Abstract

Seizures are the most common neurological illness in the pediatric population and account for 1% of all emergency department (ED) visits and 2% of all visits to children’s hospital EDs. Pediatric epilepsy presents with various diagnostic challenges. Neuroimaging, especially structural neuroimaging and preferably MRI brain, plays an essential role in diagnosing, managing, and guiding pediatric epilepsy treatment. Aims & Objectives: To study imaging findings of various Clinicoradiological conditions in Seizures children. Materials & Methods: Potential cases were identified through a search of the Emergency department and Radiology Department databases. Cases included pediatric patients of age group between 1 to 12years, who were admitted in Pediatric ward of NC Medical College And Hospital, who had a first seizure and a CT scan before discharge from the ward. Infants younger than 1 year of age and above 12 years of age, children with simple febrile seizures, with history of Neonatal Seizures. 100 children met the inclusion criteria. Observation and Result: This study included 100 children, 65 boys and 35 girls. Their age range at the time of presentation in the hospital was between 1 year to 12 year. Twenty four of these children (24%) had abnormal CT results. Table 1 describes the types of seizures with no. of cases ,with maximum cases of Primary Generalized Tonic Clonic (74%), simple Partial (4%), Complex Partial (7%), Focal with Secondary generalization (8%), Absence (6%), Myoclonus(1%). Table 2 describes types of CT abnormalities, Among the different types of CT findings, Calcification was the most common lesion observed. Conclusion Neuroimaging, preferably CT brain, is the most helpful tool for the etiological diagnosis of afebrile seizures. In our study, seizures secondary to perinatal insult/hypoxic insult followed by infections were major causes. Improvement in peripartum and perinatal care coupled with a targeted Tuberculosis control program may help in reducing these potentially preventable causes.

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