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A Clinical Study of Neonatal Convulsion.

Journal of the Korean Pediatric Society 1983;26(7):640-646.
Published online July 31, 1983.
A Clinical Study of Neonatal Convulsion.
Moon Ja Kim, Seung Joo Lee, Keun Lee
Department of Pediatrics, College of Medicine, Ewha Womans University
신생아 경련의 임상적 고찰
김문자, 이승주, 이 근
이화여자대학교 의과대학 소아과학교실
Abstract
We observed 62 cases of neonatal convulsion who were admitted to the department of Pediatrics, Ewha Womans University Hospital during the 6 1/2 year period from January, 1976 to June, 1982. The following results were obtained, 1. The etiology of neonatal convulsion were, hypoxic brain damage (38.7%), hypocalcemia (14. 5%), infection(12.9%), hyponatremia(6.5%) hypoglycemia(3.2%), hypernatremia(1.6%)and unknown(22.6%). 2. The onset of most neonatal convulsion was within the 3rd day of life(90.4%), and the majority(35.5%) on the first 24 hours of life. 3. The clinical manifestations of neonatal convulsion were subtle type(44.1%), tonic(20.6%), multifocal clonic(19.1%), myoclonic(10.3%) and focal clonic type(5.9%). 4. The immediate outcome of neonatal convulsion were, improvement in 69.4%, discharge against medical advice without improvement in 16.1% and death in 14.5%.
Key Words: Neonatal Convulsion.


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