0
June 1997, Vol 151, No. 6 >
Article | June 1997

Single Ring- or Disk-Enhancing Computed Tomographic Lesion in Indian Children and Adolescents After First Seizure FREE

Ravindra Kumar Garg, MD, DM; Devika Nag, MD
Arch Pediatr Adolesc Med. 1997;151(6):632-634. doi:10.1001/archpedi.1997.02170430098023.
Text Size: A A A
Published online
Article
References
Comments

Views about the indications of computed tomography (CT) for children and young adults with first seizure are conflicting. Holmes1 recommended that CT should be done in all patients after first seizure, except for those with absence seizures or rolandic epilepsy who have normal results on neurological examination. Verity2 recommends CT only if clinical findings suggest an underlying cause of seizures or if seizures are refractory. In addition, children with partial seizures should also be subjected to early scans.3 A relatively early CT study of children with all types of seizures revealed an overall incidence of abnormalities in one third of the cases.4 The most commonly detected abnormality is generalized or focal cortical atrophy.4 Localized or generalized cerebral dysgenesis, porencephalic cysts, tumors, cerebral abscess, focal encephalitis, and vascular malformations can also be identified along with other abnormalities by the use of CT.5,6 In the Indian

REFERENCES

1 +
Holmes GL.  Electroencephalographic and neuroradiologic evaluation of children with epilepsy . Pediatr Clin North Am . 1989;;36:395-420.
2 +
Verity CM.  The place of the EEG and imaging in the management of seizures . Arch Dis Child . 1995;;73:557-562.
3 +
O'Donohoe NV.  The EEG and neuroimaging in the management of the epilepsies . Arch Dis Child . 1995;;73:552-567.
4 +
Yang PJ, Berger PE, Cohen ME, Duffner PK.  Computed tomography and childhood seizure disorders . Neurology . 1979;;29:1084-1088.
5 +
Wallace SJ.  Seizures in children . In: Laidlaw J, Richens A, Chadwick D, eds. A Textbook of Epilepsy . New York, NY: Churchill Livingstone Inc; 1993;:77-164.
6 +
Hauser WA.  Seizure disorders: the changes with age . Epilepsia . 1992;;33 ( (suppl 4) ):S6-S14.
7 +
Rajshekhar V.  Etiology and management of single, small CT lesions in patients with seizures: understanding a controversy . Acta Neurol Scand . 1991;; 87:465-470.
8 +
Sethi PK, Kumar BR, Madan VS, Mohan VS.  Appearing and disappearing CT scan abnormalities and seizures . J Neurol Neurosurg Psychiatry . 1985;;48: 866-869.
9 +
Sethi PP, Wadia RS, Kiyawat DP, et al.  Ring or disc enhancing lesions in epilepsy in India . J Trop Med Hyg . 1994;;97:347-393.
10 +
Bhargava S, Tandon PN.  Intracranial tuberculomas: a CT study . Br J Radiol . 1980;;53:935-945.
11 +
Rajshekhar V, Haran RP, Shankar Prakash GS, Chandy MJ.  Differentiating solitary small cysticercus granulomas and tuberculomas in patients with epilepsy: clinical and computerized tomographic criteria . J Neurosurg . 1993;; 78:402-407.
12 +
Van-Dyke A.  CT of intracranial tuberculomas with specific reference to the target sign . Neuroradiology . 1988;;30:329-336.
13 +
Kumar R, Kumar A, Kohli N, Pant MC, Govil YC, Sharma B.  Ring- or disc-like enhancing lesions in partial epilepsy in India . J Trop Pediatr . 1990;;36: 131-134.
14 +
Rajshekhar V.  Albendazole therapy for persistent solitary cysticercus granuloma in patients with epilepsy . Neurology . 1993;;43:1238-1240.
15 +
Del Brutto OH.  Single parenchymal brain Cysticercus in the acute encephalitic phase: definition of a distinct form of neurocysticercosis with a benign prognosis . J Neurol Neurosurg Psychiatry . 1995;;58:247-249.
16 +
Padma MV, Behari AM, Misra NK, Ahuja GK.  Albendazole in single CT ring lesions in epilepsy . Neurology . 1990;;44:1344-1346.
17 +
Chopra JS, Sawhney IMS, Suresh N, Prabhakar S, Dhand UK, Suri S.  Vanishing CT lesions in epilepsy . J Neurol Sci . 1992;;107:40-49.

Figures

Tables

Interactive Graphics

Video

Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Holmes GL.  Electroencephalographic and neuroradiologic evaluation of children with epilepsy . Pediatr Clin North Am . 1989;;36:395-420.
2 +
Verity CM.  The place of the EEG and imaging in the management of seizures . Arch Dis Child . 1995;;73:557-562.
3 +
O'Donohoe NV.  The EEG and neuroimaging in the management of the epilepsies . Arch Dis Child . 1995;;73:552-567.
4 +
Yang PJ, Berger PE, Cohen ME, Duffner PK.  Computed tomography and childhood seizure disorders . Neurology . 1979;;29:1084-1088.
5 +
Wallace SJ.  Seizures in children . In: Laidlaw J, Richens A, Chadwick D, eds. A Textbook of Epilepsy . New York, NY: Churchill Livingstone Inc; 1993;:77-164.
6 +
Hauser WA.  Seizure disorders: the changes with age . Epilepsia . 1992;;33 ( (suppl 4) ):S6-S14.
7 +
Rajshekhar V.  Etiology and management of single, small CT lesions in patients with seizures: understanding a controversy . Acta Neurol Scand . 1991;; 87:465-470.
8 +
Sethi PK, Kumar BR, Madan VS, Mohan VS.  Appearing and disappearing CT scan abnormalities and seizures . J Neurol Neurosurg Psychiatry . 1985;;48: 866-869.
9 +
Sethi PP, Wadia RS, Kiyawat DP, et al.  Ring or disc enhancing lesions in epilepsy in India . J Trop Med Hyg . 1994;;97:347-393.
10 +
Bhargava S, Tandon PN.  Intracranial tuberculomas: a CT study . Br J Radiol . 1980;;53:935-945.
11 +
Rajshekhar V, Haran RP, Shankar Prakash GS, Chandy MJ.  Differentiating solitary small cysticercus granulomas and tuberculomas in patients with epilepsy: clinical and computerized tomographic criteria . J Neurosurg . 1993;; 78:402-407.
12 +
Van-Dyke A.  CT of intracranial tuberculomas with specific reference to the target sign . Neuroradiology . 1988;;30:329-336.
13 +
Kumar R, Kumar A, Kohli N, Pant MC, Govil YC, Sharma B.  Ring- or disc-like enhancing lesions in partial epilepsy in India . J Trop Pediatr . 1990;;36: 131-134.
14 +
Rajshekhar V.  Albendazole therapy for persistent solitary cysticercus granuloma in patients with epilepsy . Neurology . 1993;;43:1238-1240.
15 +
Del Brutto OH.  Single parenchymal brain Cysticercus in the acute encephalitic phase: definition of a distinct form of neurocysticercosis with a benign prognosis . J Neurol Neurosurg Psychiatry . 1995;;58:247-249.
16 +
Padma MV, Behari AM, Misra NK, Ahuja GK.  Albendazole in single CT ring lesions in epilepsy . Neurology . 1990;;44:1344-1346.
17 +
Chopra JS, Sawhney IMS, Suresh N, Prabhakar S, Dhand UK, Suri S.  Vanishing CT lesions in epilepsy . J Neurol Sci . 1992;;107:40-49.

Correspondence

Submit a Letter
CME
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Clear Answers | Save For Later
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s “Cited By” API will populate this tab (http://www.crossref.org/citedby.html).
Compression-Only CPR: Pushing the Science Forward
Cone
AAM 2010;304:1493-1495.
All you need to read in the other general journals
BMJ 2010;341:c5893-c1494.
Submit a Comment

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

© 2013 American Medical Association. All Rights Reserved.
Powered bySilverchair Information Systems