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J Pediatr. 1999 Jan;134(1):71-5.

The epidemiology of clinical neonatal seizures in Newfoundland: a population-based study.

Author information

1
Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada.

Abstract

OBJECTIVE:

To study the incidence, clinical features, etiologic distribution, and day of seizure onset by etiology in neonates with seizures.

DESIGN:

Prospective, population-based study involving all the obstetric and neonatal units across the province of Newfoundland, Canada. All units were given educational sessions on neonatal seizure symptomatology.

SUBJECTS:

Detailed questionnaires were prospectively collected for all infants with probable neonatal seizures for a period of 5 years.

RESULTS:

The incidence rate was 2. 6 per 1000 live births, 2.00 for term neonates, 11.1 for preterm neonates, and 13.5 for infants weighing <2500 g at birth. Seizures lasting 30 minutes or longer were present in 5%, and the neonatal death rate among infants with seizures was 9%. Hypoxic-ischemic encephalopathy was the presumed cause in 40%, infections in 20%, and metabolic abnormalities in 19%.

CONCLUSIONS:

Clinical neonatal seizures occur 6 times more often in preterm infants than in term infants. Hypoxic-ischemic encephalopathy continues to be a major marker of the likelihood of seizures.

PMID:
9880452
DOI:
10.1016/s0022-3476(99)70374-4
[Indexed for MEDLINE]

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