“Evaluation of Seizure by MRI in a Tertiary Care Hospital”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 8
Abstract
Introduction: A seizure is a paroxysmal alteration in neurological function resulting from abnormal excessive neuronal electrical activity.[1] The pathophysiologic basis of seizures is loss of normal regulation of neuronal excitation and inhibition, resulting in a state of relative hyperexcitability.[2] Epilepsy is a chronic condition characterized by recurrent seizures unprovoked by an acute systemic or neurologic insult; the term itself does not indicate a specific underlying pathology.[2,3] MRI is the imaging modality of choice for the evaluation of patients With epilepsy and has been shown to be superior to CT for the detection of cerebral lesions. AIM: To assess the spectrum of pathology of seizure disorders on MRI. Materials and methods: Hospital based cross-sectional study was conducted in the Department of Radiodiagnosis, SSIMS &RC, Davangere from January2017-January2018. 72 patients with Seizure disorder were selected which are evaluated by 1.5 Tesla MRI and this study also included the seizure patients who underwent MRI imaging in Department Of Radiology and Imaging, Bokaro General Hospital, Bokaro, Jharkhand. Observation And Results: MR examination revealed pathological findings in 31 out of 72 patients which includes, mesial temporal sclerosis (22.5%), Stroke (22.5%), Infections (16.1%), Developmental disorders (12.9%), tumours/vascular abnormalities (19.3%) and Phacomatosis (6.4%). Conclusion: MRI play a significant role in patients presenting with seizures and helps to identify the cause of the seizures. Common neuroimaging abnormalities associated with seizures were mesial temporal sclerosis, cerebrovascular diseases, neoplasms, vascular malformations, infections and developmental malformations.
Authors and Affiliations
Dr. Kumar Ashok Charan, Dr. Parthasarathy K R, Dr. Krishnarjun, Dr. Veeresh U Purad
Keywords
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- EP ID EP381219
- DOI 10.9790/0853-1708080106.
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