Related Experiment Video

Updated: Feb 3, 2026

Infant Auditory Processing and Event-related Brain Oscillations
06:34

Infant Auditory Processing and Event-related Brain Oscillations

Published on: July 1, 2015

17.0K

[The evaluation of paroxysmal events in neonates and infants]

Eszter Nagy1, Nelli Farkas2, Katalin Hollódy1

  • 1Pécsi Tudományegyetem, ÁOK-KK, Gyermekgyógyászati Klinika, Neurológiai Tanszék, Pécs.

Ideggyogyaszati Szemle
|October 19, 2018
PubMed

Insights

Diagnosing infantile seizures by sight alone is difficult. Neonatologists and pediatric neurologists showed similar accuracy in identifying paroxysmal events, highlighting the need for video-EEG for accurate diagnosis.

Area of Science:

  • Pediatric Neurology
  • Neonatology
  • Clinical Neuroscience

Background:

  • Differentiating neonatal and infantile seizures based solely on visual inspection presents a significant diagnostic challenge, even for experienced specialists.
  • Paroxysmal events in infants require careful evaluation to distinguish epileptic from non-epileptic causes.

Purpose of the Study:

  • To investigate the diagnostic accuracy of various medical professionals in evaluating neonatal and infantile paroxysmal events based only on visual inspection.
  • To determine if there are differences in the assessment of common infantile paroxysmal events among neonatologists, pediatric neurologists, and neurologists.

Main Methods:

  • Video recordings of paroxysmal movements in 15 neonates and infants (2 days to 5 months old) were presented to 47 pediatric neurologists, 35 neonatologists/nurses, and 43 neurologists.
  • Participants assessed events as epileptic or non-epileptic without access to patient history or electroencephalogram (EEG) results.

Main Results:

  • Neonatologists and pediatric neurologists achieved similar correct diagnosis rates of 67% (824/1230).
  • Significant diagnostic uncertainty was observed for subtle hand movements and rapid clonus, correctly identified by only one-third of participants.
  • Neurologists' performance was slightly, but not significantly, different from that of pediatric neurologists.

Conclusions:

  • Accurate diagnosis of neonatal and infantile paroxysmal events typically necessitates video-electroencephalogram (EEG) recordings.
  • No significant difference was found between neonatologists and pediatric neurologists in their evaluation of infantile movement disorders.
  • Established collaboration between pediatric neurologists and neurologists supports a unified approach to diagnosing these events.
Abstract

Keywords:
electroencephalography (EEG)epilepsyinfantneonateseizure

More Related Videos

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

88.0K
Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit11:50

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

27.7K

Related Concept Videos

Integration of Synaptic Events01:28

Integration of Synaptic Events

Synaptic integration mainly includes the summation of graded potentials. Graded potentials, regardless of their type, cause subtle alterations in membrane voltage, resulting in either depolarization or hyperpolarization. These incremental changes, when combined or summed, can propel the neuron toward its threshold. Consider, for example, a membrane experiencing a +15 mV shift, causing it to depolarize from -70 mV to -55 mV. In this scenario, graded potentials govern the membrane's ability to...
3.9K
Drug Dosing: Infants and Children01:29

Drug Dosing: Infants and Children

Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
295
Schwarzschild Radius and Event Horizon01:21

Schwarzschild Radius and Event Horizon

No object with a finite mass can travel faster than the speed of light in a vacuum. This fact has an interesting consequence in the domain of extremely high gravitational fields.
The minimum speed required to launch a projectile from the surface of an object to which it is gravitationally bound so that it eventually escapes the object’s gravitational field is called the escape velocity. The escape velocity is independent of the mass of the object. Merging the idea of escape...
2.7K
Self-Evaluation: Self-Enhancement and Self-Verification03:00

Self-Evaluation: Self-Enhancement and Self-Verification

Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
5.8K
Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
4.4K
Self-Evaluation Maintenance Model01:29

Self-Evaluation Maintenance Model

The Self-Evaluation Maintenance (SEM) model offers a psychological framework to understand how individuals’ self-esteem is influenced by the achievements of others, particularly those with whom they share close personal bonds. The SEM model operates when personal rather than social identity guides individuals. Central to this model is the notion that individuals have an inherent desire to preserve a favorable self-image, which is continuously shaped by interpersonal comparisons and...
311