Introduction- Acute seizures with associated symptoms and complications account for nearly 2% of the children visiting emergency department requiring PICU admission and are a major risk factor for neurological and cognitive impairment and development of epilepsy. Therefore, this study aims to know the incidence etiology and short-term outcome of acute seizures

Methodology- 211 Children of age group 1 month to 18 years of age admitted for acute seizure over the period of 12 months in PICU in a tertiary care centre were studied.

Result-During the study duration 211 patients had acute seizures. Out of 211, 62 patients had past history of seizures. For these 26.5% had acute convulsions, 45% had come in postictal state and 28.4% had new seizures within 1-3 days of admissions in PICU. Majority of patients (46%) had duration of seizure less then 5minutes and 11.4% had established status epilepticus. Generalized seizure was of longer duration than focal seizure.  Epilepsy (23.2%) was found to be the most common etiology followed by atypical febrile seizures. Out of 211 patients 68.2% had excellent recovery, 26.6% recovered partially while 15.2% patients had poor recovery.

Conclusion- Epilepsy is most important cause of acute seizures in our PICU followed by atypical febrile seizure, irrespective of age and sex with maximum number of patients having seizure duration less than 5minutes. Adequate management led to good recovery in majority of patients.