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Table 5 Treatment outcomes in patients with hypoxic-ischemic encephalopathy

From: Treating the symptom or treating the disease in neonatal seizures: a systematic review of the literature

 

N of patients treated

N of patients treated as 1st-line

Efficacy as 1st-line AED;

N (%)

N of patients treated as 2nd-line

Efficacy as 2nd-line;

N (%)

N of patients treated as 3rd-line

Efficacy as 3rd-line;

N (%)

Overall efficacy

Side-effects

Phenobarbital

76

76

49 (65%)

/

/

/

/

65%

None reported

Lorazepam

10

5

2 (20%)

5

2 (20%)

 

/

4 (40%)

Liver enzyme elevation in 1 patient

Midazolam

333

/

/

226

14–50%

107

57.5%

36%

Hypotension in 39 patients (12%)

Lidocaine

317

/

/

208

94 (45%)

125

91 (73.4%)

59%

None reported

Levetiracetam

76

22

Seizure freedom in 11 (50%) patients after 40 h, in 22 (100%) after 5 days

54

49 (92%)

/

/

75%

None reported

Bumetanide

14

14

7 (50%)

/

/

/

/

N/A

Ototoxicity