What is the role of CT scanning in the workup of status epilepticus (SE)?

Updated: Feb 13, 2018
  • Author: Julie L Roth, MD; Chief Editor: Stephen A Berman, MD, PhD, MBA  more...
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Answer

CT scanning of the brain is often helpful in evaluating for a structural lesion (eg, brain tumor, infarction, abscess, hemorrhage) that may underlie SE. Noncontrast CT is the imaging procedure of choice for emergency department patients with SE. However, a neuroimaging study should never be allowed to impede rapid and aggressive treatment of the disorder. Imaging is often deferred if the patient is known to have epilepsy and the seizure pattern is not unusual for the individual.


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