%0 Journal Article
%T Computed tomography and childhood seizure disorder in Ibadan
%A MO Obajimi
%A OJ Fatunde
%A AO Ogunseyinde
%A OO Omigbodun
%A OM Atalabi
%A RU Joel
%J West African Journal of Medicine
%D 2004
%I 
%X Background: Computed Tomography (CT) is an important tool for neuroimaging, it offers an opportunity to investigate structural lesions as a cause of seizures with little morbidity. This study is designed to evaluate it's applicability in children with epileptic seizures. Method: It is a descriptive study of the CT scans of the 103 consecutive children who were referred to the CT suite of the University College Hospital on account of seizure disorders over a 5 year period (1997 ¨C 2001). Results: Only 103 (4.6%) of the subjects who had cranial scans done in five years were children with seizures disorders. The CT scans were abnormal in 53 (51.5%). Hydrocephalus was the most common finding in 14 (13.6%). Cerebral atrophy and infarct were reported in 10.6% and 8.7% respectively. The outlined cranial fractures found in 6.8% were all depressed. A high incidence (74.4%) of abnormal scans was reported in the children with partial seizures. Thirty-three (62.3%) of the abnormal scans were amenable to surgery. The presence of neurologic deficit increased the yield of abnormal CT features. Conclusion: CT scans are of extreme value in the screening and definitive evaluation of seizures in children. It is advocated for excluding treatable conditions and monitoring progression of the disorder. Key Words: Seizure disorder, Computed Tomography, Childhood. R¨¦sum¨¦ Introduction: Tomographie informatique, computed tomography (CT) est un instrument tr¨¨s important pour neuroimagerie; il donne l'occasion d'examiner les lesions structurales comme la cause des crise avec un peu de la morbidit¨¦. L'objet de cette ¨¦tude est d'¨¦valuer son applicabilit¨¦ pour des enfants atteints de la crise ¨¦pileptique. M¨¦thode: Il s'agit d'une ¨¦tude descriptive d'examen au scanneur chez 103 enfants cons¨¦cutifs qui ont ¨¦t¨¦ envoy¨¦s ¨¤ la suite CT, du coll¨¨ge hospitalier universitaire en raison de trouble de la crise au cours d'une p¨¦riode de 5 ans (1997 ¨C 2001). Resultats: Seulement 103 soit 4,6% des sujets chez lesquels on a fait le scanneur cranien dans cinq ans ¨¦taient des enfants atteints des troubles des crises. Le CT scanneur ¨¦tait anormal chez 53 soit 51,5%. L'hydroc¨¦phal¨¦e ¨¦tait le r¨¦sultat le plus courant dans 14 soit 13,6%. L'atrophie c¨¦r¨¦brale et infarctus ont ¨¦t¨¦ rapport¨¦s recenses en 10,6% et 8,7% respectivement. Le outline de la fracture crani¨¦ne trouv¨¦ en 6,8% ont ¨¦t¨¦ tous en depression. Une incidence ¨¦lev¨¦e 74,4% des scanneur anormal ¨¦tait rapport¨¦ chez des enfants atteints des crises partielles. Trente trios (62,3%) de scanneur anormal ¨¦taient trait¨¦ ¨¤ travers l'intervention chirurgicale. La pr¨¦sence du d¨¦ficit neurologique a augment¨¦ le r¨¦sultat des traits de CT anormal. Conclusion: Le CT Scanneur est d'une valeur extr¨ºme dans le test des d¨¦pistage et dans l'¨¦valuation d¨¦finitive des crises chez des enfants. On pr¨¦conise son utilisation ¨¤ l'¨¦xception des conditions gu¨¦risable et le contr le du d¨¦veloppment de ce trouble. West African Journal of Medicine Vol.23(2) 2004: 167-172
%U http://www.ajol.info/index.php/wajm/article/view/28112