Pisani et al reported a score for evaluating a neonate who has had a seizure. This can help to identify a neonate who is at risk for neurologic sequelae. The authors are from the University of Parma in Italy and Aston University in Birmingham.
normal; excessive sharp activity; absent or decreased frequency of normal patterns; excessively long low-voltage periods or overall slightly decreased voltage
0
asymmetries in voltage or frequencies; asynchrony for age, isoelectric or low-voltage invariant activity; burst suppression pattern; permanent discontinuous activity
1
score 1 =
= SUM(points of first 6 items)
score 2 =
= SUM(points for all 7 items)
Interpretation:
• minimum score 1 or score 2: 0
• maximum score 1: 12
• maximum score 2: 13
• A value >= 4 for score 1 was associated with neurologic sequelae.
Performance:
• The sensitivity was 86% and specificity 81%.
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