Abstract
The value of clinical, EEG, and MRI findings in the diagnosis of specific epilepsy syndromes following a first unprovoked seizure was evaluated in 300 consecutive patients, including 59 children, aged 5-16 yrs (20%), studied prospectively at the Austin Medical Centre, Heidelberg, Melbourne, Australia.
Highlights
The value of clinical, EEG, and MRI findings in the diagnosis of specific epilepsy syndromes following a first unprovoked seizure was evaluated in 300 consecutive patients, including 59 children, aged 5-16 yrs (20%), studied prospectively at the Austin Medical Centre, Heidelberg, Melbourne, Australia
The addition of MRI data provided a prompt and final diagnosis of generalized or partial epilepsy in 243 (81%) patients
MRI was important in early diagnosis, except for children with benign rolandic epilepsy and patients with idiopathic generalized epilepsies
Summary
The value of clinical, EEG, and MRI findings in the diagnosis of specific epilepsy syndromes following a first unprovoked seizure was evaluated in 300 consecutive patients, including 59 children, aged 5-16 yrs (20%), studied prospectively at the Austin Medical Centre, Heidelberg, Melbourne, Australia. The addition of MRI data provided a prompt and final diagnosis of generalized or partial epilepsy in 243 (81%) patients. MRI was important in early diagnosis, except for children with benign rolandic epilepsy and patients with idiopathic generalized epilepsies. In children 5 years of age and older and in adults, clinical, EEG, and MRI data permit early diagnosis and differentiation of partial and generalized epileptic syndromes in 81% of patients who present with a first seizure. MRI aids in diagnosis, except in idiopathic generalized epilepsy, confirmed by EEG, and benign rolandic epilepsy.
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