[Neonatal status epilepticus of unknown etiology (author's transl)].
Forty-three neonates with status epilepticus of unidentified etiology were studied by EEG. 90% had favorable outcome. In the cases with unfavorable evolution the following criteria allowed an early poor prognosis: a very early onset of the seizures in the first or second day of life, the presence of tonic seizures and hypertony between seizures, duration of the seizures more than 4 days, EEG activity in the frequency of the alpha band during the seizures, a flat tracing after the seizures, very discontinuous activity between the seizures and, finally, the reappearance of seizures after a seizure-free interval. In the cases of favorable outcome, an EEG follow-up is necessary: in 10% of these cases focal spikes appeared after 2 years without seizures. The necessity of prolonged anti-comital treatment is discussed.
D001921:Brain / Q000503:physiopathology; D004569:Electroencephalography; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D013226:Status Epilepticus / Q000151:congenital* / Q000209:etiology / Q000503:physiopathology
Etats de mal neonataux d'etiologie indeterminee.