Rhythmic Lingual Movements in Neonates: EEG Confirmation of Suspected Seizures
作者:
ScherMark S.,
MoreheadLaura,
期刊:
American Journal of EEG Technology
(Taylor Available online 1988)
卷期:
Volume 28,
issue 2
页码: 73-82
ISSN:0002-9238
年代: 1988
DOI:10.1080/00029238.1988.11080250
出版商: Taylor&Francis
关键词: EEG;lingual movements;neonate;seizures
数据来源: Taylor
摘要:
ABSTRACT.Although rhythmic tongue movements may be seen in asymptomatic newborns with tactile stimulation or nonnutritive sucking during sleep, this movement may also represent a suspected clinical seizure in the sick neonate. Lingual movements are included in the category of“subtle”neonatal seizures that can commonly involve facial musculature. Rhythmic lingual movements were noted in twelve neonates (nine preterm, three full-term) who were suspected of having seizures. EEG recordings during these lingual movements documented coincident electrographic seizures in only two patients, while lingual myoclonus and/or tremor appeared in ten patients. Lingual myoclonus usually appeared in the context of multifocal myoclonus. Ten patients had documented cerebrovascular lesions on CT scan or autopsy. Only two of the six survivors are neurologically normal. Lingual movements in the newborn may represent a movement disorder as well as a seizure, and both may be indicative of severe neurological dysfunction on either a cortical or subcortical basis.
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