Annals of SBV

Register      Login

VOLUME 11 , ISSUE 1 ( January-June, 2022 ) > List of Articles

REVIEW ARTICLE

Effectiveness of Magnetic Resonance Imaging in Comparison to Electroencephalography in Newly Diagnosed Seizure Patients

Abarna Selvarajah, Armel Arputha Sivarajan, Shailendra Singh Naik

Keywords : Electroencephalogram, Magnetic resonance imaging, Seizures

Citation Information : Selvarajah A, Sivarajan AA, Naik SS. Effectiveness of Magnetic Resonance Imaging in Comparison to Electroencephalography in Newly Diagnosed Seizure Patients. 2022; 11 (1):13-15.

DOI: 10.5005/jp-journals-10085-9116

License: CC BY-NC 4.0

Published Online: 18-10-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

In newly diagnosed seizure patients though the norm is to do an electroencephalogram (EEG), underlying structural abnormalities will be better depicted on magnetic resonance imaging (MRI), and EEG may turn out to be normal. Since a wide variety of structural abnormalities in the brain can lead to seizures, studies had shown that MRI was more effective in detecting lesions accurately in addition to an EEG, so it is better to include MRI as a first line of investigation in seizure patients for early detection, treatment, and better prognosis of underlying structural abnormality.


PDF Share
  1. Hirtz D, Thurman DJ, Gwinn-Hardy K, Mohamed M, Chaudhuri AR, Zalutsky R. How common are the “common” neurologic disorders? Neurology 2007;68(5):326–337. DOI: 10.1212/01.wnl.0000252807.38124.a3.
  2. Doescher JS, deGrauw TJ, Musick BS, Dunn DW, Kalnin AJ, Egelhoff JC, et al. Magnetic resonance imaging and electroencephalographic findings in a cohort of normal children with newly diagnosed seizures. J Child Neurol 2006;21(6):491–495. PMID: 16948933.
  3. Fisher RS, Boas W van E, Blume W, Elger C, Genton P, Lee P, et al. Epileptic seizures and epilepsy: definitions proposed by the International League Against Epilepsy (ILAE) and the International Bureau for Epilepsy (IBE). Epilepsia 2005;46(4):470–472. DOI: 10.1111/j.0013-9580.2005.66104.x.
  4. Fisher RS, Cross JH, D'Souza C, French JA, Haut SR, Higurashi N, et al. Instruction manual for the ILAE 2017 operational classification of seizure types. Epilepsia 2017;58(4):531–542. DOI: 10.1111/epi.13671.
  5. Kim SE, Lee BI, Shin KJ, Ha SY, Park J, Park KM, et al. Characteristics of seizure-induced signal changes on MRI in patients with first seizures. Seizure 2017;48:62–68. DOI: 10.1016/j.seizure.2017.04.005.
  6. Spencer SS, Spencer DD. Correlation of MRI and electroencephalogram. In: Shorvon SD, Fish DR, Andermann F, Bydder GM, Stefan H, editors. Magnetic Resonance Scanning and Epilepsy. Boston, MA: Springer US; 1994. pp. 139–143 (NATO ASI Series). Available from: https://doi.org/10.1007/978-1-4615-2546-2_24.
  7. MR Epilepsy/Seizure WWO Neuro Protocol|OHSU. Available from: https://www.ohsu.edu/school-of-medicine/diagnostic-radiology/mr-epilepsy-seizure-wwo-neuro-protocol.
  8. Wang ZI, Jones SE, Ristic AJ, Wong C, Kakisaka Y, Jin K, et al. Voxel-based morphometric MRI post-processing in MRI-negative focal cortical dysplasia followed by simultaneously recorded MEG and stereo-EEG. Epilepsy Res 2012;100(1–2):188–193. DOI: 10.1016/j.eplepsyres.2012.02.011.
  9. Crocker CE, Pohlmann-Eden B, Schmidt MH. Role of neuroimaging in first seizure diagnosis. Seizure 2017;49:74–78. DOI: 10.1016/j.seizure.2016.05.015.
  10. von Oertzen J, Urbach H, Jungbluth S, Kurthen M, Reuber M, Fernandez G, et al. Standard magnetic resonance imaging is inadequate for patients with refractory focal epilepsy. J Neurol Neurosurg Psychiatry 2002;73(6):643–647. DOI: 10.1136/jnnp. 73.6.643.
  11. Cendes F, Theodore WH, Brinkmann BH, Sulc V, Cascino GD. Neuroimaging of epilepsy. Handb Clin Neurol 2016;136:985–1014. DOI: 10.1016/B978-0-444-53486-6.00051-X.
  12. Berg AT, Testa FM, Levy SR, Shinnar S. Neuroimaging in children with newly diagnosed epilepsy: a community-based study. Pediatrics 2000;106(3):527–532. DOI: 10.1542/peds.106.3.527.
  13. Özkan D, Çetinkaya Y, Özyilmaz A, Çelik HT, Misirli CH, Tireli H. Correlation of electroencephalography and magnetic resonance imaging in patients with mesial temporal sclerosis. Noro Psikiyatr Ars 2018;55(2):135–139. DOI: 10.5152/npa.2017.13783.
  14. Cendes F, Leproux F, Melanson D, Ethier R, Evans A, Peters T, et al. MRI of amygdala and hippocampus in temporal lobe epilepsy. J Comput Assist Tomogr 1993;17(2):206–210. DOI: 10.1097/00004728-199303000-00008.
  15. Mohan B, Mane R, Karthik GA, Raj V, Parthasarathy P, Bhat V. Utility of magnetic resonance imaging (MRI) and it's comparison with electroencephalogram (EEG) in first onset seizures in children. Int J Contemp Med Surg Radiol 2018;3(2):B4–B7. DOI: 10.21276/ijcmsr.2018.3.2.2.
  16. Xuan NM, Tuong TTK, Huy HQ, N HS. Magnetic resonance imaging findings and their association with electroencephalogram data in children with partial epilepsy. Cureus 2020;12(5):e7922. DOI: 10.7759/cureus.7922.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.