Objective: The aim of this study is to provide an extensive overview of the clinical features of neonatal paroxysmal motor phenomena, both self-limited, related to the immaturity of the central nervous system, and pathological (epileptic and non-epileptic), in order to help the diagnostic approach. Methods: We reviewed the scientific literature about epileptic and non-epileptic paroxysmal motor phenomena in newborns. Results: Paroxysmal motor phenomena in newborns represent a challenge for the clinicians due to the different underlying pathophysiological mechanisms. A proper differential diagnosis is required. Conclusions: There are some clinical features that may help clinicians with the differentiation among physiological and pathological, epileptic, and non-epileptic events. However, further investigations are often needed to identify the cause. A continuous synchronized video–electroencephalogram (EEG)–recording, interpreted by an expert in neonatal neurology, remains the gold standard to prove the epileptic origin of a paroxysmal motor phenomenon.

Epileptic and non-epileptic paroxysmal motor phenomena in newborns / Facini, Carlotta; Spagnoli, Carlotta; Pisani, Francesco. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - 29:22(2016), pp. 3652-3659. [10.3109/14767058.2016.1140735]

Epileptic and non-epileptic paroxysmal motor phenomena in newborns

FACINI, Carlotta;SPAGNOLI, Carlotta;PISANI, Francesco
2016-01-01

Abstract

Objective: The aim of this study is to provide an extensive overview of the clinical features of neonatal paroxysmal motor phenomena, both self-limited, related to the immaturity of the central nervous system, and pathological (epileptic and non-epileptic), in order to help the diagnostic approach. Methods: We reviewed the scientific literature about epileptic and non-epileptic paroxysmal motor phenomena in newborns. Results: Paroxysmal motor phenomena in newborns represent a challenge for the clinicians due to the different underlying pathophysiological mechanisms. A proper differential diagnosis is required. Conclusions: There are some clinical features that may help clinicians with the differentiation among physiological and pathological, epileptic, and non-epileptic events. However, further investigations are often needed to identify the cause. A continuous synchronized video–electroencephalogram (EEG)–recording, interpreted by an expert in neonatal neurology, remains the gold standard to prove the epileptic origin of a paroxysmal motor phenomenon.
2016
Epileptic and non-epileptic paroxysmal motor phenomena in newborns / Facini, Carlotta; Spagnoli, Carlotta; Pisani, Francesco. - In: THE JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE. - ISSN 1476-7058. - 29:22(2016), pp. 3652-3659. [10.3109/14767058.2016.1140735]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11381/2818040
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