[Fifth day fits about a cases report]

ABSTRACT

Fifth day fits are rare, their incidence is very variable because of a difficult diagnosis. They were first decrived by Dehan and Navelet using the following criteria occurrence of electro clinical seizures on the fifth day of life in a term newborn, with no pathological event. Inter-ictal tracing showed 'sharp alternant theta', aetiological investigations are negative and long-term outcome is favourable. Causes of fifth day fits are unknown. Responsibility of disturbances of brain maturation are advanced. We report a case complying with the preceded criteria. This case is a female term newborn who presented repetitive clonic seizure appearing on the fifth day of life and resisted to phenobarbital therapy. The special tracing of encephalography showing "sharp alternant theta" is noted. The aetiological research is negative and the outcome is favourable until the age of 18 months