Neonatal seizures are often the most difficult thing to identify, specially wen seizures are subtle.
In newborns, Seizure can present with following features-

  1. Autonomic instability- Tachycardia, respiratory changes, High BP
  2. Sucking movements of lips
  3. Tonic eye deviation
  4. Vacant staring episodes
  5. Paddling/Cyclical limb movements
  6. Stiffening of the body
  7. In case of myoclonic seizures- head drops, salam spells.
  8. Sometimes electrical seizures can occur that is identified on EEG only.

Neonatal Seizure : Video

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