Clinical evaluation of neuroimaging abnormality in children suffering from new onset afebrile seizure
Dr. Tejendra Kumar Jha, Dr. AK Jaiswal
The aim of emergent neuroimaging in patients with a first afebrile seizure is to determine a severe cranial pathology that may require immediate intervention and treatment. The American Academy of Neurology states that there is insufficient evidence to support a recommendation at the level of standard or guideline for the use of routine neuroimaging in children with a first afebrile seizure.8 Therefore, emergent neuroimaging is indicated for selected cases according to history and physical examination considering potential risks of radiation, sedation and contrast agent. However, in routine practice, children presenting to emergency department (ED) with a first afebrile seizure are often evaluated with cranial imaging, especially CT. Many factors, such as parental stress and tension, physicians’ fear of legal issues that could arise after an incorrect diagnosis and abstaining from life-threatening consequences, are likely to be effective in this decision. Hence based on above findings the present study was planned clinical evaluation of neuroimaging abnormality in children suffered from new onset afebrile seizure. The study was planned in Upgraded Department of Pediatrics, Patna medical College and Hospital, Patna, Bihar. The study was conducted from the May 2016 to June 2017. The study was conducted on 20 childrens of age 6 months to 12 years of age undergoing the neuroimaging for the new-onset afebrile seizure were evaluated in the present study. The data generated from the present study concludes that Incidence of neuro-imaging abnormality in children presenting with first afebrile seizure is high in developing countries like india due to high prevalence of NCC and tuberculosis so neuro-imaging should be considered in any child with first afebrile seizure. Although MRI is the accepted imaging modality in children with seizures, CT may be an option in cases if MRI is technically not possible.