ACR Appropriateness Criteria® Seizures and Epilepsy.

Autor:	Lee RK; Einstein Healthcare Network, Philadelphia, Pennsylvania. Electronic address: leeryan1@einstein.edu., Burns J; Panel Chair, Montefiore Medical Center, Bronx, New York., Ajam AA; Ohio State University, Columbus, Ohio., Broder JS; Duke University School of Medicine, Durham, North Carolina; American College of Emergency Physicians., Chakraborty S; Ottawa Hospital Research Institute and the Department of Radiology, The University of Ottawa, Ottawa, Ontario, Canada; Canadian Association of Radiologists., Chong ST; University of Michigan, Ann Arbor, Michigan., Kendi AT; Mayo Clinic, Rochester, Minnesota., Ledbetter LN; University of Kansas Medical Center, Kansas City, Kansas., Liebeskind DS; University of California Los Angeles, Los Angeles, California; American Academy of Neurology., Pannell JS; University of California San Diego Medical Center, San Diego, California., Pollock JM; Oregon Health & Science University, Portland, Oregon., Rosenow JM; Northwestern University Feinberg School of Medicine, Chicago, Illinois; Neurosurgery expert., Shaines MD; Albert Einstein College of Medicine Montefiore Medical Center, Bronx, New York; Primary care physician., Shih RY; Walter Reed National Military Medical Center, Bethesda, Maryland., Slavin K; University of Illinois at Chicago College of Medicine, Chicago, Illinois; Neurosurgery expert., Utukuri PS; Columbia University Medical Center, New York, New York., Corey AS; Specialty Chair, Atlanta VA Health Care System and Emory University, Atlanta, Georgia.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2020 May; Vol. 17 (5S), pp. S293-S304.
DOI:	10.1016/j.jacr.2020.01.037
Abstrakt:	Seizures and epilepsy are a set of conditions that can be challenging to diagnose, treat, and manage. This document summarizes recommendations for imaging in different clinical scenarios for a patient presenting with seizures and epilepsy. MRI of the brain is usually appropriate for each clinical scenario described with the exception of known seizures and unchanged semiology (Variant 3). In this scenario, it is unclear if any imaging would provide a benefit to patients. In the emergent situation, a noncontrast CT of the head is also usually appropriate as it can diagnose or exclude emergent findings quickly and is an alternative to MRI of the brain in these clinical scenarios. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment. (Copyright © 2020 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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