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Status Epilepticus and Coexisting Nonepileptic Atypical Abdominal Myoclonus in a Preterm Neonate with Hypoxic Ischemic Encephalopathy: A Case Report

Authors

  • Marie Charmaine S. Lukban, MD, MBA Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila https://orcid.org/0000-0003-1135-6400 (##common.opensInNewWindow##)
  • Gerald T. Pagaling, MD Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Marissa B. Lukban, MD Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila
  • Benilda C. Sanchez-Gan, MD Department of Neurosciences, College of Medicine and Philippine General Hospital, University of the Philippines Manila

DOI:

https://doi.org/10.47895/amp.v59i13.11194

Keywords:

hypoxic ischemic encephalopathy status epilepticus myoclonus neonate

Abstract

We describe an unusual case of hypoxic ischemic encephalopathy in a preterm female of 36 weeks who presented with status epilepticus and atypical abdominal myoclonus. The seizures were confirmed electrographically using video electroencephalography (EEG), while the abdominal myoclonus was demonstrated to be nonepileptic, as it had no EEG correlate. Other possible causes of neonatal seizures were excluded. The infant then responded to a gamut of antiseizure medications but the myoclonus persisted. To the best of our knowledge, this is the first report of atypical myoclonus in a preterm baby caused by hypoxic ischemic encephalopathy.

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