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Year :2017
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Month :
July
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Volume :
6
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Issue :
3
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Page :
RO08 - RO16
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MRI in Epilepsy : A Hope in the Midst of a Storm
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Correspondence Address :
VIRAL BIMAL PATEL, Akanksha Maheshwari, GEETIKA ABHINAV SINDHWANI, Jayesh Bhatt, Jaydeep Doshi,
Dr. Viral Bimal Patel,
Department of Radiodiagnosis, Shree Krishna Hopsital and PSMC, Gokal Nagar, Karamsad-388325,
Anand, Gujarat, India.
E-mail: viralvp@charutarhealth.org
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Introduction: Introduction: Epilepsy is a major public health problem in developing countries like India where it is not spared from threatening myths. Few Indian studies have described the wide spectrum of MRI findings in patients of varied age groups and those with variety of etiologies.
Aim: We aim to present the spectrum of MR brain imaging in patients referred with diagnosis of epilepsy observed clinically and/or confirmed by EEG.
Materials and Methods: This prospective study was conducted in the Department of Radiology, Shree Krishna Hospital, for the duration of two years between 1st June 2013 to 31st May 2015. Total 150 patients underwent EEG to locate the epileptogenic focus before they were subjected to MRI. Patients were subjected to MRI scan of the brain on superconductive 1.5 Tesla Magnetom Symphony Maestro class MRI scan. (Siemens AG Co., Relangen). Statistical analysis was done by using percentages and proportions.
Results: Among the patients, the most common type of seizures was generalised tonic clonic type i.e., 73 (48%). Age of patients varied from 4 months to 82 years and majority were between 11-20 years i.e., 27 (18%). There was a male predominanace 94 (62.67%) and 56 (37.33%) females. MRI revealed abnormal findings in 93 (62%) of 150 patients. Acute infarct in 11 (7.3%), chronic infarct in 4 (2.7%), cystic encephalomalacia in 15 (10%), chronic small vessel disease in 25 (16.7 %), tumours in 13 (8.7%), hydrocephalous in 4 (2.7 %), developmental malformations in 1 (0.7%), Infective in 15 (10%), demyelinating lesions in 9 (6%), vascular malformations in 3 (2%), haemorrhage in 7 (4.7 %), thrombosis in 5 (3.3 %), mesial temporal sclerosis in 5 (3.3 %), atrophy in 20 (13.3%), edema in 11 (7.3 %) and hypoxic injury in 5 (3.3 %).
Conclusion: The study highlights the contribution of MRI in identifying surgically or medically treatable causes and thus aid in timely management.
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