Editor—Alpha coma (AC) is the combination of coma and an electroencephalographic (EEG) pattern of synchronous, rhythmic 8–13 Hz activity which has been described in certain severe neurological conditions such as post anoxic or ischaemic encephalopathy, head trauma, brain stem infarcts and drug overdoses.1-3 In neonates AC has been associated with chromosomal abnormalities and inborn errors of metabolism and α rhythms have been described transiently during seizure activity.4 5 Most reported cases have been associated with a poor outcome

Case report

A boy weighing 4080 g was born by vaginal delivery following prolonged fetal distress and meconium stained amniotic fluid to non-consanguineous parents. Cesarean …