Neonatal Seizures and Hypomagnesemia: A Case Report

Abstract

This case report describes a 6-day-old neonate presenting with recurrent focal seizures attributed to hypomagnesemia. Hypomagnesemia in neonates is a critical yet often overlooked electrolyte imbalance that can lead to significant neurological manifestations, including seizures. The infant was admitted to the neonatal intensive care unit with convulsions, where initial laboratory tests revealed markedly reduced serum magnesium. Intravenous magnesium sulfate was administered, resulting in the cessation of seizures. Follow-up over a six-month period showed no recurrence of seizures, and subsequent magnesium levels remained within the normal range with oral supplementation. This case underscores the importance of considering electrolyte imbalances in the differential diagnosis of neonatal seizures. Early recognition and management of hypomagnesemia are crucial for preventing potential neurological sequelae.