Show Summary Details
Page of

Neurology 

Neurology
Chapter:
Neurology
DOI:
10.1093/med/9780197525227.003.0005
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2022. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 27 May 2022

The neurology chapter examines mild, transient, and more serious, underlying neurological conditions that present in the newborn period. Abnormalities of tone, activity, alertness, and movements (i.e., seizures) can occur in many neonatal conditions, some of which require immediate intervention. Assessments include testing infant tone and reflexes, the Encephalopathy Assessment Table, distinguishing jitteriness from seizure activity, and identifying seizure characteristics. Early identification of infants with hypoxic ischemic encephalopathy—a primary cause of neonatal encephalopathy—is essential and should prompt either thermoregulatory management (strict normothermia) or therapeutic hypothermia, providing specific criteria are met. Symptomatic hypoglycemia can have long-term neurodevelopmental consequences and must be treated emergently with intravenous dextrose solution. Anticonvulsant therapy should be initiated for seizures, even when the underlying cause is not yet determined. Diagnostic testing and differential diagnoses, such as neonatal abstinence syndrome or neonatal opiate withdrawal are considered. Three case scenarios follow care pathways for two unwell infants.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.