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Abstract

Background: Since seizures may be the only sign of central nervous system disorder, their recognition is important. Seizures are not only more frequent in neonatal period but they are also more difficult to be diagnosed because of subtle nature of neonatal convulsion.

Objective: Study the causes and treatment response on neonatal convulsion.

Methods: This prospective descriptive study applied on 65 cases admitted to child's central khalis hospital. Patients were collected according to gestational age, sex, date of convulsion, cause of convulsion. Basal line investigations done for all these patients which include (complete blood picture, Serum electrolyte, random blood sugar, and lumbar puncture). while U/S of brain and CT. scan done according to case.

Results: Most cases of neonatal convulsion presented in the 1-4 days of life which constitutes 63% and male to female ratio was 3:2 out of 65 cases with convulsion (86% of them were term. Concerning the etiology hypoxic ischemic encephalopathy (HIE) constitutes (53.8%) of the select cases. Meningitis form (13.8%). Hypocalcemia presented in (10.8%) and hypo glycaemia was seen in (7.7%) of studied cases. kernicterus, intracranial hemorrhages, cerebral abnormally form (1.5%) of cases for each one of them. Undiagnosed cases constitute (9.2%), Nine cases were died 13.85% the meningitis was the most common cause of death which seen in 55.6%followed by HIE which seen in 8.6%.

Conclusion: Hypoxic ischemic encephalopathy was the most common causes of convulsion in neonate while the most common causes of death was meningitis.

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