(1) / 신경학적 발달이 이뤄지지 않아서 리스크 높으며 예후도 불량 적극적인 평가가 요구됨
(2) Birth and maternal history (e.g., with group B streptococci or herpes simplex virus)
& Withdrawal from maternal narcotics
(3) Neonates with witnessed seizures require extensive evaluation & admission to the hospital
① Evaluation culture (blood, urine, CSF) ② Test for herpes simplex virus
③ Begin empiric parenteral IV antibiotics & Acyclovir
(4) Toxicologic evaluation & Withdrawal or overdose of abused substances
(5) Electrolyte abnormalities than older children (Ca, glucose !) 측정
(6) Head CT evaluates
(7) Inborn errors of metabolism 의심되면
→ Lactate, Ammonia, Serum amino acids, Urine organic acids level
(8) Treat the actively seizing neonate with benzodiazepines as with older children
① Consider phenobarbital for second-line therapy because many will be sent home on
phenobarbital. (Neonate<1month : phenobarbital !!)
