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Incidence of Metabolic Disorders in Neonatal Convulsions

Adescriptive Study on Incidence of Metabolic Disorders in Neonatal Convulsions

Status
UNKNOWN
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06108778
Enrollment
115
Registered
2023-10-31
Start date
2023-11-25
Completion date
2025-02-25
Last updated
2023-11-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Neonatal Convulsions

Brief summary

Describe the incidence of metabolic disorders in neonatal convulsions affecting neonates at NICU Describe types of metabolic disorders causing neonatal convulsions

Detailed description

Neonates are susceptible to seizures due to several physiologic factors and combination of risks that are uniquely associated with gestation, delivery,and the immediate postnatal period. Neonatal seizures can be challenging to identify therefore itis imperative that clinicians have ahigh degree of suspicion for seizures based on the clinical history or the presence of encephalopathy with or without paroxysmal abnormal movements. Acute symptomatic neonatal seizures are due to an acute brain injury, whereas neonatal onset\_epilepsy may be due to underlying structural, metabolic ,or genetic disorders.Early identification and treatment are likely important for long term outcomes in acute symptomatic seizures though additional studies are needed to understand optimal seizure control metrics and the ideal duration of treatment. seizures may be the first and the major presenting feature of an inborn error of metabolism. seizures may be preceded by other major symptoms by areduced level of consciousness in achild with an organic acidemia or urea cycle defect or by loss of skills ,progressive weakness ,ataxia ,and upper motor signs in achild with lysosomal storage disorder or peroxisomal leukodystrophy.the metabolic causes of seizure vary according to age at presentation.

Interventions

DEVICEMRI

Investigations as CT,MRI.serum ammonia and lactate

Sponsors

Assiut University
Lead SponsorOTHER

Study design

Observational model
OTHER
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
1 Days to 28 Days

Inclusion criteria

* Neonatal convulsions associated with vomiting,acidotic breathing,DCL,change of body tone or change in hair color * Abnormal metabolic investigations (elevated serum ammonia and lactate ,persistent metabolic acidosis,abnormal metabolic screening and hypoglycemia * persistent neonatal convulsions not respond to antiepileptic drugs

Exclusion criteria

* History of neonatal asphyxia * History of birth trauma * Signs of sepsis and CNS infection * Neonate with electrolyte disturbance

Design outcomes

Primary

MeasureTime frameDescription
Describe incidence of metabolic disorders in neonatal convulsions affecting neonates at NICUBaselineDescribe types of metabolic disorders causing neonatal convulsions

Contacts

Primary ContactAmira Mohamed Sayed, master
amiramohamed12yahoo@gmail.com01140282846
Backup ContactAbdellatif Mohamed Abdelmoaz, professor
a.m.abdelmoez@aun.edu.eg01005208016

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026