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Information Journal Paper

Title

Clinco-etiological Profile and Predictors of Outcome of Neonatal Seizures: A Prospective Observational Study from Egypt

Pages

  22-31

Abstract

 Background: Neonatal Seizures are the most prevalent neurological disorders. In Egypt, the characteristics and neurodevelopmental Outcomes of neonatal Seizures have not been sufficiently explored. Methods: The present study was conducted on 120 full-term and Preterm newborns from October 2016 and October 2020. The adverse Outcomes of cerebral palsy, mortality, developmental delay, and/or epilepsy have been considered. The associations between adverse Outcomes and 13 variables were analyzed. Results: Hypoxic-ischemic encephalopathy (HIE) (34. 2%) was the most common etiology for neonatal Seizures, followed by intracranial hemorrhage (25. 8%). The predominant Seizure type was subtle (57. 5%), preceded by clonic Seizure (16. 7%). Moreover, 72 Neonates had a normal Outcome, 14 (60%) cases had minor functional disabilities, and 27 (22. 5%) newborns survived with one or more neurodevelopmental abnormalities (6 cases had cerebral palsy, and 21 newborns had global developmental delay), with a 17. 5 % mortality rate. Based on the univariate analysis, 10 variables were associated with an unfavorable Outcome; nonetheless, only three variables, namely metabolic acidosis, abnormal cranial ultrasonography findings, and the presence of congenital heart disease, were independent predictors as illustrated by multivariate logistics. Conclusion: As evidenced by the obtained results, HIE and intracranial hemorrhage were the most common causes of neonatal Seizures. Perinatal insult, prematurity, Seizure onset <24 hours, low Apgar score at 1 min, myoclonic or mixed Seizure, the efficacy of the anticonvulsant therapy, abnormal cranial U/S, metabolic acidosis, abnormal electroencephalography (EEG) pattern, and the presence of congenital heart disease were the most reliable predictors of adverse Outcome.

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    APA: Copy

    Rateb Abd Almonaem, Eman, Shaheen Dabour, Ahmed, Ahmed Elawady, Mona, & Mohamed Abdel Haie, Omima. (2022). Clinco-etiological Profile and Predictors of Outcome of Neonatal Seizures: A Prospective Observational Study from Egypt. IRANIAN JOURNAL OF NEONATOLOGY, 13(2), 22-31. SID. https://sid.ir/paper/991035/en

    Vancouver: Copy

    Rateb Abd Almonaem Eman, Shaheen Dabour Ahmed, Ahmed Elawady Mona, Mohamed Abdel Haie Omima. Clinco-etiological Profile and Predictors of Outcome of Neonatal Seizures: A Prospective Observational Study from Egypt. IRANIAN JOURNAL OF NEONATOLOGY[Internet]. 2022;13(2):22-31. Available from: https://sid.ir/paper/991035/en

    IEEE: Copy

    Eman Rateb Abd Almonaem, Ahmed Shaheen Dabour, Mona Ahmed Elawady, and Omima Mohamed Abdel Haie, “Clinco-etiological Profile and Predictors of Outcome of Neonatal Seizures: A Prospective Observational Study from Egypt,” IRANIAN JOURNAL OF NEONATOLOGY, vol. 13, no. 2, pp. 22–31, 2022, [Online]. Available: https://sid.ir/paper/991035/en

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