The Indian Journal of Pediatrics

, Volume 71, Issue 7, pp 641–644

Cranial computed tomography in partial motor seizures

  • Jageer Hussain
  • S. Srinivasan
  • V. Tiroumourougane Serane
  • S. Mahadevan
  • S. Elangovan
  • V. Bhuvaneswari
Symposium on Neurology-I

DOI: 10.1007/BF02724126

Cite this article as:
Hussain, J., Srinivasan, S., Tiroumourougane Serane, V. et al. Indian J Pediatr (2004) 71: 641. doi:10.1007/BF02724126

Abstract

Objective : To identify the pattern of intracranial structural lesions in developmentally normal children with partial motor seizures by computed tomography and to monitor the behavior of single ring enhancing lesion (SREL) after a period of time with or without treatment.Methods: Consecutive developmentally normal children between one year and twelve years with partial motor seizures in a tertiary care referral Hospital. After clinical examination and appropriate investigation for tuberculosis and cysticercosis, CT scan was performed. In addition to anticonvulsants, children received antituberculous or anticysticercal therapy if indicated. Repeat CT was performed on children with SREL after 6 months.Results: Computed tomography was abnormal in 102 (68%) children. Majority of the children (75) had SREL. The lesions were located in decreasing order of frequency in the parietal lobe (65), frontal lobe (7), occipital lobe (1), temporal lobe (1) and cerebellum (1). Repeat CT scan was performed on 50 of the 75 children with SREL. Among these, in 41 children who were only on antiepileptic therapy, the SREL had decreased in size in thirty-two whereas in the rest (9), there was no change in the size.Conclusion: Awareness of the existence of disappearing SREL lesions is essential to avoid unnecessary treatment with antituberculous or anticysticercal therapy and provides ample justification in treating with anticonvulsant drugs only

Key words

Partial seizure Normal development Disappearing CT lesion 

Copyright information

© Department of Pediatrics All India Institute Of Medical Science 2004

Authors and Affiliations

  • Jageer Hussain
    • 2
  • S. Srinivasan
    • 2
  • V. Tiroumourougane Serane
    • 2
  • S. Mahadevan
    • 2
  • S. Elangovan
    • 1
    • 2
  • V. Bhuvaneswari
    • 1
    • 2
  1. 1.Department of RadiologyJawaharlal Institute of Postgraduate Medical Education and ResearchPondicherry
  2. 2.Department of PediatricsJawaharlal Institute of Postgraduate Medical Education and Research, PondicherryPondicherry

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