Abstract
Investigators at University of Gaziantep, Turkey, studied the frequency of celiac disease (CD) among children with occipital epilepsy.
Highlights
Two out of 90 epilepsy patients with occipital discharges were tissue transglutaminase positive, a prevalence of 1/45 (2.22%), and diagnosis of celiac disease (CD) was confirmed by endoscopic duodenal biopsy
In patients with occipital lobe epilepsy associated with CD, seizures were uncontrolled with monotherapy
Screening for CD is recommended in children with resistant occipital epilepsy
Summary
Investigators at St Francis Medical Center, Cape Girardeau, MO, and multiple centers in the US, using a database from the Vermont Oxford Network Registry, studied the pattern of use and findings of computed tomography, MRI, and intracranial ultrasound in the evaluation of infants with neonatal encephalopathy. Compared with MRI, CT provided less detailed evaluation of cerebral injury, but was more sensitive than cranial ultrasound for hemorrhage and deep brain structural abnormalities. Data collected in this study suggest that cranial ultrasound for screening, followed by MRI is more appropriate than CT at any stage of evaluation of infants with neonatal encephalopathy. The Image Gently education campaign in radiology promotes reduction of the frequency of CT scanning [3], but further efforts by caregivers of newborns are needed to limit the use of CT in evaluation of neonatal encephalopathy [4]
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