[Benign familial neonatal convulsion: clinical features of the propositus and comparison with the previously reported cases].
A patient with benign familial neonatal convulsions was presented. The patient had the first episode of cyanosis on the second day of life. Thereafter, he also experienced focal clonic and/or multifocal clonic seizures. The interictal EEG showed no definite abnormality. Between the seizures he appeared well and physical examination was essentially normal. Treatment with phenobarbital (4 mg/kg/day, P. O.) was started and subsequently he had no further seizures until 3 months. At the age of 4 months, he was admitted to the hospital again because of generalized tonic-clonic seizures. The interictal EEG showed sporadic spikes dominantly in the right central area. The findings of ictal EEG at that time are characterized by fast spiking of increasing amplitude during the tonic phase. During the clonic phase, there are repetitive+ bursts of spikes and sharps mixed with persisting muscle potential. The termination of the convulsion is characterized by general voltage depression. Clinical characteristics such as seizure types, EEG findings, responses to antiepileptic drugs and recurrence of the seizures found in our propositus were compared with those of the patients previously reported in the literature.
Wakai
S
S
Department of Pediatrics, Sapporo Medical College.
Tachi
N
N
Ishikawa
Y
Y
Okabe
M
M
Minami
R
R
Kibayashi
M
M
D000328:Adult; D002648:Child; D004569:Electroencephalography; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000235:genetics*; D008297:Male; D010634:Phenobarbital / Q000008:administration & dosage / Q000627:therapeutic use; D012640:Seizures / Q000175:diagnosis / Q000188:drug therapy / Q000235:genetics*
D010634:Phenobarbital