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Neuroimaging after First Seizure

Aka: Neuroimaging after First Seizure, Seizure Indications for Neuroimaging

Techniques: Imaging Studies after first Seizure
1. Step 1: CT Head (acute to exclude hemorrhage)
2. Step 2: MRI Head (preferred for structural exam)
Indications: Adults
1. Acute Head Trauma
2. Age over 40 years
3. AIDS
4. Altered mental status persists
5. Anticoagulation
6. Fever
7. Focal neurologic deficit of new onset
8. Headache persists
9. Malignancy
10. Partial Seizure (focal Seizure)
Indications: Children
1. EEG with primary generalized Epilepsy
2. Head Trauma
3. Malignancy
4. Mental status changes persist
5. Partial Seizure (focal Seizure)
6. Postictal neurologic deficit that persists

Family Practice Notebook

Patients should address specific medical concerns with their physicians.

Although access to this page is not restricted, the information found here is intended for use by medical providers.

This page was written by Scott Moses, MD, last revised on 10/21/2007 and last published on 2/5/2012.

This is one of 5663 pages in the Family Practice Notebook