MRI Findings in Children with the First Unprovoked Seizure Presenting to the Emergency Department; Does Developmental Delay Suggest the Importance of Brain MRI Evaluation?

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Ayoobi Yazdi Niloofar; BEIRAGHI TOOSI MEHRAN; ASHRAFI FARZAD; Aliabad Athena; ARAB AHMADI MEHRAN

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Journal: Frontiers in Emergency Medicine Year:2020 | Volume:4 | Issue:3 Page(s): 0-0

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Title

MRI Findings in Children with the First Unprovoked Seizure Presenting to the Emergency Department; Does Developmental Delay Suggest the Importance of Brain MRI Evaluation?

Author(s)

Keywords

Emergency Service

Hospital

Magnetic Resonance Imaging

Pediatrics

Seizures

Abstract

Introduction: The first unprovoked seizure (FUS) in children is a convulsive seizure with an unknown cause, which may be due to an underlying neurological disease or a manifestation of epilepsy. Objective: The aim of this study was to evaluate the findings of brain Magnetic Resonance Imaging (MRI) in pediatric patients with FUS, presenting to the emergency department (ED). Methods: In this cross-sectional study, all children with FUS (age: >1month and<14 years), who were referred to the ED of Qaem Hospital, Mashhad, Iran from 2016 to 2019, were investigated. Medical records, brain MRI findings, electroencephalography (EEG) results, and developmental status of children were reviewed retrospectively. Results: The brain MRI findings of 56 children with FUS were reviewed. The mean age of children was 3. 92± 6. 05 years, and the sex distribution was equal. Seventeen (30. 4%) patients had abnormal EEG findings, while 13 (23. 2%) patients’ had non-specific EEG findings. Neurological examination of 4 (7. 1%) children was abnormal. Overall, 6 (10. 7%) patients had non-specific abnormal brain MRI findings for seizure, while 3 (5. 4%) patients had specific abnormal findings. A significant relationship was observed between the developmental status of children and abnormal MRI findings (P=0. 04). However, MRI findings had no significant relationship with EEG or neurological findings (P>0. 05). Conclusion: It may be useful to perform brain MRI for children with FUS presenting to ED, especially those who are suspected of developmental disorders.

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APA: Copy

Ayoobi Yazdi, Niloofar, BEIRAGHI TOOSI, MEHRAN, ASHRAFI, FARZAD, Aliabad, Athena, & ARAB AHMADI, MEHRAN. (2020). MRI Findings in Children with the First Unprovoked Seizure Presenting to the Emergency Department; Does Developmental Delay Suggest the Importance of Brain MRI Evaluation?. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 4(3), 0-0. SID. https://sid.ir/paper/351167/en

Vancouver: Copy

Ayoobi Yazdi Niloofar, BEIRAGHI TOOSI MEHRAN, ASHRAFI FARZAD, Aliabad Athena, ARAB AHMADI MEHRAN. MRI Findings in Children with the First Unprovoked Seizure Presenting to the Emergency Department; Does Developmental Delay Suggest the Importance of Brain MRI Evaluation?. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2020;4(3):0-0. Available from: https://sid.ir/paper/351167/en

IEEE: Copy

Niloofar Ayoobi Yazdi, MEHRAN BEIRAGHI TOOSI, FARZAD ASHRAFI, Athena Aliabad, and MEHRAN ARAB AHMADI, “MRI Findings in Children with the First Unprovoked Seizure Presenting to the Emergency Department; Does Developmental Delay Suggest the Importance of Brain MRI Evaluation?,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 4, no. 3, pp. 0–0, 2020, [Online]. Available: https://sid.ir/paper/351167/en

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