neonatal seizure: etiology and type
نویسندگان
چکیده
objective neonates, for many reasons, are at particular risk for the development of seizures, which are a strong predictor of later morbidity and mortality in infants. we undertook this study to determine the incidence, etiologic distribution and neonatal seizure type in neonates with hospital admission over a period of 4 years. materials and methods this, a retrospective study of newborns admitted in hospital with a diagnosis of neonatal seizures, was conducted over a 4 year period between march 2001 and march 2005. data were obtained from hospital records was analyzed using the chi-square test. results of 4541 newborns, admitted to hospital, during the study period, seizures occurred in 110 neonates. the incidence of neonatal seizures was 2.4%; the causes of neonatal seizure were hypoxic-ischemic encephalopathy (hie) - 36.4%, infections -19.1%, metabolic abnormalities - 7.3%, intra cranial hemorrhage (ich) - 2.7%, structural disorders - 1.8% and in 32.7% of cases, the cause was unknown. subtle seizures (39.1%) were the most common type of seizures; and the other types were myoclonic (17.3%), clonic (10.0%), tonic (7.3%), generalized tonic clonic seizures (gtcs) (12.7%) and in 13.6% of cases the type of seizure was not mentioned. mortality rate was 13.6%. conclusion health care workers and parents need to be made aware of subtle seizures and the importance of timely and appropriate treatment to decrease any further complications.
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عنوان ژورنال:
iranian journal of child neurologyجلد ۲، شماره ۲، صفحات ۲۳-۲۶
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