An Observational Study of Various Clinical Presentations of Neonatal Seizures With Their Relative Frequency and Their Correlation With Etiology.

Abstract

The study has been conducted in the neonatal unit of IMCHRC Indore Madhya Pradesh. This is a tertiary care teaching hospital.
 Overall most common etiology of neonatal seizures in our study was sepsis (64.9%), followed by birth asphyxia 48.3% cases, hypoglycemia (25%) & hypocalcaemia (21.6%)
 Birth asphyxia is the most common cause of subtle seizures and sepsis led to tonic seizures.
 The most common aetiology for neonatal seizures is sepsis. This is because the study was conducted in a Medical college placed in rural area, in which patients are coming from villages and rural background, where concept of hygiene is poor, so source of infection was higher. Patients of Birth Asphyxia are less, since our hospital is of tertiary care level where inborn patients are given good perinatal care. Due to lack of knowledge & awareness of infant feeding we got cases of hypoglycaemia& electrolyte imbalance. Onset of seizures during first 3 days of life has significant correlation with HIE as aetiology. Most of the newborn are term & male preponderance was found. Subtle seizures are commonest type of clinical seizures, which were difficult to identify, therefore careful observation of at risk newborns is necessary.
 Keywords: Clinical, Seizures, Neonates & Etiology.

Neonatal Seizures: Epidemiological, Diagnostic Aspects and Short-Term Outcome at Issaka Gazoby Maternity Hospital of Niamey, Niger

“…The low rate funded in our context may be due to diagnostic difficulties, many seizures going clinically undetected, and others having only an isolated electrical translation. The decline in incidence of this condition worldwide could be explained by advances in resuscitation methods [5] [17] [18]. In our context, this involved training health workers in emergency obstetric and neonatal care in peripheral health centers.…”