Template:Head CT seizure: Difference between revisions

(In the guidelines, the criteria for ct head (>40 yrs, malignancy, etc) precedes the advice "when feasible...". As such, have both bits of information would probably be most helpful.)
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====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
====Indications for Head CT due to [[Seizure]]<ref>ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625</ref>====
*Consider CT head in the followin situations:
*If patient has returned to a normal baseline: <br>
**First seizure if age older than 40
*#When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
**History of acute head trauma
*#Deferred outpatient neuroimaging may be used when reliable follow-up is available
**History of malignancy
**Immunocompromised status
**Suspect Intracraneal Process
**History of anticoagulation
**New focal neurologic deficit
**Focal onset before generalization
**Persistently altered mental status
*If patient has returned to a normal baseline with nonfocal neuro exam:
**When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
**Deferred outpatient neuroimaging may be used when reliable follow-up is available

Latest revision as of 22:45, 21 July 2016

Indications for Head CT due to Seizure[1]

  • If patient has returned to a normal baseline:
    1. When feasible, perform a neuroimaging of the brain in the ED on patients with a first-time seizure
    2. Deferred outpatient neuroimaging may be used when reliable follow-up is available
  1. ↑ ACEP Clinical policy: Critical issues in the evaluation and management of adult patients presenting to the emergency department with seizures. Ann Emerg Med 2004; 43:605-625
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