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Efficacy of Levetiracetam and Phenobarbital as First-Line Treatment for Neonatal Seizures

Title: Efficacy of Levetiracetam and Phenobarbital as First-Line Treatment for Neonatal Seizures
Authors: Verwoerd, Carmen; Limjoco, Jamie; Rajamanickam, Victoria; Knox, Andrew
Source: Journal of Child Neurology ; volume 37, issue 5, page 401-409 ; ISSN 0883-0738 1708-8283
Publisher Information: SAGE Publications
Publication Year: 2022
Description: High neonatal seizure burden is associated with worsened neurodevelopmental outcomes. We compared the efficacy of initial treatment with levetiracetam vs phenobarbital for maintaining low seizure burden in a retrospective cohort of 25 neonates monitored with video electroencephalography (EEG). Video EEG tracing were reviewed and paired with medication bolus times to determine seizure burden after treatment. Initial cumulative dose of phenobarbital was 20 mg/kg in all but 1 case; initial cumulative dose of levetiracetam ranged from 50 to 100 mg/kg. Eleven of 17 (65%) patients sustained seizure burden
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/08830738221086107
Availability: https://doi.org/10.1177/08830738221086107; https://journals.sagepub.com/doi/pdf/10.1177/08830738221086107; https://journals.sagepub.com/doi/full-xml/10.1177/08830738221086107
Rights: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsbas.F3D09D6
Database: BASE