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Neuroimaging after First SeizureAka: 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

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 6/1/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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Computerized Tomography

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Seizure Disorders

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Neuroimaging after First SeizureAka: Seizure Indications for Neuroimaging

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