Benign Neonatal Sleep Myoclonus Workup

  • Author: Marc P DiFazio, MD; Chief Editor: Ted Rosenkrantz, MD   more...
 
Updated: Jan 30, 2012
 

Laboratory Studies

If jitteriness or tetany remain in the differential diagnosis, screening for hypoglycemia and electrolyte disturbances is indicated.

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Imaging Studies

Once benign neonatal sleep myoclonus (BNSM) is identified, no imaging studies are indicated. If epilepsy or seizures remain a concern, MRI is the study of choice in infants.

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Other Tests

If seizures remain a consideration, performing EEG is appropriate. Prolonged EEG monitoring, during multiple sleep/wake cycles potentially allows for time-locked data collection during episodes, making this the optimal study for infants in whom diagnostic confusion remains.

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Contributor Information and Disclosures
Author

Marc P DiFazio, MD  Associate Professor, Department of Neurology, Uniformed Services University of the Health Sciences; Director, Pediatric Subspecialty Services, Shady Grove Adventist Hospital for Children

Marc P DiFazio, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Cerebral Palsy and Developmental Medicine, American Academy of Neurology, Child Neurology Society, and Movement Disorders Society

Disclosure: Nothing to disclose.

Coauthor(s)

Dalila W Lewis, MD  Pediatric Neurology Fellow, Walter Reed Army Medical Center

Dalila W Lewis, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Neurology, and American Academy of Pediatrics

Disclosure: Nothing to disclose.

Ayne Kimberly Iafolla, MD  Corporate Medical Director, Pediatrix of Maryland; Medical Director of Neonatal Intensive Care Unit, Active Staff, Departments of Neonatology and Genetics, Peninsula Regional Medical Center; Active Staff, Department of Neonatology, Washington County Hospital, Western Maryland Health System, and Shady Grove Adventist Hospital; Associate Staff, Departments of Neonatology and Genetics, Washington Adventist Hospital

Ayne Kimberly Iafolla, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Medical Genetics, American Medical Association, American Society for Parenteral and Enteral Nutrition, American Society of Human Genetics, Phi Beta Kappa, and Sigma Xi

Disclosure: Nothing to disclose.

Specialty Editor Board

Scott S MacGilvray, MD  Clinical Professor, Department of Pediatrics, Division of Neonatology, The Brody School of Medicine at East Carolina University

Scott S MacGilvray, MD is a member of the following medical societies: American Academy of Pediatrics

Disclosure: Nothing to disclose.

Mary L Windle, PharmD  Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Nothing to disclose.

Carol L Wagner, MD  Professor of Pediatrics, Medical University of South Carolina

Carol L Wagner, MD is a member of the following medical societies: American Academy of Pediatrics, American Chemical Society, American Medical Women's Association, American Public Health Association, American Society for Bone and Mineral Research, American Society for Clinical Nutrition, Massachusetts Medical Society, National Perinatal Association, and Society for Pediatric Research

Disclosure: Nothing to disclose.

Chief Editor

Ted Rosenkrantz, MD  Professor, Departments of Pediatrics and Obstetrics/Gynecology, Division of Neonatal-Perinatal Medicine, University of Connecticut School of Medicine

Ted Rosenkrantz, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Pediatric Society, Connecticut State Medical Society, Eastern Society for Pediatric Research, and Society for Pediatric Research

Disclosure: Nothing to disclose.

References

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