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Underdiagnosis and overdiagnosis of neonatal seizures are common, with 73% of suspected seizures not being associated with epileptiform activity on electroencephalography (EEG) and 66% of EEG-detected seizures having no clinical features.1 As a result, recent studies into treatments for neonatal seizures have used prolonged EEG for accurate outcome measurement.2 Study design and funding are hampered by logistical and financial difficulties in accessing EEG throughout the day and weekend. If neonatal staff could site EEG leads and start monitoring, then EEG could be started in a timely fashion with a view to, for example, physiologist input within office hours. Commercial templates to aid EEG lead positioning are available, using a modified neonatal EEG montage.3
For this pilot study, 24 participants (7 Specialist Level Training doctors, level 1 to 3 …
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