{"doi":"10.1002/epi4.13090","title":"Defining neonatal status epilepticus: A scoping review from the <scp>ILAE</scp> neonatal task force","abstract":"OBJECTIVE: To review the available literature concerning the definition of neonatal status epilepticus (SE) and/or seizure burden. METHODS: The International League Against Epilepsy Neonatal Task Force performed a scoping review of the definitions of neonatal SE. Following a systematic literature review, articles were screened and data were abstracted regarding: (1) article characteristics (author identification, publication year, journal name, digital object identifier, title, objective, and study design); (2) cohort characteristics (sample size, gestational age, seizure etiology); (3) definition of SE and/or seizure burden; and (4) the method used to identify and classify SE, including routine EEG (EEG), continuous EEG monitoring (cEEG), amplitude-integrated EEG (aEEG), or clinical features. RESULTS: The scoping review yielded 44 articles containing a definition of neonatal SE. Studies mainly included infants with hypoxic-ischemic encephalopathy or neonates considered at risk for seizures. SE identification and classification most often relied on cEEG. The majority of studies based the definition of SE on seizure duration, including summed duration of seizures comprising ≥50% of any 1-h epoch, recurrent seizures for >50% of the total recording time, or either electrographic seizures lasting >30 min and/or repeated electrographic seizures totaling >50% in any 1-h period. Seizure burden was reported in 20 studies, and the most commonly used approach assessed total seizure burden, defined as total duration of EEG seizures in minutes. Sixteen studies assessed the relationship between seizure burden and outcomes, and most identified a significant association between higher seizure burden and unfavorable outcomes. SIGNIFICANCE: This scoping review demonstrates a substantial variation in neonatal SE definitions across the literature. The most common definitions were based around a 30-min seizure duration criterion, but evidence was insufficient to support that 30 min was a cutoff defining prolonged seizures or that seizures exceeding this burden were more likely to be pharmacoresistant or associated with worse outcomes. As a next step, the Neonatal Task Force intends to develop a standardized approach to assessing and describing neonatal seizure burden and defining neonatal SE. PLAIN LANGUAGE SUMMARY: Prolonged seizures are a neurologic emergency, if untreated, can lead to permanent injury or death. In adults and children, seizures lasting longer than 30 min are believed to cause brain damage. However, it is not clear if this definition can be applied to neonates. The International League Against Epilepsy Neonatal Taskforce performed a scoping literature review which identified 44 articles containing a definition of neonatal status epilepticus. In this article, the authors reviewed the current used definitions for prolonged seizures in neonates to establish a relationship between seizure duration and neurological outcome. As a next step, the Neonatal Task Force intends to develop a standardized approach to assessing and describing neonatal seizure burden and defining neonatal SE.","journal":"Epilepsia Open","year":2024,"id":435875,"datarank":0.43171458580109107,"base_score":2.5649493574615367,"endowment":2.5649493574615367,"self_citation_contribution":0.38474240361923057,"citation_network_contribution":0.0469721821818605,"self_endowment_contribution":0.38474240361923057,"citer_contribution":0.0469721821818605,"corpus_percentile":56.819060880327996,"corpus_rank":5583,"citation_count":12,"citer_count":7,"citers_with_citation_signal":3,"citers_with_endowment":3,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.5427,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2024-01-01","fair_score":4.1667,"fair_percentile":4.891470498318557,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":261709,"name":"Elissa Yozawitz","orcid":"0000-0001-8230-8364","position":1,"is_corresponding":false},{"id":506451,"name":"Courtney J. Wusthoff","orcid":"0000-0002-1882-5567","position":2,"is_corresponding":false},{"id":317103,"name":"Renée A. Shellhaas","orcid":"0000-0002-3175-3908","position":3,"is_corresponding":false},{"id":1244006,"name":"Efraín Olivas‐Peña","orcid":null,"position":4,"is_corresponding":false},{"id":262428,"name":"Jo M. Wilmshurst","orcid":"0000-0001-7328-1796","position":5,"is_corresponding":false},{"id":619194,"name":"Ronit Pressler","orcid":"0000-0002-2905-6839","position":6,"is_corresponding":false},{"id":1017927,"name":"Chahnez Triki","orcid":"0000-0003-2918-3819","position":7,"is_corresponding":false},{"id":326366,"name":"Hans Hartmann","orcid":"0000-0002-4333-3839","position":8,"is_corresponding":false},{"id":307371,"name":"Terrie E. Inder","orcid":"0000-0002-6012-9944","position":9,"is_corresponding":false},{"id":702569,"name":"Geraldine B. Boylan","orcid":"0000-0003-0920-5291","position":10,"is_corresponding":false},{"id":502965,"name":"Kette D. Valente","orcid":"0000-0002-5008-0809","position":11,"is_corresponding":false},{"id":261712,"name":"Solomon L. Moshé","orcid":"0000-0001-9427-9476","position":12,"is_corresponding":false},{"id":229605,"name":"Eli M. Mizrahi","orcid":null,"position":13,"is_corresponding":false},{"id":317112,"name":"Nicholas S. Abend","orcid":"0000-0001-6166-2663","position":14,"is_corresponding":false},{"id":394535,"name":"Magda Lahorgue Nunes","orcid":"0000-0002-3402-6810","position":0,"is_corresponding":true}],"reference_count":77,"raw_metadata":null,"created_at":"2026-07-19T02:00:08.103086Z","pmid":"39540265","pmcid":"PMC11803272","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":0.0,"fair_a":0.0,"fair_i":0.0,"fair_r":8.3333,"fair_zscore":-1.1986,"fair_rationale":{"fair_score":4.17,"has_llm":true,"taxonomy_version":"fair_taxonomy_v5","dimensions":{"F":{"name":"Findable","score":0.0,"criteria":[{"key":"f_dataset_pid","label":"Persistent identifier for the data","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No dataset exists, so no persistent identifier is given.","anchors":["RDA-F1-01D — FAIR Data Maturity Model: 'Data is identified by a persistent identifier' (priorit","RDA-F1-02D — FAIR Data Maturity Model: 'Data is identified by a globally unique identifier'","FsF-F1-02D — F-UJI/FAIRsFAIR: 'Data is assigned a persistent identifier'"],"scored":true,"signal":null},{"key":"f_repository_named","label":"Named repository","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No dataset exists, so no repository is named.","anchors":["RDA-F4-01M — FAIR Data Maturity Model: metadata is offered so it can be harvested and indexed (","NIH DMS Policy Element 4 (NOT-OD-21-014) — name the repository where data will be archived","NSTC Desirable Characteristics of Data Repositories (2022) — 'Long-Term Sustainability', 'Reten"],"scored":true,"signal":null},{"key":"f_data_availability_statement","label":"Data-availability statement","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":"Data sharing is not applicable to this article as no new data were created or analyzed in this study.","grounded":true,"rationale":"The data availability statement declares no data are available, which is category 0.","anchors":["Colavizza, Hrynaszkiewicz, Staden, Whitaker & McGillivray (2020), 'The citation advantage of li","Springer Nature research data policy — Data Availability Statements: standard statement templat","RDA-F3-01M — metadata clearly and explicitly includes the identifier of the data it describes"],"scored":false,"signal":null},{"key":"f_discovery_metadata","label":"Description of the dataset as an object","kind":"llm","weight":2.0,"fraction":0.0,"verdict":"no","evidence":null,"grounded":false,"rationale":"No dataset exists, so no itemised inventory or running prose describes its content. 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