All issues > Volume 24(4); 1981

Original Article

J Korean Pediatr Soc. 1981;24(4):352-357. Published online April 15, 1981.

Routine Skull Roentgenograms in Management of Infants and Children with Conversions.

Sin Hyang Kim, Young Keun Kim, In Kee Paik, Chin Moo Kang

¹Dept of Pediatrics, Presbyterian Medical Center, Keimyung University, School of Medicine, Daegu Korea

Abstract

Convulsions are common in childrens and the skull radiogram is often integral part of a routine work up in patients with convulsions. We studied the skull roentgenograms performed as part of the routine work up of the children with convulsions to evaluate our own experience concerning the contribution of routine skull roentgenograms to the diagnosis and the management of convulsions. This is the report of skull roentgenograms on 367 cases of convulsive children who were managed at the Pediatric department of Presbyterian medical center, Daegu Korea during the period of Jannuary 1978 through June 1979. Out of 367 childrens with convulsion (male 214, female 153), 22 cases (5.99%) had abnormal skull roentgenograms. Out of 93 cases who were diagnosed as having epileptic seizure, 8 cases (8. 6%) had abnormal roentgenograms. In febrile convulsions, 3. 9% (3 of 77 cases) were abnormal. Increased digital marking was the most common abnormality (2. 73%) followed by widening of the cranial suture(1.10%) in second order. Most of the abnormal skull roentgenograms were seen above the age of 6 months. Frequency of convulsion correlated with the incidence of the abnormality of skull roentgenogram. Out of 25 cases who had over 10 times of convulsions, 5 cases(20%) had abnormal skull roentgenograms. The study suggests that for the children with convulsions alone, the skull roentgenogram rarely provides information of use in the diagnosis and management of the individual problems.

Keywords :Skull Roentgenogram, Convulsion