinguish epileptic from nonepileptic paroxysmal motor events. Five full-term neonates with paroxysmal motor events were included in the study. Nurses were instructed to print contiguous pages of the continuous-display four-channel EEG monitoring and to activate the event marker on the simultaneously conducted continuous video-EEG telemetry unit during each paroxysmal motor event. The printouts from the continuous-display four-channel EEG monitoring were interpreted and compared with the corresponding segments of continuous video-EEG telemetry. Thirty paroxysmal motor events were captured. Sixteen paroxysmal motor events were epileptic, and 14 were nonepileptic. The interpretation of the printouts of the continuous four-channel EEG monitoring concurred with an independent interpretation of the corresponding video-EEG telemetry segments in all of the events. Continuous-display four-channel EEG monitoring is a valuable tool in the evaluation of neonates with paroxysmal motor events since it reliably distinguishes epileptic and nonepileptic events. (J Child Neurol 2001;16:625-628).

Journal of Child Neurology, Vol. 16, No. 8, 625-628 (2001)
DOI: 10.1177/088307380101600822


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D. Kohelet, R. Shochat, A. Lusky, and B. Reichman
Risk Factors for Neonatal Seizures in Very Low Birthweight Infants: Population-Based Survey
J Child Neurol, February 1, 2004; 19(2): 123 - 128.
[Abstract] [PDF]