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AANS Neurosurgeon | Volume 27, Number 4, 2018

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Epilepsy in the emergency department: Too much neuroimaging?

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Neuroimaging may be overused for many seizure-related visits to the emergency room, a study suggests.

The study compiled information from 882 visits to the emergency departments (EDs) of the Oregon Health & Science University (OHSU, 2010?2012) and the VA Portland Health Care System (VAPOR, 2008?2012). All were patients previously diagnosed with epilepsy and all visits were due to a seizure.

Approximately 90% of cases had previous neuroimaging results available; most of these were less than a year old. Neuroimaging (usually computed tomography, or CT) was done in 46% of cases.

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