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The effect of treatment of neonatal electrographic seizures, detected with the continuous cerebral function monitoring, with respect to occurrence of postneonatal epilepsy and neurodevelopmental outcome.

Completed
Conditions
neonatal seizures in fullterm infants following perinatal asphyxia
Registration Number
NL-OMON24610
Brief Summary

Van Rooij LCM, Toet MC, Rademaker MCA, Groenendaal, de Vries LS. Cardiac arrhythmia in Neonates Receiving Lidocaine as Anticonvulsive Treatment. Eur J Pediatr 2004Eur J Pediatr. 2004;163:637-41. <br> van Rooij LG, Toet MC, Osredkar D, van Huffelen AC, Groenendaal F, de Vries LS.Recovery of amplitude integrated electroencephalographic background patterns within 24 hours of perinatal asphyxia.Arch Dis Child Fetal Neonatal Ed. 2005;90:F245-51. <br> Toet MC, Groenendaal F, Osredkar D, van Huffelen AC, de Vries LS.Postneonatal epilepsy following amplitude-integrated EEG-detected neonatal seizures Pediatr Neurol 2005; 32:241-7

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
120
Inclusion Criteria

Fullterm infants admitted to the neonatal intensive care unit, within the first 24 hours after birth with subclinical seizures on the aEEG, in 8 Dutch and 3 Belgium centres.

Exclusion Criteria

Preterm infants (<37 wks GA) and fullterm infants with neonatal seizures admitted after the first 24 hours after birth. Infants with chromosomal disorders, congenital anomalies and meningitis.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. What is the number of electrographic seizure discharges missed if you do not monitor continuously; <br /><br>2. Does instantaneous treatment of electrographical seizures lead to: <br /><br>a. A reduction of seizure discharges; <br /><br>b. Less damage on the neonatal MRI.
Secondary Outcome Measures
NameTimeMethod
Does treatment of neonatal seizures lead to a reduced risk of postneonatal epilepsy (PNE) and d) an improved neurodevelopmental outcome at 24 months.
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