Aim: To determine the role of neuroimaging in establishing the etiology of complex partial seizures. Materials and Methods: The present prospective clinical study was conducted in the Department of Pediatrics, Darbhanga Medical College and Hospital, Bihar. 48 cases of complex partial seizure were found to be eligible for inclusion in the study. Results: Mean age was 6.81 years. Majority of children were in the age group of 5-10 years (60.4%), and majority (66.7%) of them were male children. Neuro-Imaging study revealed abnormalities in 20 (62.5%) children. Infection was the most common (43.5%) etiology, followed by (29.2%) developmental/ congenital brain lesions, tuberculoma (16.7%), trauma (6.7%) and tumor (4.2%). Conclusion: The present study established that neuro-imaging had an incredible role to play in the etiological diagnosis of childhood seizures. MRI has emerged as a versatile tool in the evaluation of patients with central nervous system disorders.