Neonatal seizures occur in babies soon after birth. As many as 1.5 to 2.5% of newborns have seizures in the first month of life. A further 20% of all seizures in children under 3 years of age are neonatal seizures.
Neonatal disorders are generally classified as subtle, clonic, tonic, and myoclonic.
Subtle attacks are characterized by apneas with cyanosis or hypertonia, episodes of pallor, fixed staring, conjugate eye deviation, finger movements, paroxysmal eye blinking, nystagmus, vasomotor changes, episodic chewing movements, or stereotypic limb movements such as swimming or bicycling motions. Drooling and unusual alertness may accompany neonatal seizures. While these abnormal behavioral patterns in infants correspond to their seizure types, not all such clinical events are consistently related to EEG discharges and thus are not all epileptic in origin.
Neonatal seizures may be caused by various metabolic problems, brain damage, or a lack of oxygen during the prenatal period. Cerebral dysmorphism, prenatal infection and vascular occlusion, maternal drug abuse, and a family history of epilepsy can complicate the newborn’s health and may increase the risk of seizures. Furthermore, the seizures themselves may impede brain growth, resulting in cerebral palsy, mental retardation, or epilepsy at a later time.