Neonatal EEG – seizure confirmation — RACP Paediatrics MCQ

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ModerateNeurologyNeonatal EEG – seizure confirmationRACP Paediatrics

A term neonate has recurrent stereotyped motor events (rhythmic limb jerking) that are not abolished by gentle restraint. EEG is being considered. When is EEG most useful in the neonatal period?

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Correct answer: C — EEG

Neonatal EEG is the gold standard for confirming seizures in neonates (where clinical events can be difficult to distinguish from non-epileptic movements). Continuous video-EEG monitoring is ideal. It is essential for: confirming seizures, detecting subclinical/electrographic-only seizures, guiding anticonvulsant therapy, and providing prognostic information (background pattern).

Reference: RCH Melbourne – 2023 – Neonatal Seizures CPG; RACP Paediatric Curriculum – Neurology