저칼슘혈증으로 인한 발작 뇌파소견을 보인 신생아 경련 1례

The Ictal Electroencephalographic Findings in a Neonate with Hypocalcemia Seizure

저자들은 경련을 주소로 내원한 10일된 신생아에서 응급으로 시행한 뇌파검사상 발작기 뇌파를 관찰하였으며, 혈청학 검사에서 저칼슘혈증이 발견되어 칼슘제재 투여 후 경련이 소실된 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Seizures in neonates can occur due to the problems of delivery at birth such as anoxia and cerebral hemorrhage. Other events, such as hypocalcemia, hypoglycemia, hyponatremia, hypernatremia, hypomagnesemia, infection and central nervous system malformations, can cause sezures. Hypocalcemia occurs most commonly in neonates, which is one of the important causes of neonatal seizures over the post few decades. The electroencephalogram (EEG) in neonatal hypocalcemia may show abnormal spikes, specifically focal, rhythmic, high-voltage, and frontocentral discharges that rapidly generalize. We report the ictal EEG findings in a neonate with hypocalcemic seizures.