An Atlas of Amplitude-Integrated EEGs in the Newborn

Third Edition

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Case 7.1

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Question 1 of 4

1. Question

A preterm infant was born at 28 weeks gestation with a birthweight of 1065 grams by an uncomplicated vaginal delivery. Apgar scores were 5 and 9 at 1 and 5 minutes, respectively. The infant required insufflation breaths but stabilized on CPAP and 30% FiO2. Due to increasing oxygen demands, the baby was intubated and given surfactant twice. There were disturbances in coagulation, for which fresh frozen plasma was administered. You connected the baby to the aEEG, which showed the following:

Quiz Figure Q7.1.1

What do you think the background pattern is best described as?

Appropriate for gestational age

Not appropriate for gestational age

DNV (Discontinuous Normal Voltage)

CLV (Continuous Low Voltage)

Correct

Incorrect
Question 2 of 4

2. Question

Over the following hours, the aEEG shows areas of activation of the seizure detection algorithm.

Quiz Figure Q7.1.2

Do you think the yellow markers will be confirmed seizures on the raw EEG?

Yes, all markers

Yes, but only on the left (P3-F3)

Most likely, but have to check with EEG

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Question 3 of 4

3. Question

Quiz Figure Q7.1.3

What do you think happened around marker 10 in Fig Q7.1.3?

Antiseizure medication was given

Postictal depression

Hypercarbia

Surfactant was administered

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Question 4 of 4

4. Question

In view of the predominantly unilateral seizure activity, what do you think is the most likely diagnosis in this infant?

Bilateral IVH grade III

Periventricular hemorrhagic infarct (PVHI)

Periventricular leukomalacia

Perinatal arterial ischemic stroke

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An Atlas of Amplitude-Integrated EEGs in the Newborn

Third Edition

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