Analysis of clinical features, EEG & neuroimaging studies in childhood epilepsy

Dawood S Abdun; Balsam Yahya Abdulmajeed; Riyadh Adil Al-Rawi; Abdul Ghani Z Al-Rawi

Analysis of clinical features, EEG & neuroimaging studies in childhood epilepsy

Authors
Dawood S Abdun, Balsam Yahya Abdulmajeed, Riyadh Adil Al-Rawi, Abdul Ghani Z Al-Rawi

Abstract
Background: Epilepsy is the most common childhood neurologic disorder. About 50% of all cases of epilepsy start in childhood, nearly 90% of the people with epilepsy are found in developing regions. Objectives: To analyze the clinical features and neuroimaging studies among epileptic children. Patients and Methods: One hundred epileptic children were included in the study. They were evaluated to determine the clinical features, developmental assessment and the significance of neuroimaging studies. Results: Among 100 children included in the study, the sex distribution was nearly equal, the most prevalent age group was below 3years (50%), the tonic-clonic epileptic seizure was the commonest type (56%), the EEG study was positive in 96% of patients, CT scan had been done for significant number of children in the study (86%) while only 4% had MRI. The most prevalent CT change was variable degree of brain atrophy (46.5%) followed by calcifications (5.7%) then hydrocephaly (2.3%) Conclusion: Most patients with epilepsy present below 3 years of age, the most common type of epilepsy was tonic-clonic epilepsy, EEG mostly abnormal. CT scan imaging used more than MRI in the evaluation of the possible pathology causing epilepsy & the most common finding was brain atrophy, then calcifications and hydrocephaly.

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