The authors describe the eletroclinical aspects and long-term evolutio
n of five (in one male and four female patients) cases of early infant
ile epileptic encephalopathy. Tn the neonatal period, the most common
seizures were tonic spasms (either generalized or lateralized) that, v
ery often, occurred in series. All newborns showed the typical suppres
sion-burst pattern. The neurological status (initially normal) progres
sively deteriorated in the subsequent months, and all infants suffered
from severe mental insufficiency and daily intractable seizures, Four
out of the five children developed hypsarrythmia and one, Lennox-Gast
aut syndrome, The authors discuss the main problems related to the sup
pression burst pattern and the long-term prognosis of this abnormality
.