Brain CT Findings in Patients with First-Onset Seizure Visiting the Emergency Department in Mashhad, Iran
Open Access
- 1 January 2020
- journal article
- research article
- Published by Taylor & Francis Ltd in Open Access Emergency Medicine
- Vol. 12, 159-162
- https://doi.org/10.2147/OAEM.S241124
Abstract
Introduction: Regarding the complications and costs of CT imaging for patients, this study aimed at investigating the necessity of CT scans in patients visiting the emergency unit with first-onset seizure. Methods: One hundred patients who had experienced their first seizure were enrolled. Their CT scan was studied, and based on the radiology report, the type of probable pathologies and their percentage were determined. Results: The patient's mean age was 39.78 +/- 17.43 yrs. CT scan abnormalities were reported in 27 cases as follows: nonspecific senile changes in 11 (40.7%), encephalomalacia in 3 (11.1%), acute infarct in 5 (18.5%), lacunar infarct in 3 (11.1%), mass-like lesion in 4 (14.8%) and cerebral venous thrombosis (CVT) evidence in 1 (3.7%). Acute infarct and mass-like lesions were seen together in the CT scan of one patient. In only 9 of the 27 abnormal CT scans, the findings were in accordance with seizure consisting of an acute infarct, mass-like lesion, and CVT evidence. Discussion: It seems that performing a CT scan in all patients referring to the emergency department with a first-onset seizure is not necessary.This publication has 25 references indexed in Scilit:
- Seizures and Epilepsy: An Overview for NeuroscientistsCold Spring Harbor Perspectives in Medicine, 2015
- Clinical Policy: Critical Issues in the Evaluation and Management of Adult Patients Presenting to the Emergency Department With SeizuresAnnals of Emergency Medicine, 2014
- Effectiveness of Clinical Decision Support in Controlling Inappropriate ImagingJournal of the American College of Radiology, 2011
- Utilization Management of Cardiovascular Imaging: Pre-Certification and AppropriatenessJACC: Cardiovascular Imaging, 2008
- Reassessment: Neuroimaging in the emergency patient presenting with seizure (an evidence-based review)Neurology, 2007
- Klinische Relevanz der kranialen Computertomographie unter NotdienstbedingungenRöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren, 2003
- Correlação entre hipótese diagnóstica e laudo de tomografia axial computadorizada cranianaArquivos de Neuro-Psiquiatria, 2001
- Etiology of epilepsy a prospective study of 210 casesArquivos de Neuro-Psiquiatria, 1991
- Computed tomography in childhood epilepsy.Archives of Disease in Childhood, 1988
- Computed tomography and childhood seizure disordersNeurology, 1979