Motor automatisms in the neonate

Ocular signs

Random and roving eye movements or nystagmus (distinct from tonic eye deviation)

May be provoked or intensified by tactile stimulation

Presumed pathophysiology: nonepileptic

Oral-buccal-lingual movements

Sucking, chewing, tongue protrusions

May be provoked or intensified by stimulation

Presumed pathophysiology: nonepileptic

Progression movements

Rowing or swimming movements

Pedaling or bicycling movements of the legs

May be provoked or intensified by stimulation

May be suppressed by restraint or repositioning

Presumed pathophysiology: nonepileptic

Complex purposeless movements

Sudden arousal with transient increased random activity of limbs

May be provoked or intensified by stimulation

Presumed pathophysiology: nonepileptic

Motor_automatisms.htm

Motor automatisms are sometimes associated with electroclinical seizures, but most are nonseizure events. Nevertheless, stereotyped episodes in the setting of suspected acute brain injury should be evaluated with electroencephalography (EEG) in order to determine whether they are seizures.

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Motor automatisms in the neonate