Imaging of intractable paediatric epilepsy

SA Journal of Radiology


 
 
Field Value
 
Title Imaging of intractable paediatric epilepsy
 
Creator Prabhu, Sanjay Mahomed, Nasreen
 
Subject — —
Description Approximately 20% of paediatric patients with epilepsy are refractory to medical therapies. In this subgroup of patients, neuroimaging plays an important role in identifying an epileptogenic focus. Successful identification of a structural lesion results in a better outcome following epilepsy surgery. Advances in imaging technologies, methods of epileptogenic region localisation and refinement of clinical evaluation of this group of patients in epilepsy centres have helped to widen the spectrum of children who could potentially benefit from surgical treatment. In this review, we discuss ways to optimise imaging techniques, list typical imaging features of common pathologies that can cause epilepsy, and potential pitfalls to be aware of whilst reviewing imaging studies in this challenging group of patients. The importance of multidisciplinary meetings to analyse and synthesise all the non-invasive data is emphasised. Our objectives are: to describe the four phases of evaluation of children with drug-resistant localisation-related epilepsy; to describe optimal imaging techniques that can help maximise detection of epileptogenic foci; to describe a systematic approach to reviewing magnetic resonance imaging of children with intractable epilepsy; to describe the features of common epileptogenic substrates; to list potential pitfalls whilst reviewing imaging studies in these patients; and to highlight the value of multimodality and interdisciplinary approaches to the management of this group of children.
 
Publisher AOSIS
 
Contributor
Date 2015-12-09
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format text/html application/octet-stream text/xml application/pdf
Identifier 10.4102/sajr.v19i2.936
 
Source South African Journal of Radiology; Vol 19, No 2 (2015); 10 pages 2078-6778 1027-202X
 
Language eng
 
Relation https://sajr.org.za/index.php/sajr/article/view/936/1110 https://sajr.org.za/index.php/sajr/article/view/936/1112 https://sajr.org.za/index.php/sajr/article/view/936/1111 https://sajr.org.za/index.php/sajr/article/view/936/1072
 
Coverage — — —
Rights Copyright (c) 2015 Sanjay Prabhu, Nasreen Mahomed https://creativecommons.org/licenses/by/4.0