Neonatal seizures: the debate continues

Investigators disagree on the significance of and the best treatment for neonatal seizures. Each year more data are revealed and the controversy continues. A foundation must be laid for discussing this controversy by reviewing neonatal seizure classification and etiology. Neonatal seizures may occur with and without electroencephalogram (EEG) correlation. Although some seizures may not correlate with an abnormal EEG, they may still be a sign of significant brain dysfunction. The nurse's understanding of these principles and the ability to recognize and report these events will enable the neonate to receive the proper care and treatment in the most expedient manner.