Neurological symptoms in neonates

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Differentiating Hypoglycemia from other Diseases that Cause Neurological Symptoms in Neonates:

Disease	History and symptoms					Investigations
	Family History	Lethargy and irritability	Improvement of symptoms with glucose intake	Fever	Hepatomegaly
Hypoglycemia	+	+	+	-	-	Blood glucose level
Sepsis	-	+	-	+	-	Blood cultures
Inborn errors of metabolism	+	+	-	-	+	Positive blood tests
Hyponatremia	-	+	-	-	-	Plasma sodium falls below 125 mEq/L
Perinatal asphyxia	+	+	-	-	-	MRI of acute brain injury confirms the diagnosis of encephalopathy