Role of Ct Scan in Partial Seizures in Children

Kanitkar, Madhuri; Purkayastha, Subhanik; Deshpande, Nikita

doi:10.1016/s0377-1237(17)31032-8

Cited by 3 publications

(6 citation statements)

References 12 publications

(13 reference statements)

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“…Demonstration of normal structures with ability to diagnose atrophy and demonstration of space occupying lesions, their position and nature to a certain extent, specially solid and cystic masses, tumours, abscesses, haemorrhages and infarctions. 3 Study by Kanitkar M et al showed porencephalic cyst or cerebral atrophy was seen in 21% of abnormal scans and mostly in the preschool children who gave a history of meningitis or birth asphyxia. 3 In a study conducted by Yang P et al, 17 out of 34 children with partial seizures had an abnormal CT, the commonest being atrophy.…”

Section: Discussionmentioning

confidence: 99%

“…The yield of positive results was 46.55% which is in the range of 30-70% as quoted by various authors. [3,17,18,19] Maytal J et al (2000) showed that fifty-two patients (78.8%) had normal CT results and 14 patients (21.2%) had abnormal CT results. Seizure cause was considered cryptogenic in 33 patients, of whom 2 (6%) had abnormal CT results; neither patient required intervention.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore it becomes important to arrive at an etiological diagnosis whenever possible to aid specific therapy. Almost 30% of patients with a seizure disorder are children 2 and the seizure type is partial in 23-66% of children [3][4][5][6] . With a conservative estimate of 1% as prevalence of epilepsy, there are more than 12 million persons with epilepsy (PWE) in India, which contributes to nearly one-sixth of the global burden.…”

Section: Introductionmentioning

confidence: 99%

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Role of computerized tomography scan in identifying non-neoplastic cause of seizure disorders in children

Kandulna¹

2018

jmscr

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Role of computerized tomography scan in identifying non-neoplastic cause of seizure disorders in children

Kandulna¹

2018

jmscr

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“…13 A study done by Kanitkar M et al concluded that CT scan abnormality was detected in 66% cases. 19 Single or multiple tuberculomas were noted in 24% cases, cortical atrophy in 14% cases, focal calcification in 10%, haemorrhage in 3% and subdural effusions in 2%.…”

Section: Malementioning

confidence: 93%

A clinical study of new onset seizures in children aged 3-12 years

Dwivedi¹,

Priya²,

Padmavathi³

2019

Int J Contemp Pediatr

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Background: Seizures are common in pediatric age group and less than 1/3rd of seizures in children are caused by epilepsy. Aim of present study was to analyze the etiological factors and clinical profile of new onset seizures in children aged 3-12 years.Methods: This was a prospective study done at a tertiary care center of south India. Authors analyzed 98 children aged 3-12 years presenting with new onset seizures. Proper history and investigations including EEG, and CT brain were done to confirm the etiology.Results: Out of 98 children 51 were 3-5 yrs of age and 47 were 6-12 years. 66.3% had generalized seizure and 33.6% had partial seizure. Partial seizure were more common in 5-12 years of age. Intracranial infections were the leading cause (73/98) which included neurotuberculosis (26/73), NCC (20), bacterial meningitis (12), cerebral malaria (8) and viral encephalitis (7). Intracranial infections were the leading cause in both age groups. Space occupying lesions were more common in 6-12 years (46.8%) as compared to 3-5 years (19.6%). NCC and Tuberculoma were the leading CT findings in both age groups. There was significantly high incidence of focal EEG changes in partial seizure group compared to generalized seizure group.Conclusions: Intracranial infections were leading cause of new onset seizures especially GTCS. Good clinical evaluation and judicious use of investigations should be ensured. CT brain and EEG are more likely to be informative in partial seizures than in generalized seizures.

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“…One of them was metachromatic the importance of imaging in the seizure in children. A study done by Kanitkar M et al concluded that CT scan abnormality was detected in 66% of cases [10]…”

mentioning

confidence: 98%

Etiological classification of seizures in pediatric age group (6-12years) – MRI study

Gopalakrishnan

Gaffoor

2021

Int J Med Res Rev

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Background: A seizure is an occurrence of signs or symptoms due to abnormal excessive orsynchronous neuronal activity in the brain. The present study aims to study the etiological factorsand clinical profile for new-onset seizures in children aged 6-12 years and to determine thefrequency of Magnetic resonance imaging (MRI) abnormalities in the pediatrics age group with new-onset unprovoked seizure and those with inadequately investigated longstanding epilepsy andclassify the etiology based on the MRI findings. Methods: A prospective study involving a total of 50patients was recruited aged between 6 to 12 years. All of them underwent neuro-imaging with MRI.Uncooperative patients were imaged following sedation and monitoring by the anesthetist. Allchildren aged 6-12 years who presented with new-onset seizures were included. All MR images wereobtained at a 3-mm section thickness except magnetization-prepared rapid gradient-echo images,which are obtained at a 1.8-mm section thickness. Results: Of the 50 patients 28 presented withgeneralized tonic-clonic seizures, 12 with simple partial seizures, 10 with complex partial seizures.Generalized seizures were a more common presentation than partial seizures in children 6-12 yearsof age. Conclusion: With the positivity of the MRI in the new-onset seizure in children between 6-12 years in our study gives an important aspect of the essential factor of imaging in pediatric new-onset seizures.

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Role of Ct Scan in Partial Seizures in Children

Cited by 3 publications

References 12 publications

Role of computerized tomography scan in identifying non-neoplastic cause of seizure disorders in children

Role of computerized tomography scan in identifying non-neoplastic cause of seizure disorders in children

A clinical study of new onset seizures in children aged 3-12 years

Etiological classification of seizures in pediatric age group (6-12years) – MRI study

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