Diagnostic Dilemma

Convulsions and jitteriness

Author: Pediatric Oncall
A 2-month-old girl presented with recurrent episodes of tonic convulsions for 3 days lasting for 4-5 minutes without post ictal drowsiness. There is no history of fever, lethargy or refusal to feeds. She is born at full term by normal vaginal delivery with birth weight of 2 kg. She is feeding cow’s milk 1:1 dilution. She was breast fed only till Day 5 of life. She has achieved head holding and social smile. On examination, weight was 3.75 kg, anterior fontanelle was level and cry, tone and activity were good. She had beading and excessive jitteriness. Other examination findings were normal.

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