title: An unusual presentation of fifth-day fits in the newborn.
abstract: Fifth-day fits are a rare type of seizures in the infant. Tonic-clonic seizures have not been reported as a manifestation of this condition. This article presents a report of one patient and the value of video-electroencephalogram recording in assessing seizures, background electroencephalogram, and treatment. We describe a full-term female infant with fifth-day fits presenting with generalized tonic-clonic seizures associated with generalized electrical discharges, with normal background electroencephalogram activity between seizures. The fits rapidly responded to phenobarbital.
authors.affiliation: Department of Paediatrics, Division of Neonatology, University Hospital, Modena, Italy.
authors.forename: Maria P
authors.initials: MP
authors.lastname: Guerra
authors.forename: Goigia A
authors.initials: GA
authors.lastname: Wilson
authors.forename: Geraldine B
authors.initials: GB
authors.lastname: Boylan
authors.forename: Janet M
authors.initials: JM
authors.lastname: Rennie
mesh_terms: D000927:Anticonvulsants / Q000627:therapeutic use; D004569:Electroencephalography / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D010634:Phenobarbital / Q000627:therapeutic use; D012640:Seizures / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology
chemical_list: D000927:Anticonvulsants; D010634:Phenobarbital