Background: Neonatal seizures are the most common cause of mortality and morbidity encountered in neonatal intensive care unit. Seizures are associated with poor neurodevelopmental outcome if not diagnosed early and treated properly. Hence this study has been done to study the incidence and pattern of seizures in paediatric (0-12 years) age group. Material and Methods: Present study was single-center, prospective, observational study, conducted in pediatric patients, aged between 0 to 12 years and of either sex who presented with history of seizures with any etiology. Results: Preponderance of males constituting 61.35% over female 38.65% was observed in this study. Most common seizures were neonatal, 35.89% out of total seizure cases. The overall incidence 12.66%. The incidence of neonatal seizures was higher in male neonates, Subtle type of seizures were the commonest type of seizures observed both in term and preterm neonates. Majority of the neonatal seizures due to birth asphyxia were early in onset while in septicemia, late onset seizures were more common. So the time of onset of neonatal seizures is an important clue to its etiology. Total febrile seizures were 25.46% and overall incidence was around 2.57%. Preponderance of male constituting 62.65% over female 37.35% was observed in our study. In our study epileptic cases were 38.65% of total cases and overall incidence was 3.9%. In this group also there is male preponderance with 58.73% over female 41.27%. Commonest presentations of epileptic seizures were generalised 67.46% followed by focal 28.57%% and 3.97% were undetermined. Conclusion: The early recognition and treatment of neonatal seizures is essential for optimal management and satisfactory outcome, as seizures in neonatal period are associated with high mortality and morbidity.

neonatal seizures, morbidity, febrile seizures acute symptomatic seizures