Introduction: Fits are common indications for MRI since it is regarded as the modality of choice in epilepsy imaging. However, no evaluation regarding the efficacy and usefulness of MRI in epilepsy has been performed in Sri Lanka. We intend to demonstrate clinical and demographic details in patients referred for fits, correlating with their MRI findings.
Material & Methods: Data from consecutive patients with fits who underwent MRI brain from June 2012 to March 2013 were analyzed (n=231). Patients with other indications (n=1397) were excluded. Patients' data were obtained from the local database and MRI forms. All MRI’s were assessed with the Radiologist Reports. Results were analyzed using Excel 2007.
Results: There were 54.5% (n=126) males and 45.5% (n=105) were females. 1- 15yrs age group consisted of 39.4% (n=91). Majority, 67 % had generalized tonic clonic (GTC) seizures. There were 225 newly diagnosed fits and 6 follow-up cases. MRI findings were abnormal in 57.6% (n=133).Findings in 36.8% were cerebral tumors, out of which 48.9% were gliomas and 16.3% were meningiomas. >15 year group had neoplasms in 48.5% compared to 8.1% in 1-15 year group. Regarding co-morbidities, 9% (n=21) had congenital/perinatal conditions versus 8.2% (n=19) with malignancy
Conclusion: MRI helps in establishing an underlying cause for fits and in management decision-making. MRI findings vary in relation to seizure type, age group etc.
Pallewatte, A. et al., (2015). An analysis of MRI findings in patients referred with fits. Sri Lanka Journal of Radiology. 1, pp.6–12. DOI: http://doi.org/10.4038/sljr.v1i0.2
Pallewatte A, Alahakoon S, Sananayake G, Bulathsinghela B. An analysis of MRI findings in patients referred with fits. Sri Lanka Journal of Radiology. 2015;1:6–12. DOI: http://doi.org/10.4038/sljr.v1i0.2
Pallewatte, A., Alahakoon, S., Sananayake, G., & Bulathsinghela, B. (2015). An analysis of MRI findings in patients referred with fits. Sri Lanka Journal of Radiology, 1, 6–12. DOI: http://doi.org/10.4038/sljr.v1i0.2
Pallewatte, AS, S Alahakoon, G Sananayake, and BC Bulathsinghela. 2015. An analysis of MRI findings in patients referred with fits 1: 6–12. DOI: http://doi.org/10.4038/sljr.v1i0.2