Epilepsy magnetic resonance imaging (MRI)

Evidence-based neurology checklist on epilepsy magnetic resonance imaging (mri): Indications for MRI in epilepsy To screen for structural abnormalities To establish the syndromic and etiologic diagnosis To determine the cause for loss of seizure control To determine the cause for a change in…

Indications for MRI in epilepsy

  • To screen for structural abnormalities
  • To establish the syndromic and etiologic diagnosis
  • To determine the cause for loss of seizure control
  • To determine the cause for a change in seizure pattern
  • For pre-surgical evaluation

Epilepsy syndromes not requiring MRI evaluation

MRI abnormalities in epilepsy

References

  1. Duncan JS. Imaging and epilepsy. Brain 1997; 120:339-377.
  2. Cianfoni A, Caulo M, Cerase A, et al. Seizure-induced brain lesions: a wide spectrum of variably reversible MRI abnormalities. Eur J Radiol 2013; 82:1964-1972. 
  3. Kim JA, Chung JI, Yoon PH, et al. Transient MR signal changes in patients with generalized tonicoclonic seizure or status epilepticus: periictal diffusion-weighted imaging. Am J Neuroradiol 2001; 22:1149-1160.
  4. Feldman RE, Rutland JW, Fields MC, et al. Quantification of perivascular spaces at 7T: A potential MRI biomarker for epilepsy. Seizure 2018; 54:11-18.

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