eo a
Convulsées no Periodo Neonatal
= Introdugao
‘As convulsdes neonatais sao as manifestagdes mais
importantes de disfuncio neurol6gica no recém-nascido
(RN), reconhecidas como um dos principais fatores de
risco para morte ou desenvolvimento neurolégico anor-
mal. O primeiro més de vida caracteiza-se por ser 0
periodo de maior risco de convulsoes, ocorrendo em La
5 para cada 1,000 recém-nascidos'. 0 menor limiar para
a convulsio no RN é justificado pelo desenvolvimento ex-
cessivo transitério das sistemas excitat6rios em relacio
aos sistemas inibitérios, refletindo o estado imaturo de
desenvolvimento cerebral do neanato®. Devido as caracte-
risticas peculiares do cérebro do RN, 0 diagndstico de cri-
se convulsiva nessas criangas muitas vezes € dificil de ser
realizado. A identificagao precoce da convulsio e de sua
ctiologia é fundamental para efetuar o tratamento ade-
quado, prevenindo maior injaria cerebral.
= Classificagao
‘As convulsées clinicas podem ser definidas como al-
teragies paroxisticas da funcao neurolégica, incluindo
mudancas comportamentais, motoras e/ou autondmi-
cast, Os tremores muitas veres podem ser confundidos
com convulsées; entretanto, algumas caracterstcas 0s
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