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← Neonatal EEG

Neonatal seizure burden and status epilepticus

Seizure burden is quantified over an explicit denominator; neonatal status is defined by seizure occupancy of a one-hour epoch.

Criteria & assessment

  • Clinical burden may be reported as seizure count per hour or total seizure duration divided by the duration of the epoch of interest.
  • Research temporal-spatial burden sums seizure duration per hour in five non-overlapping neonatal montage regions so each electrode is counted once; the source lists Fp3-T3, C3-O1, Fp4-T4, C4-O2, Fz-Pz or an alternate pairing.
  • Status epilepticus is present when summed seizure duration is >=50% of any defined 60-minute epoch.
Source · 2012 guideline / 2013 publicationACNS neonatal terminology, official PDF · PDF p. 16 ↗

Editorial draft · clinical review pending