ROLE OF MAGNETIC RESONANCE IMAGING IN DIAGNOSTIC EVALUATION OF PEDIATRIC EPILEPSY

Dr. Ishan Saini, Dr. Ashish Kumar

Abstract


Objective: To study the role of Magnetic Resonance Imaging in diagnostic evaluation of pediatric epilepsy.
Methods: The present study was carried out in the Department of Radiodiagnosis, ESIC Medical College & Hospital, Faridabad. The study
included forty five children presented with epilepsy and were referred to our department for brain evaluation.
Results: Abnormal findings on MRI were noted in 39 out of 45 children. The most common abnormality being infectious disease presented in 17
patients which included 10 cases of NCC and 7 patients with intra-cranial tuberculomas. Imaging features of hypoxic ischaemic
encephalopathy(HIE) were noted in 6 patients, 6 patients had imaging features of ADEM(acute disseminated encephalomyelitis), 5 patients had
focal cortical dysplasias, 4 patients had grey matter heterotropias and 1 patient had Sturge-Weber syndrome.
Conclusion: In children diagnosed with epilepsy, neuro-imaging reveals a significant number of serious abnormalities not previously suspected.
MR Imaging plays a significant role in diagnosis, prognostication as well as management of these patients.


Keywords


epilepsy, children, MRI, seizures

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References


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