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- Deepa Sirsi, Srishti Nangia, Jacqueline LaMothe, Barry E Kosofsky, and Gail E Solomon.
- Division of Pediatric Neurology, Department of Pediatrics, New York Presbyterian Hospital-Weill Cornell Medical College, New York, NY 10021, USA.
- J. Child Neurol. 2008 Jun 1;23(6):706-9.
AbstractSeizures are indicative of underlying neurologic dysfunction in neonates. Repeated seizures may be deleterious to the brain even without disturbances of ventilation or perfusion. First-line antiepileptic drugs such as phenobarbital and phenytoin are not very effective in controlling seizures in neonates. Rapid control of status epilepticus with midazolam has been demonstrated in 2 previous studies with complete clinical and electrographic response in neonates who did not respond to phenobarbital and phenytoin. We report our experience with 3 neonates with status epilepticus. Seizures in all 3 neonates did not respond to phenobarbital and phenytoin but responded to midazolam infusion. Midazolam may be considered a safe and effective antiepileptic drug in refractory neonatal seizures of diverse etiologies.
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