Clinical Study of Neonatal Seizures Types and Etiology
Abstract
ABSTRACT
Background: Neonatal seizures are the most prominent features of neurological dysfunction during the first 4 weeks of life in full term infant and up to 44 weeks from conception for premature infant. Their occurrence is 3-6/1000 live birth.
Objectives: To study clinical types, age of onset and etiology of seizures. Methods: Out of 88 full term and premature neonates with seizures admitted to neonatal care unit of Central Teaching Hospital of Pediatrics and Al-Yarmook Hospital were studied prospectively from 1st of June to 30th of November 2011.
Results: The most common cause of neonatal seizure was hypoxic-ischemic encephalopathy 23 cases (33.1%) in term infants. Tonic type in 100% of preterm baby while subtle type in the majority of term babies 28 cases (33.3%).
Conclusion: The commonest cause of seizure was hypoxic-ischemic encephalopathy followed by sepsis and intraventricular hemorrhage occur mainly in preterm, with male preponderance in the 1st 72 hrs of life. Subtle type were the commonest type observed in full term and tonic type in preterm babies
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