Radiographic Studies

The issue of neuroimaging following seizures remains controversial. In 1996, the American College of Emergency Physicians (ACEP)5 in conjunction with a panel of neurologists, neurosurgeons, and neuroradiologists, developed a practice parameter outlining the role and timing of neuroimaging following seizures. In patients with a febrile seizure or seizure typical of their documented epilepsy, radiographic studies usually are not indicated. However, for patients with a first seizure or a change in their established seizure pattern, CT scanning of the head is appropriate to identify a structural lesion. T§bIe..J22.4.:4. lists guidelines for emergent CT scanning following a seizure. Noncontrast CT is an appropriate screening tool. 6

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