Thank you for this video. This information enabled me to recognise and video a seizure whilst my daughter was being monitored on a neonatal ward, allowing the medical staff to take swift action.
Thank you so much for valuable information ma'am. this helped me to learn a alot.. please...keep uploading these kind of videos in your channel 💙 because this is going to help a lot of medical students..
Many thanks our beloved colleague. It would highly be appreciated if you deliver a lecture on Epilepsy types and lines of drug management according to latest protocols.
Thank you very much ma'am..ur entire pediatric video session provides a quick concise and good revision before any exams..thanks a lot again!!!! Plz can u make video session on heart diseases also?..it would be very helpful
My baby died. We identified jerks on 6th day. On 9th day when correcting calcium he got arrest doctors told. Milk went inside his lungs and mixed up with blood we didn't got the right information. I am devasted😢. What should i do?
1)Does neonatal sepsis lead to NS? 2)Seizure of HIE stage 2 can persist upto how many days? 3)What can be further complications of NS when newborns grw up?
1. Yes, seizure can occur in neonatal sepsis 2. It will depend on treatment and progression of disease 3. It depend on etiology and severity eg. CP, epilepsy, MR
Thanks a lot mam🙏🙏......we r using pheno pheny then leveracetam. ....not used valproate,or parldyhyde topira or may I m missing 1/2names from ur video,in delhi govt hospitals,...why ?....I have seen pridoxine also after levera,but they don't tried option u suggested before .....n never seen lignocaine used...are they outdated now a days....or it depends on trends of individualized to nicu....plz reply...if I m asking relevant question ,as newly joined the nicu...n while searching I found acccendently ur videos....n I m like tears in my eyes today.....for the knowledge u shared with us....thanks mam...god bless u ...🙏🙏
Hi doctor thank you for the nice slides and useful info of neonatal seizures i have one intresting case of neonatal seizures with macrocephaly and suspected neurometabolic disease can i share mri and ct films with u and get ur input
Mam may I ask you one question An eight years old boy presented at opd with complaints of fever 104'C with profuse sweating, splenomegaly and hematuria. He was weak and complaining of tiredness in absence of much physical activity. He was admitted several times in the past at pediatric ward and was treated for VSD with pneumonia with CCF What is the most likely diagnosis?
Ma'am after one year recently my baby faced seizures.. she has HIE. Today she is being discharged by hospital. But in MRI all are normal except one thing.. In report, they are saying that " Mild T2 & FLAIR hyperintense signal intensity noted in supratentorial posterior periventricular bilateral region. And in impression they have mentioned that " Mild HIE/dys : mylenting changes in supratentorial posterior periventricular bilateral region" Ma'am can you explain this what will be the problem?!? And what would be the effect of change of Myelin in neurones??
Hello Ma’am, i have a doubt. Ma’am during my prelims i was asked why is phenobarbitone preferred in Neonatal Seizures… could you please help me out🙏🏻 Btw, Love your videos ma’am, super helpful.❤
Phenobarbitone is the first-line treatment recommended by the WHO, IAP & NNF because it can not only control seizures but also reduce the brain metabolic rate. It has been proven to be able to control neonatal seizures caused by various etiologies
Ma'am I have done EEG of my baby.. but in report impression has been stated that : Sleep EEG record shows rare bilateral anterior temporal and left parietal epileptiform abnormalities. Sleep structures were better seen over the left frontocentral regions, which may indicate right hemispherical electrical dysfunction." Can you clarify this statement?! Is any serious?!
@@learningpediatrics5347 ma'am today I have done my baby's EEG.. now she is 9 months old.. few minutes ago I checked her EEG report, its stated that " Sleep EEG record within normal limits " .. now can I stop Gardenal ?? Is she fully cured at this time?? Pls reply ma'am
Gd evening ma'am.. ma'am I told you few months ago that at the age of 3 months of my baby's EEG report was " Rare bilateral anterior temporal and left parietal epileptiform abnormalities. And right hemispherical dysfunctions " But now at this time she is 9 months old.. yesterday we got EEG report and now it's indicated" SLEEP EEG IS WITHIN NORMAL LIMITS " NOW ,can we stop Gardenal syrup ??
Consult paediatrician or paediatric neurologist Before stopping, neurological assessment, developmental assessment should be done. If no episode of convulsions occurred after neonatal period. EEG normal, neurological assessment normal, then slowly decreasing the dose over 15-30 days. Then if no episode of convulsions, pheno can be stopped
@@learningpediatrics5347 ma'am pediatrician was gradually decreased the dose of pheno but recently my baby faced seizures and she was admitted in hospital, today she is being discharged by hospital. But MRI report shows, "Mild To & FLAIR hyperintense signal intensity Noted in supratentorial posterior periventricular bilateral region." And in impression it has been stated that " Mild HIE / dys : mylenting changes in supratentorial posterior periventricular bilateral region bilaterally..
Mam my baby is having myoclonic seizure, and he is 7 months old now. When he was 17 days old he got fever. Then we come to know that he is suffering from meningitis.we done mri..also mri states that infection went to brain also.. After that seizure started.. Firstly only jerk movements only left hand and leg.. They started phenobarbital gardenal syrup.. It stopped 1 month,after month again it started but not jerk.stretching hands and eyes were opened and and legs also.. Again they started sodium valporate after one month again it started.. They added one more levera.. It was stopped till 2 months.. But again it started.. Pls help me to save my son😭
Meri baby ko birth ke time seizure ki problem thi kyunki mera bp high tha 36 week me iska birth hua tha isko 10 din NICU me Rakha tha now he is almost 2 month 20 days old but he is not properly make a eye contact it is normal or anything serious right now levipil syrup along with vitamin d and calcium multivitamin is going bus mjhe yeh Janna hai kya mera baby theek ho jayega ya koi abnormalty to nahi hogi
Dear Zayna, Eye to eye contact normally develop at 4 weeks of age. So it's delayed. As 90% of Brain growth occur in first two years of the life, so most of the time, if any brain insult occur during birth or neonatal period, can become totally normal. You should consult paediatrician or neonatologist for the proper neurological assessment and some tests eg MRI brain, ROP, EEG, BERA So you will be able to know what will be the chances of complete neurological recovery. God will bless your baby.
Mam, is it necessary to shave full hair of baby's from brain USG?? Her age is only 9 months.. some diagnostic centers are telling to do that, however some are telling no shaving is required.. what would be the best ??
Mam.. neonate..Apnea associated with tachycardia means... Seizures I experienced in ward.. I loaded with Phenobarbitone...... Mam please clarify it is 100% seizures right..
Subtle seizure can present as apnea in FTNB. In seizure, always tachycardia initially. So if you find tachycardia with apnea in FTNB first think seizure. You have to rule out cause of this eg hypoglycemia, hypocalcaemia etc.
Ma'am my baby girl was born in Dec 2021. NXT day after her birth she was admitted at SNCU due to seizure that time she had been attacked by jaundice. Bt again after 1month seizure has happened. Bt this time in discharge certificate dctr has mentioned "Sequalae of HIE 2" and they also mentioned baby presented 5-6 GTCS lasting 5-10mins, baby was discharged when convulsions free after stopping anticonvulsant. They have also provided phenobarbitone(Gardenal 20/5).. MRI report is pending. Ma'am , is it anything serious issue?! Is it curable?!? 2times generalized tonic-clonic seizure happened within two months.
Long-term prognosis will be depend on complete neurological and developmental assessment of the child. MRI, ROP, OAE should be done to assess the child. 70-80% children remain totally normal. God bless her for healthy life.
@@learningpediatrics5347 thank you ma'am and one thing I want to say to you that u r really a good lecturer , totally different. I come from bioscience background so I listened ur full lecture.. great ma'am..
@@learningpediatrics5347 ma'am ek problem ho raha hai, baby throws up Gardenal syrup max time, sab process try Kiya, mixed with honey, EBM, water etc. Kya karu ma'am ?? Pls reply
Ma'am my baby throws up Gardenal syrup, we have tried all alternate method to give her. We have tried with honey, water, EBM bt max time she throws up and feeling uncomfortable. What should we do?!?
Mam my baby boy suddenly shakes his hands and feets while sleeping then if u touch his hands with my hand the moments stops then what is it like that and what's the reason and what's the problem please tell me mom then my baby is 5 months old
This may be Jitteriness. If Development is normal. Then need not to be worried. If had any event at birth or NICU admission then neurological assessment should be done to rule out any problem
Mam is jlitteriness has any treatment are it goes its own then what reasons that comes to children's and my baby is full turm baby is it a problem to concern doctor please reply me mam
You are right. Generally convulsions not seen in hie grade 3. HIE grade can be changed with treatment. Whenever newborn is admitted with severe birth asphyxia and requiring all vital supports (eg. Ventilator care for respiratory failure). Diagnosis is made as SBA with HIE grade 3. With treatment HIE grade will be changed. But final diagnosis will not be changed.
Jitteriness usually benign in 70-80% newborns but in 20-30% NB, it can be pathological as secondary to metabolic disturbance such as hypoglycemia. So detailed history, complete general physical examination and neurological assessment should be done before to label as benign.
@@learningpediatrics5347 my son was diagnosed with HIE due to mother having allergic reaction due to a medicine given at time of birth and meconium respiration issue, they have given him 2ml Phenobarbital daily once dosage for now, but i notice jitteriness sometimes when he is moving his hands, doc said its jitteriness not seizures
Mam my baby is having myoclonic seizure, and he is 7 months old now. When he was 17 days old he got fever. Then we come to know that he is suffering from meningitis.we done mri..also mri states that infection went to brain also.. After that seizure started.. Firstly only jerk movements only left hand and leg.. They started phenobarbital gardenal syrup.. It stopped 1 month,after month again it started but not jerk.stretching hands and eyes were opened and and legs also.. Again they started sodium valporate after one month again it started.. They added one more levera.. It was stopped till 2 months.. But again it started.. Pls help me to save my son😭
