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临床试验/NCT06108778
NCT06108778尚未招募不适用

Adescriptive Study on Incidence of Metabolic Disorders in Neonatal Convulsions

Assiut University0 个研究点目标入组 115 人开始时间: 2023年11月25日最近更新:
适应症

试验速览

阶段
不适用
状态
尚未招募
入组人数
115
主要终点
Describe incidence of metabolic disorders in neonatal convulsions affecting neonates at NICU

研究概览

简要总结

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

详细描述

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.

研究设计

研究类型
Observational
观察模型
Other
时间视角
Prospective

入排标准

年龄范围
1 Day 至 28 Days(Child)
性别
All
接受健康志愿者

入选标准

  • 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

排除标准

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

结局指标

主要结局

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

时间窗: Baseline

Describe types of metabolic disorders causing neonatal convulsions

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Amira Mohamed Sayed Ahmed

Assistant lecturer

Assiut University

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