ROLE OF MAGNETIC RESONANCE IMAGING IN EVALUATION OF SEIZURES

Objective: To explore the role of magnetic resonance imaging in evaluation of seizures. Patients and Methods: The cross sectional study comprises fifty patients with clinical impression of seizures presented at tertiary care hospital. The seizure patients were selected irrespective of age and gender while the exclusion criteria were the contraindications to MRI studies, such as patients with pacemakers and metallic implants, aneurysmal clips and anxiety disorders exacerbated by MRI. The patient selected for the study clinically diagnosed cases of seizures as per criteria. Various details of MRI findings were studied as existence of lesion, site, and signal intensity, surrounding edema, any hemorrhage, atrophy, infarction, mass effect, contrast enhancement / enhancing lesions, calcification, developmental malformations and hydrocephalus. The frequency / percentages (%) and means ±SD computed for study variables. Results: During six months study period total fifty patients with seizures were explored on MRI scan. The frequency for male and female population was 30 (60%) and 20 (40%) with mean ± SD for age of male and female individuals was 43.82±7.65 and 47.55±8.84 respectively. The male population (60%) was predominant while regarding the MRI findings the infarct with gliosis was identified in 14%, atrophy 16%, tuberculoma 24%, venous thrombosis 10%, glioma 10%, meningioma 10%, cerebral abscess 16%. Conclusion: MRI plays a major role in the evaluation of patients with seizures. Keywords: Seizures, Magnetic resonance imaging and Epilepsy