Neonatal seizures: an emergency condition commonly seen in neonatal intensive care unit.

To cite: Sharma D, Pandita A, Murki S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2014-206577 DESCRIPTION Cases A term male baby with an Apgar score of 8/8/9 was admitted to our hospital at 24 h of life with abnormal body movements. The infant had multifocal myoclonic seizures that started in the lower limbs with secondary generalisation to the whole body; this condition was associated with desaturation (video 1). The numerous episodes of seizures required multiple anticonvulsants. MRI of the brain showed a normal study and the infant was discharged on phenobarbitone. In another case, a 2-day-old term male infant was referred to our hospital in view of respiratory distress and with possible cyanotic heart disease. The baby was diagnosed as a case of Vein of Galen malformation as a head ultrasound showed an echolucent structure in the posterior region of midline, superior to tentorium cerebellum and thalami. This infant had neonatal seizure episodes each of approximately 2 min duration in the form of cycling movements of the lower limbs associated with tachycardia (video 2). The infant was started on anticonvulsants and there was no recurrence of seizures.