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Computed tomography findings in partial seizures.

A M Minford1, W I Forsythe

  • 1Department of Paediatrics, St Luke's Hospital, Bradford.

Archives of Disease in Childhood
|June 1, 1992
PubMed
Summary

Computed tomography (CT) scans are valuable for children with partial seizures. While many CT scans are normal, identifying treatable conditions like tumors or arteriovenous malformations justifies their use.

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Area of Science:

  • Pediatric Neurology
  • Neuroradiology

Background:

  • Partial seizures in children often present with focal motor symptoms.
  • Neurological examination is frequently normal in these cases, complicating diagnosis.

Purpose of the Study:

  • To evaluate the utility of computed tomography (CT) in diagnosing the aetiology of partial seizures in children.
  • To determine if clinical or electroencephalographic features predict CT findings.

Main Methods:

  • Retrospective review of computed tomography (CT) findings in 82 children with partial seizures of unknown aetiology.
  • Analysis of correlations between CT abnormalities and clinical/electroencephalographic parameters.

Main Results:

  • Computed tomography (CT) scans were abnormal in 22% of children.
  • Static cerebral atrophy was the most common abnormality (14 children).
  • Potentially correctable lesions, including two tumors and two arteriovenous malformations, were identified in 4 children.

Conclusions:

  • Computed tomography (CT) is indicated for all children presenting with partial seizures, regardless of clinical or electroencephalographic findings.
  • CT can identify potentially treatable lesions that might otherwise be missed.

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