Introduction: Incidence of Seizure disorders is more in children compared to adults. Partial seizures are fairly common form of seizures in children. Methods: This study was carried to determine the etiology of partial seizures in children with the help of EEG and CT scan. In this study total of 80 children with partial seizures defined as per ILAE, belonging to 1-12years of age group were studied retrospectively. Data was collected in the form of history, EEG report and CT scan brain report over a period of 2 years, from the hospital records. Results: EEG was abnormal in 92.5% and CT scan was abnormal in 85% of children with partial seizures. The most common type of partial seizure was complex partial seizure (58.75%). The most common CT scan abnormality was (75%) ring enhancing lesion. Conclusion: EEG and CT scan plays an important role in establishing etiology of partial seizures and thus serves as a tool for appropriate management.
Background: Respiratory distress syndrome (RDS) is an important cause of morbidity and mortalityin preterm infants. Bubble CPAP when used appropriately, is more cost-effective, non-invasive,requires less training and has a lower risk of complications. However, not all preterm infants withRDS respond to CPAP. Aims: To study the immediate outcome of preterm infants with mild tomoderate respiratory distress syndrome on Bubble CPAP. To study the safety and effectiveness of B-CPAP and to identify the risk factors associated with its failure. Setting: NICU, Department ofpediatrics, Mamata general hospital and medical college, Khammam. Design- Prospectiveobservational study Material and Methods: This duration bound study was conducted fromFebruary 2018 to February 2020. Based on the inclusion criteria 73 Preterm babies with mild tomoderate respiratory distress syndrome requiring respiratory support were included in this study.Details of birth history, use of antenatal steroids, gestational age, type of delivery, birth weight,Downes score and chest X-ray were recorded. And the effectiveness and outcome of bubble CPAPwere studied. Results: Out of the total of 73 cases, 53(72.60%) were treated successfully, while20(27.40%) failed bubble CPAP. Conclusion: Bubble CPAP is the safe primary mode of respiratorysupport in Preterm newborns with mild to moderate RDS, more effective with early Initiation and inPreterm babies born to mothers with the use of antenatal steroids.
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