Answer
Neurology outpatient evaluation and follow-up are needed to decide when to discontinue seizure medications. Orthopedic evaluations may be appropriate in infants with joint deformities.
Patients require developmental evaluation for early identification of physical or cognitive deficits. Enrollment in a "birth to 3" early intervention program may be indicated. Patients with tone abnormalities must be monitored carefully for development of contractures; strongly consider a physical medicine/physical therapy referral.
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Media Gallery
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Onset of neonatal seizure demonstrating a focal onset in the right frontal (FP4) region. At this point, the child had head and eye deviation to the left.
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Twenty seconds into a seizure that had focal onset in the right frontal (FP4) region, the seizure shows a rhythmic buildup of activity in the right frontocentral region.
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This seizure had focal onset in the right frontal (FP4) region and subsequent buildup of activity in the right frontocentral region. As the seizure evolves, the electroencephalogram shows diffuse involvement of both cerebral hemispheres.
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