Question
Newborns experience intermittent seizures during sleep, manifesting as hands resembling a bowing gesture. The obstetrician has informed the parents that this is a normal phenomenon. However, the parents are concerned as they have observed other infants without this symptom. What could be the causes of (infant seizures)? Is this a case of hypocalcemic seizures? If diagnosed as hypocalcemic seizures, how should they be treated?
Answer
Neonatal convulsions are a common and highly prevalent symptom, often presenting as a manifestation of various diseases. Their clinical manifestations may be atypical and sometimes difficult to identify, with common symptoms including spasmodic eye movements (such as blinking, eye rotation, or tremors) and oral twitching. Possible causes include central nervous system diseases such as intracranial hemorrhage, meningitis, kernicterus, and brain developmental malformations; neonatal tetanus usually appears between 4 to 6 days after birth with convulsions accompanied by locked jaws; metabolic disorders, such as hypocalcemia,