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January 1986

Cassette Electroencephalography in the Evaluation of Neonatal Seizures

Author Affiliations

From the Departments of Neurology (Drs Bridgers, Ebersole, and Ment), Pediatrics (Drs Ment and Ehrenkranz), and Obstetrics and Gynecology (Dr Ehrenkranz), Yale University School of Medicine, New Haven, Conn; the EEG Laboratory, Yale—New Haven (Conn) Medical Center (Drs Bridgers and Ebersole and Ms Silva); and the Epilepsy Center, Veterans Administration Medical Center, West Haven, Conn (Drs Bridgers and Ebersole). Dr Bridgers is a Merritt-Putnam Clinical Research Fellow of the Epilepsy Foundation of America.

Arch Neurol. 1986;43(1):49-51. doi:10.1001/archneur.1986.00520010045020

• Three-channel cassette electroencephalographic (EEG) recording for up to 24 hours was obtained from 37 neonates with clinically diagnosed or suspected seizures but no seizure activity on routine EEG. EEG seizures were recorded in seven patients, five of whom had experienced clinical seizures in the 24 hours prior to cassette EEG recording. EEG seizures were detected in only one of nine neonates with recurring clinical episodes believed unlikely to be seizures and in only one of 18 without recent clinical events. Cassette EEG can enhance the detection and differentiation of seizures in neonates with persistent clinical episodes but is of low yield other

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