Title: A Study of Neonatal Convulsions with Special Reference to Levels of Magnesium and Incidence of Hypomagnesemia in Hypocalcemic Neonates
Authors: Dr Sravan Kumar Kusuma, Dr Attada Ajay Kumar, Dr Jagadeeswararao Metta
Introduction: Neonatal seizure is a common neurological problem in the neonatal period. Neonatal seizures have always been a topic of interest because of its universal occurrence. A varied number of conditions are capable of causing seizures in the neonatal period the highest incidence of neonatal seizures occurs during first 24hrs of life. Neonatal seizures often signal an underlying ominous neurological condition, most commonly hypoxic ischemia. The other common etiologies of neonatal seizures are intra-ventricular hemorrhage or intra-parenchymal hemorrhage, meningitis, sepsis or metabolic disorders.
Aims and Objectives
- To study the etiology of neonatal seizures.
- To evaluate neonatal seizures with reference to biochemical changes with special reference to serum magnesium levels.
- Microbiological investigation to find the most common organisms implicated in neonatal seizures
Patients and Methods: All the babies with neonatal seizures who were admitted in department of Paediatrics between July 2017 and August 2018 were studied
Results: The incidence of seizures is most common in during first 24hrs of life. Perinatal Asphyxia is the most common cause of neonatal seizures followed by ICH. Among the Biochemical abnormalities hypoglycemia is the most common cause for neonatal seizures followed by hypocalcemia Of 150 cases meningitis accounts for 18 cases for which most common organism was E.Coli.