We read with great interest the article by K Mohamed and colleagues on the neuro-imaging evaluation after the first afebrile seizure in children, in which they identified abnormalities among 32/96 (33%) patients[1]. The authors identified a significantly higher percentage (59%) of abnormal imaging among those under the age of 2 years, however there was no statistically significant difference between those with focal epileptic and generalised seizures (35% vs 32% respectively). Their retrospective study included previously healthy patients who attended their emergency department with the diagnosis of first non-febrile seizure.
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