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Imaging findings of structural causes of epilepsy in children: a guide for the radiologist in the emergency room

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Abstract

Evaluation of the child with epilepsy is a relatively common indication for imaging in the emergency room setting. This room outlines some of the more important imaging features of causes of epilepsy in children.

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References

  1. Fisher RS, WvE EB, Blume W et al (2005) Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 46:470–472

    Article  PubMed  Google Scholar 

  2. Hauser WA, Annegers JF, Kurland LT (1993) incidence of epilepsy and unprovoked seizures in Rochester, Minnesota: 1935-1984. Epilepsia 34:453–468

    Article  CAS  PubMed  Google Scholar 

  3. Krumholz A, Wiebe S, Gronseth G et al (2007) Practice parameter: evaluating an apparent unprovoked first seizure in adults (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the American Epilepsy Society. Neurology 69:1996–2007

    Article  CAS  PubMed  Google Scholar 

  4. Sharma S, Riviello JJ, Harper MB, Baskin MN (2003) The role of neuroimaging in children with new-onset afebrile seizures. Pediatrics 111:1–5

    Article  PubMed  Google Scholar 

  5. Kalnin AJ, Fastenau PS, de Grauw TJ (2008) Magnetic resonance imaging findings in children with a first recognized seizure. Ped Neurol 39:404–414

    Article  Google Scholar 

  6. Hsieh DT, Chang T, Tsuchida TN et al (2010) New-onset afebrile seizures in infants: role of neuroimaging. Neurology 74:150–156

    Article  CAS  PubMed  Google Scholar 

  7. Delanty N, Vaughan CJ, French JA (1998) Medical causes of seizures. Lancet 352:383–390

    Article  CAS  PubMed  Google Scholar 

  8. Cheon JE, Chang KH, Kim HD et al (1998) MR of hippocampal sclerosis: comparison of qualitative and quantitative assessments. AJNR Am J Neuroradiol 19:465–468

    CAS  PubMed  Google Scholar 

  9. Eroglu B, Kurul S, Cakmakçi H, Dirik E (2007) The correlation of seizure characteristics and hippocampal volumetric magnetic resonance imaging findings in children with idiopathic partial epilepsy. J Child Neurol 22:348–353

    Article  PubMed  Google Scholar 

  10. Dzienis W, Tarasów E, Kochanowicz J, Szulc A, Walecki J, Kubas B (2007) Utility of computed tomography and selected MR sequences in the diagnostics of patients with partial epileptic attacks. Med Sci Monit 13(Suppl 1):49–54

    PubMed  Google Scholar 

  11. Barkovich AJ, Kuzniecky RI (1996) Neuroimaging of focal malformations of cortical development. J Clin Neurophysiol 13:481–494

    Article  CAS  PubMed  Google Scholar 

  12. Guerrini R, Sicca F, Parmeggiani L. (2003) Epilepsy and malformations of the cerebral cortex. Epileptic Disord 5 (Suppl 2): S 9–S 26

  13. Uher BF, Golden JA (2000) Neuronal migration defects of the cerebral cortex: a destination debacle. Clin Genet 58:16–24

    Article  CAS  PubMed  Google Scholar 

  14. Barkovich AJ (2002) Magnetic resonance imaging: role in the understanding of cerebral malformations. Brain Dev 24:2–12

    Article  PubMed  Google Scholar 

  15. Chang BS, Piao X, Giannini C et al (2004) Bilateral generalized polymicrogyria (BGP). A distinct syndrome of cortical malformation. Neurology 62:1722–1728

    CAS  PubMed  Google Scholar 

  16. Johnson J, Hariharan S, Berman J et al (1997) Clinical outcome of pediatric gangliogliomas: Ninety-nine cases over 20 years. Pediatr Neurosurg 27:203–207

    Article  PubMed  Google Scholar 

  17. Fernandez C, Girard N, Paredes AP, Bouvier-Labit C, Lena G, Figarella-Branger D (2003) The usefulness of MR imaging in the diagnosis of dysembryoplastic neuroepithelial tumor in children: a study of 14 cases. AJNR Am J Neuroradiol 24:829–834

    PubMed  Google Scholar 

  18. Provenzale JM, Ali U, Barboriak DP, Kallmes DF, Delong DM, McLendon RE (2000) Comparison of patient age with MR imaging features of gangliogliomas. AJR 174:859–862

    CAS  PubMed  Google Scholar 

  19. Matsumoto K, Tamiya T, Ono Y, Furuta T, Asari S, Ohmoto T (1999) Cerebral gangliogliomas: clinical characteristics, CT and MRI. Acta Neurochir (Wien) 141:135–141

    Article  CAS  Google Scholar 

  20. Sztriha L, Gururaj AK, Bener A, Nork M (2002) Temporal lobe epilepsy in children: etiology in a cohort with new-onset seizures. Epilepsia 43:75–80

    Article  PubMed  Google Scholar 

  21. Bronen RA, Fulbright RK, Spencer DD, Spencer SS, Kim JH, Lange RC (1995) MR characteristics of neoplasms and vascular malformations associated with epilepsy. Magn Res Imag 13:1153–1162

    Article  CAS  Google Scholar 

  22. Herron J, Darrah R, Quaghebeur G (2000) Intra-cranial manifestations of the neurocutaneous syndromes. Clin Radiol 55:82–98

    Article  CAS  PubMed  Google Scholar 

  23. Romanelli P, Verdecchia M, Rodas R, Seri S, Curatolo P (2004) Epilepsy surgery for tuberous sclerosis. Pediatr Neurol 31:239–247

    Article  PubMed  Google Scholar 

  24. Mottolese C, Hermier M, Stan H et al (2001) Central nervous system cavernomas in the pediatric age group. Neurosurg Rev 24:55–71

    Article  CAS  PubMed  Google Scholar 

  25. Crawford PM, West CR, Shaw MDM (1986) Cerebral arteriovenous malformations and epilepsy: factors in the development of epilepsy. Epilepsia 27:270–275

    Article  CAS  PubMed  Google Scholar 

  26. Del Curling O Jr, Kelly DL Jr, Elster AD, Craven TE (1991) An analysis of the natural history of cavernous angiomas. J Neurosurg 75:702-708

    Article  PubMed  Google Scholar 

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Correspondence to James M. Provenzale.

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Provenzale, J.M. Imaging findings of structural causes of epilepsy in children: a guide for the radiologist in the emergency room. Emerg Radiol 17, 479–486 (2010). https://doi.org/10.1007/s10140-010-0884-9

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  • DOI: https://doi.org/10.1007/s10140-010-0884-9

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