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Treatment of neonatal seizures
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
2013 (English)In: Seminars in Fetal & Neonatal Medicine, ISSN 1744-165X, E-ISSN 1878-0946, Vol. 18, no 4, 209-215 p.Article in journal (Refereed) Published
Abstract [en]

Seizures occur more often during the neonatal period than at any other period of life. Precise incidence is difficult to delineate and depends on study population and criteria used for diagnosis of seizures. Controversy exists as to whether neonatal seizures themselves cause damage to the developing brain, or if the damage is primarily due to the underlying cause of the seizures. As a result of this controversy there is an ongoing discussion as to whether all seizures (both clinical and subclinical) should be treated. When (sub)clinical seizures are treated, there is no consensus about the most appropriate treatment for neonatal seizures and how to assess the efficacy of treatment. Current therapeutic options to treat neonatal seizures (i.e. primarily first generation antiepileptics) are relatively ineffective. There is an urgent need for prospective, randomized, controlled trials for efficacy and safety of these second-generation antiepileptic drugs in neonates. The aim of this review is to survey current knowledge regarding treatment of neonatal seizures in both term and preterm infants.

Place, publisher, year, edition, pages
2013. Vol. 18, no 4, 209-215 p.
Keyword [en]
Antiepileptic drugs, Neonatal seizures, Treatment
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-207647DOI: 10.1016/j.siny.2013.01.001ISI: 000323458300007OAI: oai:DiVA.org:uu-207647DiVA: diva2:649027
Available from: 2013-09-17 Created: 2013-09-17 Last updated: 2017-12-06Bibliographically approved

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Hellström-Westas, Lena

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