PT  - JOURNAL ARTICLE
AU  - Divyen K Shah
AU  - Geraldine B Boylan
AU  - Janet M Rennie
TI  - Monitoring of seizures in the newborn
AID  - 10.1136/adc.2009.169508
DP  - 2012 Jan 01
TA  - Archives of Disease in Childhood - Fetal and Neonatal Edition
PG  - F65--F69
VI  - 97
IP  - 1
4099  - http://fn.bmj.com/content/97/1/F65.short
4100  - http://fn.bmj.com/content/97/1/F65.full
SO  - Arch Dis Child Fetal Neonatal Ed2012 Jan 01; 97
AB  - Neonatal seizures are a distinct and not uncommon sign of neurological disease in the newborn, most often occurring in association with hypoxic-ischaemic encephalopathy at term. The diagnosis and monitoring of seizures in the newborn is a considerable challenge, with many suspected clinical seizures having no electrographic correlates, while many electrographic seizures have no clinical correlate. Continuous video-EEG is the gold standard for seizure monitoring, but few centres have the resources or expertise required. Amplitude-integrated EEG can be a helpful monitoring tool in experienced hands, but has potential for error when used by inexperienced staff. Automated seizure detection algorithms show much promise and some cotside systems are already available. The efficiency and accuracy of these systems is likely to improve.