Template:Head CT seizure: Difference between revisions
Neil.m.young (talk | contribs) (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: | **First seizure if age older than 40 | ||
**History of acute head trauma | |||
**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 | |||
Revision as of 22:42, 21 July 2016
Indications for Head CT due to Seizure[1]
- Consider CT head in the followin situations:
- First seizure if age older than 40
- History of acute head trauma
- 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
- ↑ 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