Seizures represent the most distinctive signal of neurological disease in the newborn. In our study, 40 cases of neonatal seizures were followed up for six months then we described the adverse neurological deficits & the predictors for them. Our results showed that the majority of cases (70% ) had an abnormal neurological outcome while (10%) only developed post-neonatal epilepsy. Hypoxic ischemic encephalopathy is considered the most common cause among the study group.