Table 2

Aetiology of neonatal seizures

AetiologyPercentage contribution13
Hypoxia-ischaemia (“asphyxia”)46
CNS infection17
 Meningitis, encephalitis, intrauterine infections
Intracranial haemorrhage10
 Extradural, subdural, subarachnoid haemorrhage, periventricular haemorrhage (PVH)6
Cerebral artery infarction6
Acute metabolic disturbance5
 Hypoglycaemia, hypocalcaemia, hypomagnesaemia, hyper or hyponatraemia (or rapidly changing sodium)
Inborn error of metabolism4
 Aminoacidurias, urea cycle defects, organic acidopathies, peroxisomal disorders, pyridoxine dependency
CNS malformation4
Maternal drug intoxication
 Cocaine, heroin, methadone, etc
Hypertensive encephalopathy
Benign neonatal seizures
 Benign familial neonatal convulsions (BFNC)
 Benign idiopathic neonatal convulsions (BINC, “fifth day fits”)
 Benign neonatal sleep myoclonus
Neonatal epileptic syndromes
Idiopathic2