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2019, Number 2

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Rev Mex Pediatr 2019; 86 (2)

Clinical characteristics of newborns with seizures in a general hospital in Mexico City

Rodríguez-Portilla IJ, Peña-Alejandro MS, Coiscou-Domínguez NR, Reynosa-Santillán PM

Language: Spanish
References: 18
Page: 47-50
PDF size: 202.54 Kb.


ABSTRACT

Objectives: To describe the incidence and clinical characteristics of newborns who experienced seizures in the neonatal period in a general hospital in Mexico City. Material and methods: An observational and retrospective study was carried out. Newborns admitted to the Neonatal Intensive Care Unit and who presented seizures during the first 28 days of life were included. The causes of the seizures were investigated and electroencephalogram was performed in all patients. Results: There were nine newborns with seizures in a one year period; thus the estimated prevalence in the period was 2.95%. Seven patients were female and premature; gestational age ranged from 29 to 38 weeks of gestation and, in almost all, seizures began within the first seven days of life. In all but not in one, the cause was documented; being metabolic the most frequent in three newborns (hypoglycemia, hyponatremia, hypocalcemia), one patient had hypoxic-ischemic encephalopathy, another intraventricular hemorrhage, one meningitis and another malformation of the central nervous system. Conclusion: These findings reflect that basic care is what should be given to newborns in NICU when they present seizures, always thinking on the most common causes of this comorbidity.


REFERENCES

  1. Kanhere S. Recent advances in neonatal seizures. Indian J Pediatr. 2014; 81(9): 917-925. doi: 10.1007/s12098-014-1540-2.

  2. Hart AR, Pilling EL, Alix JJ. Neonatal seizures—part two: Aetiology of acute symptomatic seizures, treatments and neonatal epilepsy syndromes. Arch Dis Child Educ Pract. 2015; 100 (5): 226-232. doi: 10.1136/archdischild-2014-306388.

  3. Berry K, Pesko MF, Hesdorffer DC, Shellhaas RA, Seirup JK, Grinspan ZM2 An evaluation of national birth certificate data for neonatal seizure epidemiology. Epilepsia. 2017; 58 (3): 446-455. doi: 10.1111/epi.13665.

  4. Ghanshyambhai P, Sharma D, Patel A, Shastri S. To study the incidence, etiology and EEG profile of neonatal seizures—a prospective observational study from India. J Matern Fetal Neonatal Med. 2016; 29 (4): 554-588. doi: 10.3109/14767058.2015.1010199.

  5. Sudia S, Berwal PK. Clinicoetiological profile and outcome of neonatal seizures. Intl Journal of Contemporary Pediatr. 2015; 2(4): 389-394. doi: 10.18203/2349-3291.

  6. Vesoulis ZA, Mathur AM. Advances in management of neonatal seizures. Indian J Pediatr. 2014; 81(6): 592-598. doi: 10.1007/s12098-014-1457-9.

  7. Talebian A, Jahangiri M, Rabiee M, Masoudi Alavi N, Akbari H, Sadat Z. The etiology and clinical evaluations of neonatal seizures in Kashan, Iran. Iran J Child Neurol. 2015; 9 (2): 29-35.

  8. Hart AR, Pilling EL, Alixx JJ. Neonatal seizures—part 1: Not everything that jerks, stiffens and shakes is a fit. Arch Dis Child Educ Pract. 2015; 100 (4): 170-175. doi: 10.1136/edpract-2014-306385.

  9. Van Rooij LGM, Hellstrom-Westas L, de Vries LS. Treatment of neonatal seizures. Semin Fetal Neonatal Med. 2013; 18 (4): 209 - 2015. doi: 10.1016/j.siny.2013.01.001.

  10. Parvin R, Salim A, Rahman M, Chowdhury K, Sultana A, S Ahmed. Neonatal seizures: correlation between clinico-etiological profile and EEC findings. Bangladesh J Child Health. 2014; 38 (1): 19-23.

  11. Okumura A. The diagnosis and treatment of neonatal seizures. Chang Gung Med J. 212; 35 (5): 365-372.

  12. Rout B, Panda S, Swain B. Evaluation of neonatal seizures at a tertiary care centre, Bhubaneswar. Yuva Journal of Medical Science. 2016; 2 (4): 127-129.

  13. Sands TT, McDonough TL. Recent advances in neonatal seizures. Curr Neurol Neurosci Rep. 2016; 16: 92. doi: 10.1007/s11910-016-0694-x.

  14. Ríos B, Rey L, Ibarra J, Olivas E. Prevalencia de crisis convulsivas neonatales en el Instituto Nacional de Perinatología. Rev Mex Neuroci. 2007; 8 (4): 360-366.

  15. Plouin P, Kaminska A. Neonatal seizures. Handbook of Clinical Neurology. 2013; 3(3): 467-476.

  16. Gómez-Gómez M, Danglot-Banck C, Aceves-Gómez M. Clasificación de los niños recién nacidos. Revista Mexicana de Pediatría. 2012; 79 (1): 32-39.

  17. Fenton T, Kim J. A systematic review and meta-analysis to revise the Fenton growth chart for the preterm infants. BMC Pediatrics. 2013; 13(59). doi 10.1186/1471/2431-13-59.

  18. Kang SK, Kadam SD. Neonatal seizures: impact on neurodevelopmental outcomes. Front Pediatr. 2015; 3: 101. doi: 10.3389/fped.2015.00101.




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