Role Of Radio Imaging (CT and MRI) In Children With First Episode Of Apparent Unprovoked Generalized Seizure

Abstract

Introduction:Approximately 10% of population will have at least one seizure in their lifetime at some point of time. Half of these will occur during childhood and adolescence with highest risk before one year. Some patients with a first seizure eventually go on to have additional seizures and be diagnosed with epilepsy. Thus the occurrence of a single seizure in childhood deserves careful consideration. Aims and objectives: To determine the percentage of children presenting with first episode of an apparent unproved generalized seizure and role of CT and MRI. Materials and Methods: Children between the age groups of 6 months to 12 years presenting to the O.P.D and Emergency department of Pediatric Medicine, PMCH, Patna , Bihar from March 2018 to February 2019. Results: In our study among all unprovoked generalized seizures in childhood- idiopathic variety is the commonest group 88.13%(N=52) out of total 59 cases. Among all unprovoked generalized seizures generalized tonic clonic is the major group 69.49%(N=41). Conclusion: The incidence of radioimaging abnormality in first episode of unprovoked generalized seizure is significant ( 11.86%). Majority of lesions being granuloma -either tuberculoma or cysticercosis.