Radiological Imaging in the Early Diagnosis of Pediatric Epilepsy and Brain Lesions

Abstract

Background: Early identification of structural and functional abnormalities in pediatric epilepsy is critical for timely intervention and improved neurological outcomes. Radiological imaging, particularly MRI and CT, plays a pivotal role in detecting underlying brain lesions.

Objectives: To evaluate the role of radiological imaging in early diagnosis of pediatric epilepsy and associated brain lesions.

Methods: A prospective observational study was conducted on 110 pediatric patients over 11 months at Shyamlal Chandrashekhar Medical College and Hospital, Khagaria, Bihar. Clinical data and radiological findings were analyzed.

Results: MRI detected abnormalities in 68.2% of cases, significantly higher than CT (41.8%). Common findings included cortical dysplasia, neurocysticercosis, and hypoxic-ischemic injury. Statistical analysis revealed strong correlation between abnormal imaging and seizure type (p<0.05).

Conclusion: MRI is superior to CT in early detection of epileptogenic lesions. Early imaging significantly enhances diagnostic accuracy and management planning.

Keywords: Pediatric epilepsy, MRI, CT scan, brain lesions, neuroimaging