December 1973

Plain Skull Roentgenographic Findings in Infants and Children With Convulsions

Author Affiliations

Birmingham, Ala
From the Department of Diagnostic Radiology, University of Alabama School of Medicine, 619 S 19th St, Birmingham, Ala. Dr. Hayes is now with Charleston (WVa) Area Medical Center and Dr. Shopfner is now with the University of South Alabama School of Medicine, Mobile.

Am J Dis Child. 1973;126(6):785-787. doi:10.1001/archpedi.1973.02110190633009

Of 234 children with seizures, 12.8% had abnormal skull roentgenograms. Microcephaly was the most common abnormality (10%); there were two cases of positional molding, and single cases of unilateral cerebral atrophy, sagittal synostosis, split sutures, arrested hydrocephalus, and falx calcification comprised the remainder.

Microcephaly was unsuspected in seven patients. Radiologic findings positively affected management in only one other patient. The value of negative information is difficult to assess, but this study suggests that convulsions alone do not constitute a valid indication for skull roentgenograms.