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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-09
Clinico-Etiological Profile of Neonatal Seizures in Term Neonates: A Study in a Tertiary Care Hospital, Dhaka, Bangladesh
Mohammad Moniruzzaman Bhuiyan, Nadira Dilruba Hoque, Mahfuza Nasrin, Md. Ibrahim Khalil, Nasrin Akhter
Published: Sept. 30, 2020 | 105 102
DOI: 10.36347/sjams.2020.v08i09.041
Pages: 2194-2197
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Abstract
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. Neonatal seizure is common in this part of the South Asia and there was paucity of data from this area. Objective: Identification of etiology will help in management there by reducing morbidity and mortality. Materials and Methods: This prospective study was done in NICU Pediatrics Dept. of Tertiary Care Hospital, Dhaka, Bangladesh from Jan 2018 to Jan 2019. Term neonates with clinically identifiable seizure were included in the present study. Preterm neonates, babies with neonatal tetanus, and babies with obvious congenital malformation were excluded. Results: Out of 84 studied neonates, 46 were males and 38 were females. 29 neonates had seizures within first 24 hours and 22 neonates had seizures on day 2. Perinatal asphyxia was seen in 28 neonates and septicemia was seen in 21 neonates. Conclusion: Perinatal asphyxia was the most common cause for neonatal seizures in term neonates, followed by septicemia and metabolic disturbances.