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Volume 9
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10.3390/children9020238
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Article

The Frequency of Clinical Seizures in Paroxysmal Events in a Neonatal Intensive Care Unit

by
Oi-Wa Chan
1,†,
Wan-Hsuan Chen
2,†,
Jainn-Jim Lin
1,3,4,*,
Ming-Chou Chiang
5,
Shao-Hsuan Hsia
1,
Huei-Shyong Wang
3,
En-Pei Lee
1,
Yi-Shan Wang
3,
Cheng-Yen Kuo
3,
Kuang-Lin Lin
3 and
iCNS Group
6
1
Division of Pediatric Critical Care and Pediatric Neurocritical Care Center, Chang Gung Children’s Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 333, Taiwan
2
Department of Pediatrics, Chiayi Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Chiayi 613, Taiwan
3
Division of Pediatric Neurology, Chang Gung Children’s Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 333, Taiwan
4
Department of Respiratory Therapy, Chang Gung Children’s Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 333, Taiwan
5
Division of Neonatology, Chang Gung Children’s Hospital and Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 333, Taiwan
6
Study Group for Intensive and Integrated Care of Pediatric Central Nervous System, Chang Gung Children’s Hospital, Taoyuan 333, Taiwan
*
Author to whom correspondence should be addressed.
†
These authors contributed equally to this work.
Children 2022, 9(2), 238; https://doi.org/10.3390/children9020238
Submission received: 4 January 2022 / Revised: 27 January 2022 / Accepted: 4 February 2022 / Published: 11 February 2022
(This article belongs to the Section Pediatric Neurology & Neurodevelopmental Disorders)
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Abstract

Background: In general clinical practice, neonatal seizures are identified visually by direct clinical observation. The study aimed to examine the frequency of clinical seizures in paroxysmal events in a neonatal intensive care unit. Methods: We conducted a prospective study of continuous video-EEG monitoring in a neonatal intensive care unit between January 2017 and December 2020. The demographic data were also reviewed. Results: Sixty-four neonates were enrolled. The median total video-EEG monitoring duration was 24.1 h (IQR 17.5–44.8 h). There were 309 clinically suspected seizure episodes, of which 181 (58.6%) were the motor type and 128 (41.4%) were the non-motor type. Only 63 (20.4%) of these events were confirmed to be clinical seizures on a simultaneous video-EEG recording. In terms of the impact of continuous video-EEG monitoring on clinical management, the anti-epileptic drugs were changed in 42 (65.6%) of the 64 neonates. Conclusion: In the identification of neonatal seizures, a clinical diagnosis by direct observation alone is not enough. The use of continuous video-EEG monitoring plays an important role in the diagnosis of neonatal seizures and in guiding clinical management decisions.
Keywords: frequency; clinical seizure; paroxysmal events; NICU frequency; clinical seizure; paroxysmal events; NICU

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MDPI and ACS Style

Chan, O.-W.; Chen, W.-H.; Lin, J.-J.; Chiang, M.-C.; Hsia, S.-H.; Wang, H.-S.; Lee, E.-P.; Wang, Y.-S.; Kuo, C.-Y.; Lin, K.-L.; et al. The Frequency of Clinical Seizures in Paroxysmal Events in a Neonatal Intensive Care Unit. Children 2022, 9, 238. https://doi.org/10.3390/children9020238

AMA Style

Chan O-W, Chen W-H, Lin J-J, Chiang M-C, Hsia S-H, Wang H-S, Lee E-P, Wang Y-S, Kuo C-Y, Lin K-L, et al. The Frequency of Clinical Seizures in Paroxysmal Events in a Neonatal Intensive Care Unit. Children. 2022; 9(2):238. https://doi.org/10.3390/children9020238

Chicago/Turabian Style

Chan, Oi-Wa, Wan-Hsuan Chen, Jainn-Jim Lin, Ming-Chou Chiang, Shao-Hsuan Hsia, Huei-Shyong Wang, En-Pei Lee, Yi-Shan Wang, Cheng-Yen Kuo, Kuang-Lin Lin, and et al. 2022. "The Frequency of Clinical Seizures in Paroxysmal Events in a Neonatal Intensive Care Unit" Children 9, no. 2: 238. https://doi.org/10.3390/children9020238

APA Style

Chan, O.-W., Chen, W.-H., Lin, J.-J., Chiang, M.-C., Hsia, S.-H., Wang, H.-S., Lee, E.-P., Wang, Y.-S., Kuo, C.-Y., Lin, K.-L., & iCNS Group. (2022). The Frequency of Clinical Seizures in Paroxysmal Events in a Neonatal Intensive Care Unit. Children, 9(2), 238. https://doi.org/10.3390/children9020238

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