[Cerebral artery ischemia and neonatal convulsions]

A new case of neonatal seizures due to arterial ischemia is reported and the symptoms and prognosis of this condition are discussed. Arterial ischemia should be routinely considered in neonates who develop seizures a few days after an uneventful birth. Seizure recurrences exhibit unchanging features, in particular consistent focalization. The value of cerebral CT scan studies is underlined. Transfontanellar ultrasonography is not helpful in this condition. MRI may be especially informative for monitoring anatomical lesions over time and Doppler studies may be of value when performed at a very early stage. The outcome in the case reported herein and in previous reports is fairly favorable.