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Volume 359:315-316 July 17, 2008 Number 3
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Case 12-2008: Apnea and Seizures in a Newborn Infant

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by Redline, R. W.
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To the Editor: Redline et al. (April 17 issue)1 discuss an interesting case of a newborn with seizures and apnea secondary to perinatal ischemic stroke. Although an accurate diagnosis was made without the use of lumbar puncture and cerebrospinal fluid analysis, we think these tests should have been performed.

As the authors state, intracranial hemorrhage, especially subarachnoid hemorrhage, is a common cause of neonatal seizures. Although a computed tomographic (CT) scan of the head showed no evidence of subarachnoid hemorrhage, small subarachnoid hemorrhages are often diagnosed only with cerebrospinal fluid analysis.

In addition, as the authors mention, meningitis is a . . . [Full Text of this Article]



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