Imaging of intractable paediatric epilepsy
SA Journal of Radiology
| Field | Value | |
| Title | Imaging of intractable paediatric epilepsy | |
| Creator | Prabhu, Sanjay Mahomed, Nasreen | |
| 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 | |
| Date | 2015-12-09 | |
| 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 |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
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
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