Role of computerized tomography scan in identifying non-neoplastic cause of seizure disorders in children
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
Background: Seizures are an important cause of morbidity and mortality in childhood. It is therefore important to establish accurate diagnosis of seizures and its aetiologies to appropriately manage such patients. Neuroimaging can help to determine whether a seizure in a patient results from a structural abnormality of the brain or its surroundings. It is useful in a variety of clinical settings. The present study was undertaken to find the role of computed tomography (CT) scan in identifying non-neoplastic cause of seizure disorders in children. Materials & Methods: It was a hospital based cross sectional observational study. Age, sex, characterization of seizure including onset, time of attack ,provocative factors, first attack, total no of attacks, frequency of attack, status of consciousness, prodrome, aura, cerebellar symptoms, duration, post ictal phenomenon, history of drug intake, control of attack by drugs, family h/o of seizure, birth history were noted. Results: In the present study 34.5% of children belong to 6-9 yrs age group followed by 27.6% of 16-18 yrs group. Most common type of seizure was generalised tonic clonic seizures (29.31%) followed by complex partial (25.86%), simple partial (17.24%) and unclassified/epilepsy syndromes (13.79%).About 46.55% of cases CT for detection of lesions were useful in our study. Conclusion: Though the MRI is more specific in detecting certain focal anomalies its expense and nonavailability make CT scan an adequate initial screening procedure. Thus every child with a seizure should be subjected to a CT scan to determine the underlying aetiology and offer specific treatment.
Authors and Affiliations
Dr Sheela Kandulna (Goswami)
Keywords
Related Articles
- EP ID EP507003
- DOI -
- Views 80
- Downloads 0
A Comparative Analysis between Anxiety Patients Receiving Medication Alone & Medication with Progressive Muscular Relaxation Therapy
Anxiety disorders are relatively common and patients who have been under prolonged medication for anxiety disorders worry about their dependent on the medication in coping with their problems. Due to numerous unpredictab...
Hypospadias Surgery in Children - Multiple Methods and their Outcomes
Background and Aims: Hypospadias is a complex congenital deformity which requires meticulous surgical repair. Several techniques have been advocated during the past 150 years to address the construction of neourethra. Th...
Assessment of Serum Uric Acid Levels in Acute Ischemic Stroke
The role of serum uric acid (SUA) levels as an independent risk factor for vascular disease has been questioned for decades. Recent studies suggest that the elevated SUA levels may predict an increased risk for cerebrova...
Comparative Study of Upper Lip Bite Test & Modified Mallampati Score in Predicting Difficult Intubation
Background: Good airway management defines an anesthesiologist .Link between unanticipated difficulty during endotracheal intubation with anaesthetic morbidity and mortality has been proved. Therefore it becomes necessar...
Rare Case of Jejuno-Gastric Intussusception
Retrograde Gastro jejunal intussusception is a rare complication, with an incidence of 0.1 % post op and less than 200 such cases have been reported worldwide. We report a case of 40 year old male patient coming with acu...