EVALUATION OF FIRST SEIZURE IN CHILDHOOD: NEUROIMAGING OVERTURES

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Seizure is a common presentation in an emergency care setting, and new-onset epilepsy is the most common cause of unprovoked seizures. The neuroradiologic evaluation of patients after a first seizure must be tackled starting from the clinical history, neurological examination and blood tests, followed by an electroencephalographic study. The initial assessment after a single event should determine whether an actual seizure has occurred or if the episode could be attributed to another transitional event; it is necessary to exclude the possibility of the crisis being a manifestation of a possible organic cause, therefore determining whether it was caused by brain injury or a first episode of epilepsy. The role of neuroimaging in a child with new-onset afebrile seizures is controversial. In this article we evaluate the need for neuroradiologic investigation after a first seizure.
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