[First seizure in children. Exploration strategy].
We have carried out a retrospective study on 51 children aged between 2 years 3 months and 13 years in order to determine the findings and to define the indications of neuroimaging modalities in children with a first unprovoked seizure. Children who had neuroimaging studies were divided into two groups based on the results of neuroimaging normal or abnormal. We have compared the two groups according to each clinical and electroencephalographic parameters studied. Neuroimaging abnormalities were found in 47% of cases. According to our results and literature review, we concluded that the imaging should be done if we have at least one of the criteria: an abnormal neurological examination after the seizure and focal slowing waves on the electroencephalogram.
Aloui-Kasbi
Nadia
N
Service de Radiologie, Hôpital d'enfant de Tunis.
Azzabi
Ons
O
Bousetta
Khedija
K
Karboul
Lotfi
L
Bellagha
Ibtissem
I
Sammoud
Azza
A
Bousnina
Souad
S
Hammou
Azza
A
D000293:Adolescent; D000367:Age Factors; D001254:Astrocytoma / Q000150:complications / Q000175:diagnosis; D001921:Brain / Q000002:abnormalities; D001927:Brain Diseases / Q000150:complications; D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis; D002648:Child; D002675:Child, Preschool; D004569:Electroencephalography; D004630:Emergencies; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008579:Meningioma / Q000150:complications / Q000175:diagnosis; D012189:Retrospective Studies; D012640:Seizures / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D012737:Sex Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed