title: Aetiology and types of neonatal seizures presenting at Ayub Teaching Hospital Abbottabad.
abstract: BACKGROUND
  Neonatal seizures (NS) affect approximately 1% of neonates. Clonic, tonic, myoclonic and subtle seizures are the common types. Birth asphyxia, sepsis, metabolic derangements, intracranial bleed, kernicterus, tetanus and 5th day fits are the common aetiologies. This study was planned to evaluate the types and causes of neonatal seizures.
  
  
  METHODS
  It was a descriptive case series conducted at Ayub Teaching Hospital, Abbottabad from 12th December 2006 to 25th September 2007 on neonates having seizures. Serum chemistry, blood counts, cerebrospinal fluid examination and cranial ultrasound were done in all patients. Blood culture, renal and liver function tests, computerised tomography scan, metabolic and septic screening was done in selected patients. Descriptive statistics were applied for analysis.
  
  
  RESULTS
  Tonic clonic seizure was the commonest type (28%) followed by multi-focal clonic, and focal tonic seizures (25% each). Birth asphyxia was found to be the main aetiology (46%).
  
  
  CONCLUSIONS
  Tonic clonic seizure was the commonest type and birth asphyxia the main aetiology identified in the majority of neonatal seizures.
authors.affiliation: Paediatric Department of Ayub Teaching Hospital Abbottabad, Pakistan. drshazad628@yahoo.co.in
authors.forename: Shahzad
authors.initials: S
authors.lastname: Najeeb
authors.forename: Azhar Munir
authors.initials: AM
authors.lastname: Qureshi
authors.lastname: Anis-ur-Rehman
authors.forename: Fayaz
authors.initials: F
authors.lastname: Ahmad
authors.forename: Sher
authors.initials: S
authors.lastname: Shah
authors.forename: Asfand Yar
authors.initials: AY
authors.lastname: Khan
authors.forename: Tahir Saeed
authors.initials: TS
authors.lastname: Siddiqui
mesh_terms: D001238:Asphyxia Neonatorum / Q000150:complications; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010154:Pakistan; D012640:Seizures / Q000209:etiology*