Title: Role of Computed Tomography in Evaluation of Seizure Disorder in Children

Authors: Soumya Ranjan Nayak, Braja Behari Panda, Shamimun Nisa, Bararuchi Dash, Savitri Bhagat, Rajesh Pattanaik

 DOI:  https://dx.doi.org/10.18535/jmscr/v4i12.113

Abstract

Aims and Objectives: To detect the incidence of different causes of seizure in childhood, to detect the lesions that are potentially treatable & to predict the prognosis.

Materials and Methods: The present study was carried out in the department of Radiodiagnosis V.S.S Institute of Medical Sciences and Research, Burla. 70 patients in the age group of 0 to 12 years presenting with clinical diagnosis of seizure were studied from Sept 2014 to Sept 2016. All patients were subjected to CT scan brain ,contrast study was done wherever required.

Results and Conclusion: CT was found to be positive in 54(77%) cases showing some lesion. Most of the lesions (63%) were found to be infective in origin. Tuberculoma was found to be the most common type of lesion in children presenting with seizure. Most of the tumours were found to be astrocytic in origin and benign.

Keywords: Tuberculoma, Seizure.

References

. 1.      Wadia RS, Ivlakhale CN, Kelkar A V, Grant KB. Focal epilepsy in India with special reference to lesions showing ring or disc like enhancement on contrast computed tomography. J Neurol, Neurosurg Psychiatry 1987; 50:1298-1301.

2.      Patel PJ, Kolawale T.M,Mahdi A.H Qteishat WA. : Computed tomography scan finding in children with seizure only. Ada Neurol. Scand 1986,74; 165-6.

3.      Gaustaut H et al, Epilepsia ,1976, 17 :325-31.

4.      Penfield W, Jasper HH, epilepsy and the functional anatomy of the brain, Boston : Little Brown and Co. 1954; 50 —65.

5.      Madguire F,Courjon J, 1978 Somatosensory Epilepsy: a review of 127 cases: Brain, 101,301-32.

6.      De Castro CC HesselinkJR : Tuberculosis Neuroimaging Clin N Amer 1:119-139, 1991.

7.      Chandy MJ; Rajsekhar V, Ghosh S; Prakash S: Joseph T;Abraham J; Chandi SM; Single small enhancing CT lesions in Indian patients with epilepsy. J- Neurol-Neurosurg-Psychiatry 1991 Aug; 54(8); 702-5.

8.      Lund M, 1952, Epilepsy associated with Intracranial Tumours, Acta, Psych, Neural, Scand. Z Suppl.81.

9.      Mishra NK, Goyal M-Imaging of CNS Tuberculosis, In: Neurology in Topica —19 —370, 1999.

10.  Becker Le: Infection of the developing brain, AJNR 13: 537-549,1992.

11. Jagruti P Sanghvi, Surekha B Rajadhyaksha and Meher Ursekar.Spectrum of congenital CNS Malformation in Pediatric Epilepsy. Indian Pediatr 2004 Aug; 41(8):831-8.

Corresponding Author

Soumya Ranjan Nayak

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Contact: 9439916822