Magnetic resonance imaging of brain in evaluation of pediatric seizure disorder
Journal Title: Medpulse International Journal of Radiology - Year 2019, Vol 9, Issue 2
Abstract
Background: The clinical manifestation and type of seizure disorder varies with age and neurodevelopmental maturity status. MRI is the technique of choice to identify underlying cause in partial seizures. It increases the detection rate of certain intracranial lesions especially those of vascular nature and those involving the meninges. Aim: To evaluate the magnetic resonance imaging of brain in evaluation of pediatric seizure disorder. Material and Methods: A total of 75 paediatric patients (age under 12 years) presented with generalized or partial seizure disorder or absent seizures were evaluated. Patients were subjected to MRI scanning (Philips Achieva 1.5 tesla, 16channel). Final diagnosis was made on radiological features and in inconclusive cases; diagnosis was made by follow up MRI and treatment response. Results: Generalized seizures (68%) were more prevalent than focal seizures(24%). Majority of the patients showed abnormal MRI findings (73.3%). Anoxia and hypoxic- is chemicencephalopathy(41.8%)was them ost common etiology for seizure disorder. Neoplasm comprised 2 patients, DNET and Pilocytic astrocytoma were seen in one patient each. Conclusion: MRI plays an invaluable role in the evaluation of pediatric patients with seizure disorder. Accurate diagnosis of cause of seizure is important for treatment decision.
Authors and Affiliations
Pankaj Ahire, Akshay Chikar
Keywords
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