Acta Scientific Paediatrics (ISSN: 2581-883X)

Research Article Volume 3 Issue 11

The Clinicoetiological Profile of Neonatal Seizure at Level-II NICU in a Territory Care Hospital, Chhattisgarh

Ganpat Jha1, Pradeep Agarwal1, Subodh Kumar Saha1, Mitesh Chawda1*, Hitav Someshwar2, Ashish Wanare1, Ravi Prakash Pandey1 and Bhushan Khadse3

1Department of Pediatrics, Jawaharlal Nehru Hospital and Research Center, Bhilai, Chhattisgarh, India
2Department of Neurophysiotherapy, K. J Somaiya College of Physiotherapy, Mumbai, Maharashtra, India
3Department of Radiodiagnosis, Jawaharlal Nehru Hospital and Research Center, Bhilai, Chhattisgarh, India

*Corresponding Author: Mitesh Chawda, Department of Pediatrics, Jawaharlal Nehru Hospital and Research Center, Bhilai, Chhattisgarh, India.

Received: August 24, 2020; Published: October 16, 2020

×

Abstract

  We carried out a single centre, prospective, non-interventional observational study of consecutive neonates admitted in neonatal intensive care unit. We evaluated 150 neonates with seizures admitted to NICU in our centre from October 2015 to September 2017 over duration of two years. All subjects were evaluated on clinical basis; physical examination was done to look for vitals, blood pressure, and cyanosis. Historical evaluation included demographic details and antenatal history to know the risk factors associated with occurrence of seizures in newborn. Special emphasis was given on risk factors like maternal age, gestation, birth order, prolonged or difficult labour, birth asphyxia, sepsis, maternal diabetes mellitus, and drug consumption during pregnancy. Appropriate laboratory investigations were sent including haemogram, blood sugar, serum calcium, serum magnesium, other blood biochemistries, blood culture and neuroimaging work up was done, if required. All data was then entered into a prestructured proforma/case history forms and statistical analysis was done. Our study revealed that the most common etiology of seizures in our series was birth asphyxia. Metabolic disturbances were 2nd most common etiology in which hypocalcemia was the most common type. Males outnumbered females, and seizures occurred most commonly in full term neonates as compared to preterm. The most common type of seizure was the subtle type followed by tonic and then clonic and myoclonic. Birth asphyxia which was most common occurred on day of life 1. Metabolic seizures were most commonly occurred on day of life 4 to 7. Birth asphyxia was the most common etiology in both term and preterm babies. Phenobarbitone was the most common antiepileptic drug used in our study. All cases were also additionally managed for their underlying condition according to standard N.I.C.U protocols with special emphasis on hemodynamic stability.

Keywords: Neonates; Seziures; Asphyxia; Metabolic; Critical Care; Epilepsy

×

References

  1. Sankar JM., et al. “Seizures in newborn”. Indian Journal of Pediatrics 75 (2008): 149.
  2. Volpe JJ. “Hypoxic-Ischemic Encephalopathy: Biochemical and Physiological Aspects”. In: Neurology of the Newborn. 4th Philadelphia: WB Saunders (2000): 217-76.
  3. Tekgul H., et al. “The current etiologic profile and neurodevelopmental outcome of seizures in term newborn infants”. Pediatrics 117 (2006): 1270-1280.
  4. McCabe BK., et al. “Reduced Neurogenesis after Neonatal Seizures”. Journal of Neuroscience6 (2001): 2094-2103.
  5. Sheth RD and Bodensteiner JB. “Delayed postanoxic encephalopathy: possible role for apoptosis”. Journal of Child Neurology7 (1998): 347-348.
  6. Kossoff E. “Neonatal Seizures Due to Hypoxic-Ischemic Encephalopathy: Should We Care?” Epilepsy Currents 11 (2011): 147-148.
  7. Rennie JM. “Neonatal seizures”. European Journal of Neuroscience 156 (1997): 83-87.
  8. Tekgul H., et al. “The current etiologic profile and neurodevelopmental outcome of seizures in term newborn infants”. Pediatrics 117 (2006): 1270-1280.
  9. Jensen FE. “Neonatal Seizures: An Update on Mechanisms and Management”. Clinical Perinatology4 (2009): 881.
  10. Scher MS., et al. “Neonates with electrically confirmed seizures and possible placental associations”. Pediatric Neurology1 (1998): 37-41.
  11. Fakhraee SH. “Neonatal Seizures: A Review”. Iranian Journal of Child Neurology (2007): 7-11.
  12. Rennie JM and Bylan GB. “Neonatal seizures”. In David TJ, ed. Recent advances in paediatrics 18. Churchill Livingstone, Edinburgh (2002): 19-32.
  13. Larioa N. “Current Controversies in Diagnosis and Management of Neonatal Seizures”. Indian Pediatrics 37 (2000): 367-372.
  14. Bernes SM and Kaplan AM. “Evolution of neonatal seizures”. Pediatric Clinics of North America 5 (1994): 1069-1104.
  15. https://formulas.tutorvista.com/math/statistics-formulas.html
  16. Roberton NRC and Smith MA. “Early neonatal hypocalcemia”. Archives of Disease in Childhood 50 (1975): 604-609.
  17. McGowan JE. “Neonatal Hypoglycemia”. Pediatrics Review 20 (1999): e6-e15.
  18. Sankar R and Painter MJ. “Neonatal seizures: after all these years we still love what doesn't work”. Neurology 5 (2005): 776-777.
  19. Eghbalian F., et al. “Neonatal Seizures: Etiology and Frequency”. Iranian Journal of Child Neurology (2007): 39-42.
  20. Sheth R., et al. “Neonatal Seizures: Incidence, Onset, and Etiology by Gestational Age”. Journal of Perinatology1 (1999): 40-43.
  21. Silverstein FS and Jensen FE. “Neonatal Seizures”. Annuals of Neurology 62 (2007): 112-20.
  22. Digra SK and Gupta A. “Prevalence of Seizures in Hospitalized Neonates”. JK Science Journal of Medical Education and Research 9 (2007): 27-29.
  23. Villeneuve N., et al. “Neonatal seizures induced persistent changes in intrinsic properties of CA1 rat hippocampal cells”. Annuals of Neurology 47 (2000): 729-38.
  24. Marzoki JMA. “Clinico-Biochemical profile of neonatal seizures [Research Thesis]”. Hilla-Iraq- Babylon: Babylon University (2009).
  25. Moayedi AR., et al. “Neonatal Seizure: Etiolgy and Type”. Iranian Journal of Child Neurology (2007): 23-26.
  26. Sheth RD., et al. “Midazolam in the treatment of refractory neonatal seizures”. Clinical Neuropharmacology2 (1996): 165-170.
  27. Chapman KE., et al. “Neonatal seizures: controversies and challenges in translating new therapies from the lab to the isolette”. European Journal of Neuroscience 35 (2012): 1857-1865.

 

×

Citation

Citation: Mitesh Chawda., et al. “The Clinicoetiological Profile of Neonatal Seizure at Level-II NICU in a Territory Care Hospital, Chhattisgarh". Acta Scientific Paediatrics 3.11 (2020): 20-29.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days
Impact Factor1.197

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US