Infantile Seizures: Signs and Concerns in Newborns - Pediatrics

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Neonatal epilepsy


The baby is currently 111 days old and suddenly exhibited involuntary twitching of the left hand while sitting in a small chair today, approximately four times.
Additionally, a few days ago, while lying on a pillow, there were abnormal movements in the abdomen.
The baby still shows severe startle reflexes.
I would like to know if this could be infantile spasms.
Thank you.

Mao Mao, 30~39 year old female. Ask Date: 2020/09/10

Dr. Xiao Kaiwen reply Pediatrics


It is not possible to determine infantile spasms solely based on such descriptions; however, the presence of involuntary hand movements (especially if accompanied by a vacant stare, which is more indicative of seizure activity) and the severe startle reflex at 111 days old (which should typically disappear by four months) may raise concerns for infantile epilepsy or neurological disorders.
It is advisable to seek prompt evaluation from a pediatric neurologist at a major hospital.

Reply Date: 2020/09/10

More Info


Infantile seizures can be a source of concern for new parents, especially when they observe unusual movements in their newborns. In your case, the sudden involuntary movements of your baby's left hand and the abnormal abdominal movements you described are indeed alarming and warrant further investigation.
Firstly, it's important to understand that seizures in infants can manifest in various forms. They may appear as jerking movements, stiffness, or even subtle changes in behavior. In the context of your baby's symptoms, the left hand's involuntary movements could potentially be a sign of a seizure, but they could also be attributed to other benign conditions, such as myoclonic jerks, which are common in infants and typically harmless.
The abnormal movements in the abdomen could also be related to gastrointestinal issues, such as colic or gas, rather than seizures. However, the presence of these movements, especially if they are recurrent, should be evaluated by a healthcare professional.
Regarding the startle reflex, known as the Moro reflex, it is common in newborns and usually diminishes as they grow older. However, if your baby continues to exhibit a severe startle response, it may be worth discussing with your pediatrician to rule out any underlying neurological concerns.

As for the specific concern about "infantile spasms," which is a type of seizure disorder that typically presents in infants between 3 to 12 months of age, it is characterized by sudden flexing and extending movements, often accompanied by a characteristic pattern on an EEG. While your baby is within the age range for these types of seizures, the movements you've described do not necessarily confirm this diagnosis.
It is crucial to consult with a pediatric neurologist or your child's pediatrician for a comprehensive evaluation. They may recommend diagnostic tests, such as an EEG (electroencephalogram) or MRI (magnetic resonance imaging), to assess your baby's brain activity and structure. These tests can help determine if there is any underlying neurological condition that requires treatment.

In the meantime, keep a detailed record of your baby's movements, including the frequency, duration, and context in which they occur. This information can be invaluable for your healthcare provider in making an accurate diagnosis.

In summary, while the symptoms you describe could potentially indicate seizures, they could also be due to other benign conditions. It is essential to seek professional medical advice to ensure your baby's health and well-being. Early intervention can be crucial in managing any potential issues, so do not hesitate to reach out to your healthcare provider for guidance and support.

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