Article Text

EVALUATION OF NEONATAL SEIZURE CAUSES IN OUR WARD SINCE 2007
  1. F Golipour2,
  2. H Babaei1,
  3. S Kavandi3,
  4. A Ramezanpour4
  1. 1Paediatrics Ward, Vali Asr Hospital, Zanjan University Of Medical Sciences, Zanjan, Iran
  2. 2Neurology Ward, Vali Asr Hospital, Zanjan University Of Medical Sciences, Zanjan, Iran
  3. 3Faculty Of Humanity, Zanjan University, Zanjan, Iran
  4. 4Faculty Of Medicine, Zanjan University Of Medical Sciences, Zanjan, Iran

Abstract

Objective Seizures are the most frequent manifestation of serious diseases, in premature and term newborns. Experimental data suggest that neonatal seizures may have a deleterious effect on the developing brain. In the present prospective and case control study, we try to show the incidence of seizure, its causes and outcomes for the patients in our area since 2007.

Methods We evaluated the files of 54 cases that had signs and symptoms of at least a form of seizure eg: tonic, clonic, subtle and myoclonic. First, data including gestational age, gender, weight, birth history, delivery type and its problems, address, duration of stay in ward, kind of seizure and its treatment, patient’s general condition when discharged, were collected and recorded on special forms. Then, data were analyzed in SPSS.

Results 18 patients (33%) were premature, 30% had metabolic disorders, there was prenatal asphyxia in 13 newborns (25%), CNS infection/sepsis in 5 cases (10%) and drug withdrawal in 1 patient (2%)

Conclusions Observation of these different types of neonatal seizures may assist in discovering etiological factors and in formulating a prognosis. Time of onset may be useful as certain etiologies are more likely to occur early (first 24 hours) while others typically occur later in the neonatal period. Our results showed that many neonatal seizures are preventable. It seems more than one factor of potential etiological significance was present in several babies.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.