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The sensitivities for the detection of individual seizures by neonatologists ranged from 18% to 38%. The inter-rater reliability for detection of individual seizure was "fair" (kappa = 0.37; 95% CI 0.32-0.42), infant with seizure was "moderate" (kappa = 0.60; 95% CI 0.44-0.75), duration of individual seizure (ICC 0.22; 95% CI 0.18-0.28) and total duration of seizures in an infant (ICC 0.46; 95% CI 0.30-0.63) was "poor". The neonatologists missed 77-90% of the duration of seizures. CONCLUSION The inter-rater reliability of aEEG for the