A study of clinical profile of neonatal seizures
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Objective: To study the clinical profile of neonatal seizures. Design: Prospective observational study. Settings: Neonatology Intensive Care Unit at tertiary care hospital. Outcome Measures: Association of risk factors like preconceptional, postconceptional, antepartum, intrapartumand neonatal with neonatal seizures and their outcome. Results: 132 neonates with observed neonatal seizures were studies Gestational age group of more than 37 weeks and birth weight more than 2500 gms had highest frequency of seizures 62.1% and 45.4% respectively. Meconium stained liquor was the most frequent perinatal risk factor followed by prematurity, prolonged labour, foetal distress, premature rupture of membranes and preeclampsia. Seizures occurred with increased frequency in between 24 hours to 7 days, most of them being subtle. The most common metabolic abnormality was found to be hypoglycaemia. Birth asphyxia accounted for 61(46.2%) cases of seizures either alone or in combination with other etiologies. Conclusion: We conclude that having the knowledge of these factors will help in anticipation of seizures in presence of perinatal risk factors and careful monitoring for occurrence of seizures in babies and proper early treatment. This will also help in reducing neonatal mortality.
Authors and Affiliations
Sambhaji S Wagh, Krupa J Rambhia
Keywords
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