Background: Seizure is one of the commonest neurological disorder and also a common cause of hospitalization in adolescence with significant morbidity and mortality.

Materials & Methods: This was a prospective study conducted in Pediatrics department, RMCH, Bareilly, UP among the admitted patients from 1^st Nov 2018-31^st Oct 2019 among 3months to 15year age group. Age, sex, type of seizure, associated complaints, clinical examination, laboratory investigations, neuroimaging, EEG findings were interpreted and clinic-etiological profile was made.

Results: Incidence of new onset seizures was common in older children with male predominance and GTCS being the most common type of seizure followed by focal seizures. Fever was the most common associated symptom. Most commonly CNS infection followed by seizure disorder, intracranial space occupying lesions predominantly NCC, febrile seizures, metabolic disorders were the etiologies found.

Conclusion: CSF analysis, EEG, Neuroimaging plays an important role in evaluating the seizure etiology and thorough history and clinical evaluation is very important before undergoing investigations. clinico-etiological profile of seizures can help in better understanding of the disease and help in better management. Larger sample size and long term follow up is required for the better understanding of the etiologies of seizures in context of a developing country.

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Peruru Latheesh Kumar