Abstract
A persistent focal abnormality was observed in 157 (16%) electroencephalograms undertaken in 964 consecutive children with epileptic and non-epileptic seizures seen over one year. CT head scans were performed in 121 (77%) of the 157 children with a focus on the EEG; 26 (21%) showed an abnormality, and 21 (81%) of the abnormalities were localised. There was no difference in the proportion of abnormal scans associated with a delta or slow wave focus compared with a spike or sharp wave focus. An abnormal scan was uncommon after a single seizure. In only two patients (1.7% of all scans) did the findings on CT alter or greatly influence subsequent management.
Full text
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ahuja G. K., Mohanta A. Late onset epilepsy. A prospective study. Acta Neurol Scand. 1982 Aug;66(2):216–226. doi: 10.1111/j.1600-0404.1982.tb04519.x. [DOI] [PubMed] [Google Scholar]
- Bachman D. S., Hodges F. J., Freeman J. M. Computerized axial tomography in chronic seizure disorders of childhood. Pediatrics. 1976 Dec;58(6):828–832. [PubMed] [Google Scholar]
- Bauer G., Mayr U., Pallua A. Computerized axial tomography in chronic partial epilepsies. Epilepsia. 1980 Jun;21(3):227–233. doi: 10.1111/j.1528-1157.1980.tb04067.x. [DOI] [PubMed] [Google Scholar]
- Bogdanoff B. M., Stafford C. R., Green L., Gonzalez C. F. Computerized transaxial tomography in the evaluation of patients with focal epilepsy. Neurology. 1975 Nov;25(11):1013–1017. doi: 10.1212/wnl.25.11.1013. [DOI] [PubMed] [Google Scholar]
- Dam A. M., Fuglsang-Frederiksen A., Svarre-Olsen U., Dam M. Late-onset epilepsy: etiologies, types of seizure, and value of clinical investigation, EEG, and computerized tomography scan. Epilepsia. 1985 May-Jun;26(3):227–231. doi: 10.1111/j.1528-1157.1985.tb05410.x. [DOI] [PubMed] [Google Scholar]
- Gastaut H., Gastaut J. L. Computerized transverse axial tomography in epilepsy. Epilepsia. 1976 Sep;17(3):325–336. doi: 10.1111/j.1528-1157.1976.tb03411.x. [DOI] [PubMed] [Google Scholar]
- Ladurner G., Fritsch G., Sager W. D., Iliff L. D., Lechner H. Computer tomography in children with epilepsy. Eur Neurol. 1980;19(3):180–184. doi: 10.1159/000115144. [DOI] [PubMed] [Google Scholar]
- McGahan J. P., Dublin A. B., Hill R. P. The evaluation of seizure disorders by computerized tomography. J Neurosurg. 1979 Mar;50(3):328–332. doi: 10.3171/jns.1979.50.3.0328. [DOI] [PubMed] [Google Scholar]
- Pérez López J. L., Longo J., Quintana F., Diez C., Berciano J. Late onset epileptic seizures. A retrospective study of 250 patients. Acta Neurol Scand. 1985 Oct;72(4):380–384. doi: 10.1111/j.1600-0404.1985.tb00887.x. [DOI] [PubMed] [Google Scholar]
- Ramirez-Lassepas M., Cipolle R. J., Morillo L. R., Gumnit R. J. Value of computed tomographic scan in the evaluation of adult patients after their first seizure. Ann Neurol. 1984 Jun;15(6):536–543. doi: 10.1002/ana.410150605. [DOI] [PubMed] [Google Scholar]
- Reinikainen K. J., Keränen T., Lehtinen J. M., Kälviäinen R., Saari T., Riekkinen P. J. CT brain scan and EEG in the diagnosis of adult onset seizures. Epilepsy Res. 1987 May;1(3):178–184. doi: 10.1016/0920-1211(87)90039-8. [DOI] [PubMed] [Google Scholar]
- Russo L. S., Jr, Goldstein K. H. The diagnostic assessment of single seizures. Is cranial computed tomography necessary? Arch Neurol. 1983 Nov;40(12):744–746. doi: 10.1001/archneur.1983.04050110062010. [DOI] [PubMed] [Google Scholar]
- Scollo-Lavizzari G., Balmer C. Electroencephalography and computerized transaxial tomography in patients with temporal lobe epilepsy. Eur Neurol. 1980;19(1):33–38. doi: 10.1159/000115125. [DOI] [PubMed] [Google Scholar]
- Scollo-Lavizzari G., Eichhorn K., Wüthrich R. Computerized transverse axial tomography (CTAT) in the diagnosis of epilepsy. Eur Neurol. 1977;15(1):5–8. doi: 10.1159/000114782. [DOI] [PubMed] [Google Scholar]
- Shorvon S. D., Gilliatt R. W., Cox T. C., Yu Y. L. Evidence of vascular disease from CT scanning in late onset epilepsy. J Neurol Neurosurg Psychiatry. 1984 Mar;47(3):225–230. doi: 10.1136/jnnp.47.3.225. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yang P. J., Berger P. E., Cohen M. E., Duffner P. K. Computed tomography and childhood seizure disorders. Neurology. 1979 Aug;29(8):1084–1088. doi: 10.1212/wnl.29.8.1084. [DOI] [PubMed] [Google Scholar]