Approach Neonatal convulsion

Approach To Neonatal convulsion :

• Time of onset of convulsion,duration,type of convulsion 
  
• Single or recurrent episodes 
  
• H/O sudden pallor,apnea,convulsion in preterm-IVH Any risk factor of sepsis 
  
• Abnormal body & urine odour 
  
• H/O Prolonged labour,Obstructed labour (Perinatal Asphyxia) 
• H/O Consanguinous marriage(Inborn error of metabolism) 
• H/O Maternal DM ( Hypoglycemia, hypocalcemia, Hypomagnesemia) 
  
• Maternal history of rash during pregnancy (TORCH infection) 
  
• Maternal history of chorioamnionitis, UTI in last trimester (Neonatal sepsis) 
  
• Perinatal history — Birth event,mode of delivery,resuscitation event,APGAR score 
  
• Small for gestational age - Hypoglycemia is common 
• Feeding history — if convulsion occur after initiation of breast feeding suggestive of inborn error of metabolism