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[Computerized tomography in epilepsy in children].

E Hauser1, M Feucht, A Lischka

  • 1Universitäts-Kinderklinik, Wien.

Wiener Klinische Wochenschrift
|March 30, 1990
PubMed
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Computed tomography (CT) scans in children with epilepsy revealed abnormalities in 39 patients, with a small percentage showing surgically treatable lesions. CT findings generally did not alter management for pediatric epilepsy patients.

Area of Science:

  • Pediatric Neurology
  • Neuroradiology

Background:

  • Epilepsy is a common neurological disorder in children.
  • Computed tomography (CT) is a diagnostic tool used in evaluating pediatric epilepsy.
  • The utility of CT scans in children with epilepsy requires further elucidation.

Purpose of the Study:

  • To evaluate the incidence of CT abnormalities in children with epilepsy.
  • To correlate CT findings with clinical features in pediatric epilepsy patients.
  • To determine the impact of CT scan results on the management of childhood epilepsy.

Main Methods:

  • Retrospective study of 160 children with epilepsy.
  • Computed tomography (CT) performed on 123 patients (excluding febrile seizures, typical absence seizures, and benign Rolandic epilepsy).

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  • Analysis of CT scan results, including normal and abnormal findings, and their correlation with clinical presentation.

    • Main Results:

    • CT scans were performed on 77% of the pediatric epilepsy patients.
    • 84 out of 123 CT scans were normal, while 39 showed abnormalities.
    • A small percentage (2%) of patients had surgically treatable lesions identified by CT.

    Conclusions:

    • CT scan abnormalities are detected in a significant proportion of children with epilepsy.
    • While CT findings rarely alter management, they can identify surgically treatable lesions in a small subset of pediatric epilepsy cases.
    • The study summarizes indications for CT in the evaluation of childhood epilepsy.