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An unusual presentation of fifth-day fits in the newborn
Maria P Guerra1, Goigia A Wilson, Geraldine B Boylan
1Department of Paediatrics, Division of Neonatology, University Hospital, Modena, Italy.
Fifth-day fits are a rare type of seizures in the infant. Tonic-clonic seizures have not been reported as a manifestation of this condition. This article presents a report of one patient and the value of video-electroencephalogram recording in assessing seizures, background electroencephalogram, and treatment. We describe a full-term female infant with fifth-day fits presenting with generalized tonic-clonic seizures associated with generalized electrical discharges, with normal background electroencephalogram activity between seizures. The fits rapidly responded to phenobarbital.
Fifth-day fits are a rare type of seizures in the infant. Tonic-clonic seizures have not been reported as a manifestation of this condition. This article presents a report of one patient and the value of video-electroencephalogram recording in assessing seizures, background electroencephalogram, and treatment. We describe a full-term female infant with fifth-day fits presenting with generalized tonic-clonic seizures associated with generalized electrical discharges, with normal background electroencephalogram activity between seizures. The fits rapidly responded to phenobarbital.