NEUROIMAGING FINDINGS IN FIRST UNPROVOKED SEIZURES: A MULTICENTRIC STUDY IN TEHRAN

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MOLLA MOHAMMADI MOHSEN; TONEKABONI SEYED HASSAN; KHATAMI ALIREZA; AZARGASHB EZNOLLAH; TAVASOLI AZITA; JAVADZADEH MOHSEN; FALLAH RAZIEH

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Journal: Iranian Journal of Child Neurology Year:2013 | Volume:7 | Issue:4 Page(s): 24-31

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Title

NEUROIMAGING FINDINGS IN FIRST UNPROVOKED SEIZURES: A MULTICENTRIC STUDY IN TEHRAN

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Keywords

SEIZURE

FIRST UNPROVOKED SEIZURE

BRAIN IMAGING

Abstract

Objective SEIZURE is an emergency in pediatrics. It really matters to the parents of the involved child to have information about the causes, management and prognosis.First unprovoked SEIZUREs (FUS) are SEIZUREs that occur in patients without fever, trauma or infection. Due to the rapid improvement in diagnostic techniques in the last few decades, the etiology will be revealed and this term will no longer exist. This Study was designed to evaluate BRAIN IMAGING findings in FUS patients.Materials&Methods Ninety-six children with FUS, who were admitted in three major children’s hospitals in Tehran, underwent BRAIN IMAGING and were enrolled into the study. The decision about the type of imaging (CT or MRI) was based on the patient’s medical and financial conditions. An expert radiologist in the field of pediatric neuroimaging interpreted the images.Results Altogether, 27.1% had abnormal findings of which 29.2% were in the brain MRI group and 14.3% were in the brain CT scan group. Abnormal results were gliosis (10.4%), hemorrhage (4.2%), dysgenesis (2.1%), dysmyelination (7.3%), encephalomalacy (1%), atrophy (5.2%) and infarction (2.1%). In some patients, the lesions were in 2 or 3 sites and some had more than one type of lesion. There was no association between the duration, age and type of SEIZURE and imaging abnormlities. However, we found an association between the location of the lesion and the type of SEIZURE.Conclusion We recommend BRAIN IMAGING in all patients with FUS and apart from some exceptions, brain MRI is superior to CT.

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APA: Copy

MOLLA MOHAMMADI, MOHSEN, TONEKABONI, SEYED HASSAN, KHATAMI, ALIREZA, AZARGASHB, EZNOLLAH, TAVASOLI, AZITA, JAVADZADEH, MOHSEN, & FALLAH, RAZIEH. (2013). NEUROIMAGING FINDINGS IN FIRST UNPROVOKED SEIZURES: A MULTICENTRIC STUDY IN TEHRAN. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), 7(4), 24-31. SID. https://sid.ir/paper/303392/en

Vancouver: Copy

MOLLA MOHAMMADI MOHSEN, TONEKABONI SEYED HASSAN, KHATAMI ALIREZA, AZARGASHB EZNOLLAH, TAVASOLI AZITA, JAVADZADEH MOHSEN, FALLAH RAZIEH. NEUROIMAGING FINDINGS IN FIRST UNPROVOKED SEIZURES: A MULTICENTRIC STUDY IN TEHRAN. IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN)[Internet]. 2013;7(4):24-31. Available from: https://sid.ir/paper/303392/en

IEEE: Copy

MOHSEN MOLLA MOHAMMADI, SEYED HASSAN TONEKABONI, ALIREZA KHATAMI, EZNOLLAH AZARGASHB, AZITA TAVASOLI, MOHSEN JAVADZADEH, and RAZIEH FALLAH, “NEUROIMAGING FINDINGS IN FIRST UNPROVOKED SEIZURES: A MULTICENTRIC STUDY IN TEHRAN,” IRANIAN JOURNAL OF CHILD NEUROLOGY (IJCN), vol. 7, no. 4, pp. 24–31, 2013, [Online]. Available: https://sid.ir/paper/303392/en

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