| In a prospective observational study 50 children who were admitted with first afebrile seizure in department of pediatric Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research Institute, were underwent brain CT scan. Neuroimaging was performed (180/200) of these children within 48hours of theirarrival to the Emergency Department. Seizures due to structural etiology, secondary to perinatal insult followed by metabolic and infections, are important causes. Imaging aids are important in etiological diagnosis. Etiological evaluation should be considered in children following first episode of afebrile seizures, especially in developing countries like India. This study would be useful in selecting patients for intensive investigations early in their clinical course for a possible surgical treatable cause; proper parental counseling and prevention of toxicity from an overdose of antiepileptic drugs and useless polytherapy can be minimized, in a country like India where a large treatment gap existsddd |
