MRI versus CT for infantile seizures
Diagnosis almost certain
Disclosures
- updated 8 Sep 2022:
Nothing to disclose
Updates to Case Attributes
Body
was changed:
Prevously healthy 2-month-old infant with macrocephaly had a seizure. Physical exam and routine blood work were unremarkable. A head CT demonstrated no acute findings. A skeletal survey and ophthalmologic exam were normal. A head MR done 7 hours after the CT confirmed subdural, subarachnoid and intraventricular hemorrhagehaemorrhage thought to be due to cortical venous thrombosis.
MRI scanning may not always be available for acutely ill infants. This case demonstrates the importance of obtaining urgent MRI studies if possible.
-<p>Prevously healthy 2-month-old infant with <a href="/articles/benign-enlargement-of-the-subarachnoid-space-in-infancy">macrocephaly</a> had a seizure. Physical exam and routine blood work were unremarkable. A head CT demonstrated no acute findings. A skeletal survey and ophthalmologic exam were normal. A head MR done 7 hours after the CT confirmed subdural, subarachnoid and intraventricular hemorrhage thought to be due to cortical venous thrombosis. </p><p>MRI scanning may not always be available for acutely ill infants. This case demonstrates the importance of obtaining urgent MRI studies if possible.</p>- +<p>Prevously healthy 2-month-old infant with <a href="/articles/benign-enlargement-of-the-subarachnoid-space-in-infancy">macrocephaly</a> had a seizure. Physical exam and routine blood work were unremarkable. A head CT demonstrated no acute findings. A skeletal survey and ophthalmologic exam were normal. A head MR done 7 hours after the CT confirmed subdural, subarachnoid and intraventricular haemorrhage thought to be due to cortical venous thrombosis. </p><p>MRI scanning may not always be available for acutely ill infants. This case demonstrates the importance of obtaining urgent MRI studies if possible.</p>
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