Neuroimaging for non-index seizures in pediatric patients: when is it useful?

How useful is neuroimaging for non-index seizures in a pediatric emergency department? In a retrospective chart review, Dr Emma Mazzio and colleagues at the Children’s Hospital Colorado in Aurora, USA, determined how often imaging results revealed new abnormal findings that led to an acute change in management (ACM).

They evaluated the clinical characteristics of 402 patients presenting to their pediatric emergency department between 2008 and 2018 with non-index seizure who underwent neuroimaging as part of the diagnostic work-up.

The goal was to identify factors associated with actionable neuroimaging findings to develop a clinical decision-making tool to stratify patients most likely to benefit from neuroimaging.

The researchers found that: