Study of intracranial structural lesions diagnosed by computed tomography among children with unprovoked seizure disorder

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dc.contributor.authorChoudhary, Priyankaen_US
dc.contributor.authorMital, Amit Kumaren_US
dc.contributor.authorSinha, Sheelaen_US
dc.date.accessioned2020-09-24T07:48:22Z
dc.date.available2020-09-24T07:48:22Z
dc.date.issued2020-06
dc.description.abstractBackground: Seizures are the most common pediatric neurological disorder. The objectives were to know the prevalence and types of intracranial structural lesions diagnosed by Computed Tomography in children with unprovoked seizures.Methods: It is hospital based cross-sectional study done in Patna Medical College, India from August 2005- July 2007. All patients aged 6 months to 12 years admitted in pediatrics department with at least 2 episodes of unprovoked seizures were undergone Computed Tomography brain.Results: Out of total 112 patients admitted, 66.1% had abnormal CT scan. Prevalence of abnormal CT scan increased with advancing age and significant, with maximum percentage found in age group 10-12 years (43.2%). Males had more seizures and intracranial lesion than females but this association was statistically non-significant. 65.2% had generalized seizure and 34.8% had partial seizure. Among patients with abnormal CT scan, generalized seizure (70.3%) and partial seizure (29.7%).The commonest' probable diagnosis was tuberculoma (47.3%) followed by neurocysticercosis (25.7%) and brain abscess (4%). Other were atrophy, gliosis and hydrocephalus, 2.5% each; arachnoid cyst, extradural hematoma, sturge weber syndrome, tuberous sclerosis, infarct, hemiatrophy, caudate lobe hemorrhage, basal ganglia calcification, corpous callosum agenesis, 1.35% each.Conclusions: Inflammatory granuloma is the leading cause of unprovoked seizure in this part of the country. Every seizure case should undergo a CT scan examination. Preventive measures can be applied for tuberculoma and NCC so as to lower down the burden of seizure disorder.en_US
dc.identifier.affiliationsDepartment of Community Medicine, Pt. B.D Sharma PGIMS, Rohtak, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, BPSGMC for women, Khanpurkalan, Sonepat, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Pediatrics, Patna Medical College, Patna, Bihar, Indiaen_US
dc.identifier.citationChoudhary Priyanka, Mital Amit Kumar, Sinha Sheela. Study of intracranial structural lesions diagnosed by computed tomography among children with unprovoked seizure disorder. International Journal of Contemporary Pediatrics. 2020 Jun; 7(6): 1355-1360en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/204638
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber6en_US
dc.relation.volume7en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3291.ijcp20202147en_US
dc.subjectChildrenen_US
dc.subjectComputed tomography brainen_US
dc.subjectIntracranial structural lesionen_US
dc.subjectUnprovoked seizureen_US
dc.titleStudy of intracranial structural lesions diagnosed by computed tomography among children with unprovoked seizure disorderen_US
dc.typeJournal Articleen_US
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