Etio-clinical profile of neonatal seizures in term newborns

Thumjaa Annamalai., Dinesh Kumar E and Shafath Ahmed M

Background: Neonatal seizures or neonatal convulsions are epileptic fits occurring from birth to the end of the neonatal period. Neonatal seizures are a common neurological problem with a frequency of 1.5-14/1000 neonates. Identification of etiology will help in management there by reducing morbidity and mortality of neonatal seizures.
Materials and Methods: This prospective study was done in NICU of SreeBalaji Medical College and Hospital, Chrompet, Chennai from Jan 2017 to Jun 2017. Term neonates with clinically identifiable seizure were included in this study. Appropriate investigations were done for the term neonates with seizures.
Results: In this study, of the 46 term neonates, 25(54.3%) were males and 21(45.6%) were females. Hypoxic Ischaemic Encephalopathy (HIE) (29%) was the most common cause of neonatalseizures. The most common type of seizures was subtle seizures.
Conclusion: Perinatal asphyxia was the most common cause for neonatal seizures in term neonates, followed by septicaemia and metabolic disturbances.

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