Original contributionSeizure patient selection for emergency computed tomography
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Cited by (34)
First-Time Seizure Patients have High Rate of Abnormalities on Emergency Department Performed Brain Computed Tomography: A Prospective Study
2023, Journal of Emergency MedicineACR Appropriateness Criteria® Seizures-Child
2021, Journal of the American College of RadiologyCitation Excerpt :It is important to note that distinction between generalized and partial seizures can be difficult to make and can evolve in the same patient over time. Reinus et al [43] demonstrated that 100% of patients with seizures and positive CT results had either an abnormal neurologic examination, an abnormal EEG, or a known malignancy. Although Hart et al [34] reported that 83% of patients younger than 16 years of age at the time of initial seizure experienced seizure recurrence, seizures that were associated with a neurologic deficit recurred in 100% of patients.
Derivation of a clinical decision instrument to identify patients with status epilepticus who require emergent brain CT
2020, American Journal of Emergency MedicineCitation Excerpt :High risk criteria for acute intracranial findings were derived from both author consensus and prior literature (Fig. 1). Several studies have shown that malignancy is a risk factor for metastatic intracranial lesions leading to a seizure disorder [10,11]. Immunosuppression (AIDS, chronic steroids) could lead to intracranial abscess or infection while head trauma could lead to intracranial hemorrhage.
The Emergency Department Evaluation of the Adult Patient Who Presents with a First-Time Seizure
2011, Emergency Medicine Clinics of North AmericaCitation Excerpt :The necessity and timing of neuroimaging for patients with new-onset seizure remain controversial for emergency physicians. Noncontrast head CT scans reveal abnormalities ranging from 3% to 40% in patients with first-time seizure, which includes two-thirds with focal lesions and one-third with diffuse cerebral atrophy.7,8,16 The incidence of finding an abnormality is increased if the patient has a focal neurologic finding, focal onset of the seizure, history of malignancy, or HIV.17
Evidence-based medicine: Neuroimaging of seizures
2003, Neuroimaging Clinics of North AmericaED utilization of computed tomography in a poisoned population
2002, American Journal of Emergency Medicine