@Article{, title={The Role of MRI and Other Clinical Variables in Predicting the Etiology of Neonatal Seizures}, author={Hula Raoof Shreef *, Mohamed AL-Hilli **, Husham Zuhair Hammoodi *, Mahjoob AL-Naddawi***}, journal={Iraqi Postgraduate Medical Journal المجلة العراقية للاختصاصات الطبية}, volume={19}, number={1}, pages={31-40}, year={2020}, abstract={ABSTRACT:BACKGROUND:The first month of life is a time of increased risk of seizures; the prognosis largely depends onetiologic factors and the duration of convulsive activity.OBJECTIVE:To describe the spectrum of brain magnetic resonant imaging (MRI) findings with neonatal seizures.PATIENTS AND METHODS:Cross – sectional study conducted in Children Welfare Teaching Hospital /Medical City Complex.All full term neonates with a seizure were admitted to the Out -born Neonatal Care Unit or attendingthe Consultation Clinic and infants admitted to Pediatrics Neurology Ward who had history of fitduring the neonatal period were included in the study (O -NCU) from January 1st to September31st 2014.RESULTS:Eighty six neonates were included in the study, male: female ratio % o was 1.4:1. The mean age ofpresentation was 24 days (+18SD). Two-thirds of neonates presented in the first week and mainly inthe first two days. The most common type of seizures was the subtle 15.1% within early or latepresentation and less common (3.5%) were the autonomic. About half of the patients had abnormalElectroencephalography (EEG) study 49.1. Only 39.5% had normal MRI finding, about 60.5% hadabnormal MRI, the most frequent abnormality was metabolic 15.1% and developmental 11.6%.The family history was positive in those who presented with seizures in first 14 days (early) in 30% ,and more with those had metabolic etiology and no family history in case of vascular etiology.89.5% of neonates had abnormal MRI finding in those who presented in the late period (p=0.003).

} }