ROLE OF MAGNETIC RESONANCE IMAGING(MRI) IN EVALUATING SEIZURE DISORDERS IN PEDIATRIC AGE GROUP

Dr. Arpit Vashisht; Dr. N.C. Sharma

Volume : VIII, Issue : IV, April - 2019

ROLE OF MAGNETIC RESONANCE IMAGING(MRI) IN EVALUATING SEIZURE DISORDERS IN PEDIATRIC AGE GROUP

Dr. Arpit Vashisht, Dr. N. C. Sharma

Abstract :

Seizures are the most common paediatric age group disorder, paediatric patients with intractable epilepsy represents with a challenging clinical population. Accurate etiological diagnosis of the seizures in children is important as it decides the proper treatment of the children. MRI is an excellent tool used in accurate diagnosis of the cause of seizure. It helps in diagnosing, determining the treatment protocol and is also helpful in predicting the outcome. Current study has been done not to diagnose the children accurately but also in accessing the most common cause in speciﬁc ages of childhood and to determine prognosis, predict long–term intractability to antiepileptic medications and identify potential surgical cases. Methodology: – Patients referred from the Department of Paediatrics with history of seizure disorder or the patient that presented with acute seizure attack were examined by MRI Brain as per speciﬁc protocol in MAGNETOM ANTO 1.5 Tesla MRI scanner from SIEMENS at Geetanjali Medical College and Hospital, Udaipur, Rajasthan. The various causes of the seizure in paediatric population were examined and their follow up was taken and the most common etiological cause and their most common MRI Brain ﬁnding was registered. Prospective study of 100 patients (<18 yrs.) referred to department within the period of 1 year having seizure disorder. All patients, irrespective of sex (<18yrs) having seizure disorder. Results: – The commonest etiology of seizures is inﬂammatory granuloma. Early recognition of potentially treatable diseases helps in timely treatment and arrest of progression of disease. It is highly recommended to use MRI as primary investigation for seizures. Every effort should be made to provide facility of MRI for management of seizures in all parts of India.