Rhythmic Sawtooth EEG Waveforms in Neonatal Hypoxic-Ischemic/Hypoglycemic Encephalopathy

A term baby boy was born at 35 weeks to a primigravida group B streptococcus-positive mother. He had hypoxic-ischemic encephalopathy (cord pH 7.02) and hypoglycemia (blood glucose 0.8). The septic work-up was negative. He had a Sarnat score of 2 and underwent total body cooling and rewarming on day 4. Focal seizures were identified in the first days of life and required multiple medications to control. He was kept on continuous EEG monitoring which on day 6 revealed previously unrecognized intermittent upbeat jerk nystagmus (Fig.
Source: Pediatric Neurology - Category: Neurology Authors: Tags: Visual Diagnosis Source Type: research