When the baby was 19 days old, an electroencephalogram was done. Is there any problem?

Patient's question:

When the baby was 19 days old, the electroencephalogram (EEG) results showed moderate abnormality in the newborn's EEG, with slightly increased multifocal spikes and sharp waves during sleep, and slightly increased single rhythmic activity in the right middle temporal region during wakefulness. Then, a brain magnetic resonance imaging (MRI) was performed, which was normal. Is there any problem?

Doctor's answer:

MRI sees the brain cells and other structures that are visible to the naked eye, just like a house. An EEG measures the transmission between cells, like the wiring inside a house. Moderate abnormalities in the EEG may be caused by ischemic hypoxic encephalopathy, or they may indicate symptoms of epilepsy. If the MRI is normal, carefully observe the baby for any abnormal signs. If there are no abnormalities, there is no need to worry too much—just take good care of the baby. If there are symptoms such as twitching, it is important to seek follow-up treatment promptly.

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