Evaluation Of Findings On Imaging Of Brain In Children With First Recognized Episode Of Fits-Experience At Tertiary Care Hospital Of Quetta

Abstract

Objective: To evaluate various causes of fits in children on MRI presenting in Tertiary Care Hospital, Quetta. Study Design and Setting: A Cross sectional study was conducted in the department of Radiology, Bolan Medical Complex Hospital Quetta from October 2017 to March 2018. Methodology: A total of 100 children aged 06 months to 13 years were included in the study who presented with seizures to emergency department and neuro clinics. Information obtained from history, clinical examination and MRI brains were recorded. The data was analyzed in SPSS 20. Results: Among the total 100 children, MRI examination was unremarkable in 45% (n=45). Neoplastic lesions were the second most common abnormal MRI finding and constituted 10% (n=10). Perinatal ischemia and Periventricular leucomalacia were recorded in 9% (n=9). Congenital aqueductal stenosis in 9% (n=9), along with Encephalitis/Meningitis also in 8% (n=8). Brain atrophy was noted in 6% (n=6). Three cases each of Vascular and Post traumatic changes/gliosis (n=6, 6%) and one case of each of Hydrocephalus/Aqueductal stenosis, Infarct, Malformation of cortical development, Leucodystrophy, Agenesis of corpus callosum, Arachnoid cyst and Hydatid cyst (n=7, 7%) Conclusion: Brain magnetic resonance imaging was successful in detecting structural abnormalities and it can be trusted to detect seizure foci in pediatric patients.