Computed tomography (CT) scan findings in children with seizures only

One hundred and fifteen children with seizures only were studied with Computed Tomography (CT) scan at King Khalid University Hospital (KKUH), Riyadh, Saudi Arabia. Eighty percent of the children had normal CT scan; 8.7% showed cerebral atrophy and in only 11.3% was there a specific abnormality; such as infarction, porencephalic cysts, and arachnoid cysts. These specific type of abnormalities belong to partial and combined types of seizures and were treated medically. Fifty-seven cases of generalized type of seizures showed only 6 cases of abnormal CT scan and that is only brain atrophy. Based on these findings, we believe that CT scan should not be a part of the routine investigations of children with seizures only, especially those of generalized type.