STUDY OF NEUROIMAGING FINDINGS IN PAEDIATRIC EPILEPSY

Dr Nidhi Gupta, Dr Arvind kumar mittal

Abstract


INTRODUCTION : Epilepsy is an important health problem in developing countries. The unpredictability of seizure
recurrence is a constant threat to the patient with epilepsy and his or her family. The risk of premature death in people
with epilepsy is two to three times higher than it is for the general population. Neuroimaging becomes important and
mandatory in the work up of epilepsy and for localization and lateralization of the seizure focus.
AIM/OBJECTIVE:- To assess the number of children with epilepsy having neuroimaging abnormalities of the
brain(CT/MRI).And To evaluate the spectrum of intracranial structural abnormalities in children with epilepsy as
diagnosed by neuroimaging
MATERIAL & METHOD:- All children between age of 1 month to 18 years with two or more unprovoked seizures
attending the paediatrics emergency and OPD of SAMC & PGI in 1½ year duration were enrolled in the study. Detailed
history and clinical examination was done for all the patients included in the study. And neuroimaging(CT/MRI) was also
done in all patients.
RESULT:- In our study, 98 out of 144 patients had some or the other abnormalities in their scans (ie.68.05%).and Ring
enhancing lesions were found in 26.53% followed by gliotic changes in 18.36% and cerebral atrophy in 12.24%.
CONCLUSION:- The study shows that Neuroimaging is an important diagnostic tool in evaluation of children with
epilepsy.


Keywords


Epilepsy, Neuroimaging, CT/MRI Brain, Ring enhancing lesions

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