Background: Seizure is one of the common causes of childhood hospitalization with significant mortality and morbidity. There is limited data regarding the prevalence of seizures in children from the developing countries. Aim & Objectives: To find the prevalence of epileptic and non-epileptic seizures and the common etiology of seizures in various age groups presenting to tertiary care center in Central India. Material &Methods: This was a hospital based observational study carried out in the Department of Pediatrics, Acharya Vinoba Bhave Rural Hospital, Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha from 1st August 2012 to 31st July2014.  All patients who were fulfilling the inclusion criteria within the age group of  >28 days to 15 years  were enrolled for the study. Results: A total of 169 patients were admitted for seizures with 115 (68%) males and 54 (32%) females. Among these patients, Maximum patients were in the age group between 1.1 year to 5 years of age (41%). the prevalence of epileptic seizures was 6.5/1000 population whereas the prevalence of non-epileptic seizures was 4.1/1000 population. Most common type were epileptic seizures (61.5%) followed by febrile seizures (25.5%) and Acute symptomatic seizures (13%).Generalized tonic-clonic seizures were the most common type of seizure presentation (59.2%). Conclusion: To conclude, with respect to the age and sex of patients, the prevalence of epilepsy in our region is not so much different from that of patients in other parts of the country.