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Best Tracking of Epilepsy through Radiology

Pic 01: Epilepsy can bring about lot of change to your health but you can win over with proper tracking. Picture Credit: North Suffolk Neurology
Epilepsy is a problem with brain that hurdles it’s activity- leads to singular or periodic seizures or irregularities in the behaviour or sensations of the person. At its onset,  there are various ways one can notice changes in body:
  • Confused state 
  • Eye movements are affected
  • Arm and leg movements like automated shaking
  • Anxiety to highest order 
  • Sort episodes like Loss of general awareness and memory for that time period

The condition, if left untreated, can cause great harm to the mental and physical health of the person. If one finds above symptoms persisting and reacting, he/she must visit local doctor instead of finding or investing just in local cure. 

Once you confirm with your local physician on your symptoms, the other best medical consultant or expert in case of epilepsy would be a neurologist who is trained to look into the detailed brain activity deeply and comprehensively. He might be interested in exploring the brain with some imaging  or vibrations techniques. 

 What is test for Epilepsy

MRI Brain and CT scan are primary tests to diagnose the Epilepsy. It helps to find out the cause which triggers epileptic activity. 

For imaging of brain, the person is recommended radiological investigation. The intervention in the form of investigation is done at diagnostic facility by a qualified radiologist who makes the patient to go through apt MRI procedure.

What is MRI Brain Epilepsy protocol 

The MRI technician makes suitable sequences under the set protocol from particular angles. This sequence of study is called as Brain Epilepsy Protocol.

The Images are multiple and follow ( .dcm) particular format for higher resolution. They could be in total as heavy as 50 MB. The image sequencing happens twice. In between the Contrast ( dye) is introduced inside the blood that provides much better picture of regions affected due to abnormal brain activity. Sometimes, radiologists can intervening to check if your GFR score is ok to go ahead with contrast injection. The diacom images this generated by machines are sent for extensive study to radiologists who then takes almost 1-2 hours and reports the neurological findings.

Sometime neurologist or radiologists seek opinions. In some geographies second opinion is rule than exception.

In most cases, radiologists  also offers in written the impression that he generates with his  observations. It is important for patients to find the right diagnostic centres where radiologist with neuro subspecialties are available in the town. The activities associated with brain can be seen in MRI, the person is dosed with a proper contrast. This requires monitoring and also it needs high resolution MRI machine generally 1.5 to 3 Tesla MRI machines.

Let's look at typical Brain activity of epilepsy Imagewise. A qualified radiologists can interpret the images in the context of clinical findings supplied by the patient or by his consultant.
Pic 02: This image gives an outline of how trouble spot of epilepsy is seen in Brain.  Source: Journal of Neurology, Neurosurgery and Psychiatry JNNP

 Epilepsy but normal MRI CT scan report

It is common to have normal MRI and CT report of Epilepsy patient. But, sometimes there can be subtle finding which can needs to be look carefully by the experienced Radiologist or else it can be easily missed. There are many incidences where the epileptic focus was missed by the Radiologist and report was issued as normal report. As a result patient suffers whole like as neurologists fails to start proper treatment. 

In case, if your MRI and CT scan report is normal and you are having Epilepsy, it is strongly recommended to take second opinion of Radiology report. Thanks to the TeleradiologyHUB, the second opinion can be obtained from the Best Neuro-radiologist who are trained to look for subtle easily missed findings. The neuroradiologist can be contacted through www.teleradiologyhub.com/second-opinion. 

 Questions related to Radiology report of Epilepsy patient

Feel free to comment below if you have any questions or queries related to Radiology reports, our team of Doctors will be happy to answer. 

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Thursday, 25 April 2024

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