Vol - 28, Issue - 10
About the Journal
[This article belongs to Volume - 28, Issue - 10]
International Medical Journal
Journal ID : IMJ-04-11-2021-1044
Total View : 534

Abstract : Epilepsy is one of the frequently occurring neurologic disorders within childhood with a cumulative lifetime incidence of about 3%. MRI is the imaging modality of choice for diagnosing the cause of epilepsy. Objective of the study was to evaluate the role of MRI in the detection and characterisation of lesions in epilepsy among the pediatric population. A prospective study was conducted among the Pediatric age group with epileptic seizures referred for MRI Brain to our Department of Radio-diagnosis. Patients with febrile seizures and known contraindications to MRI were excluded. The demographic details, birth history, family history, clinical history and examination details were collected using a clinical proforma. The participants were then subjected to an MRI Brain scan according to the protocol. The data collected were entered in MS Excel and analysed using statistical software. The study population had 41.5% subjects with less than 1 year of age and 33% in the 6 to 12 years age group with a slight male preponderance of 1.3: 1 and mean age of 46.7 months. 85.8% of the population had generalized onset while 9.4% focal onset seizures. Anoxia and Hypoxic-Ischemic Encephalopathy (35.8%) was the most common etiology followed by developmental malformations (22.6%) and infections (9.4%). 22 (20.75%) subjects had Cystic encephalomalacia with gliosis followed by 9 (8.49%) had Periventricular Leukomalacia. It was concluded that the MRI Brain scan helped in identifying the diagnosis and etiology of pediatric seizure and paved way for the treatment of the patient medically as well as surgically.

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