NEONATAL SEIZURES - FOCAL CLONIC
This is a term baby delivered by SVD to a G2P1+0 lady with an uneventful pregnancy.Mother is a diabetic on diet control only. Apgar Sccore was 8 and 9 at 1 and 5 minutes respectively.
Baby was doing well in the admission nursery maintaining normal blood sugar in the first 24 hours. Shortly thereafter developed focal clonic seizure activity confined mainly to Left side of the body. So was shifted to NICU.
Clinically after abortion of the fit (by loading with phenobarbitone), baby was stable on room air with unremarkable physical exam. except for mild hypotonia on the affected side.
Initial lab workup:CBC,Electroytes,Blood gas and CSF profile were normal.
Blood, Urine and CSF C/S were negative.
CT brain scan was normal.
TANDM-MS was unremarkable.
Protein C,S and antithrombin III were normal.
MRI brain 3 days later showed Right fronto parietal cerebral infarction.
Baby was discharged 2 days later with diagnosis of neonatal arterial stroke.