PEDIATRICS Vol. 58 No. 6 December 1976, pp. 828-832
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Computerized Axial Tomography in Chronic Seizure Disorders of Childhood

David S. Bachman M.D.1, Fred J. Hodges III M.D.1, and John M. Freeman M.D.1

1 Divisions of Pediatric Neurology and Neuroradiology, the Johns Hopkins University School of Medicine, Baltimore, Maryland

Ninety-eight children with chronic seizure disorders were studied by computerized axial tomography (CAT). Structural abnormalities were identified in 30% of these children. The greatest incidence of abnormalities was in children with focal motor seizures (43%) and in those whose EEG demonstrated focal slowing together with focal spikes (38%). The most common abnormality was either focal or generalized atrophy (13%). Only about 2% of the abnormalities discovered by CAT were potentially of therapeutic significance. However, the demonstration of a static process, or the finding of a normal CAT, may be quite helpful to the family and physician in certain children with chronic seizure disorders.

Submitted on April 12, 1976
Accepted on June 16, 1976




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