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[Computerized tomography in infants with seizures (author's transl)]
Insights
Cranial computerized tomography (CT) revealed structural abnormalities in 63% of 228 children with seizure disorders. Major epilepsy and focal seizures showed the highest rates of these abnormalities.
Area of Science:
- Pediatric Neurology
- Neuroradiology
Background:
- Seizure disorders are common in children.
- Identifying underlying structural abnormalities is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the utility of cranial computerized tomography (CT) in identifying structural abnormalities in children with seizure disorders.
- To determine the incidence of these abnormalities in relation to epilepsy type.
Main Methods:
- A cohort of 228 children aged 3 weeks to 15 years with seizure disorders underwent cranial CT.
- Structural abnormalities were assessed and correlated with clinical data.
Main Results:
- Cranial CT identified structural abnormalities in 63% of the pediatric patients.
- The incidence was higher in children with major epilepsy (83%) and focal seizures (71%).
Conclusions:
- Cranial CT is effective in detecting structural abnormalities in children with seizures.
- Findings suggest further investigations like angiography or repeat CT may be necessary based on clinical course.
Abstract:
A total of 228 children suffering from seizure disorders were investigated by means of cranial computerized tomography (CT). Their age ranged from 3 weeks to 15 years. Structural abnormalities were assessed in 63% of these cases. The greatest incidence of organic abnormalities occurred in children with major epilepsy (83%) and with focal seizures (71%). Clinical data and the course of illness may require additional angiographic and repeated CT investigations.