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Peri-ictal magnetic resonance imaging findings in pediatric seizures: a scoping review on pearls and pitfalls from a heterogeneous population

  
@article{TP155980,
	author = {Lydia Viviana Falsitta and Anna Elisabetta Vaudano and Domenico Tortora and Suresh Pujar and Marios Kaliakatsos and Angelo Labate and Sniya Sudhakar and Felice D’Arco},
	title = {Peri-ictal magnetic resonance imaging findings in pediatric seizures: a scoping review on pearls and pitfalls from a heterogeneous population},
	journal = {Translational Pediatrics},
	volume = {15},
	number = {6},
	year = {2026},
	keywords = {},
	abstract = {Background: Peri-ictal magnetic resonance imaging (MRI) brain abnormalities are increasingly recognized, yet their temporal evolution and imaging features in children remain incompletely characterized. This scoping review aims to map and synthesize two decades of evidence on MRI-based seizure-related changes in pediatric patients, providing an overview of the existing literature, reported imaging findings, diagnostic challenges, and knowledge gaps.Methods: PubMed and MEDLINE databases were searched (January 2000 to September 2025) for studies evaluating MRI changes in focal seizures (FS), prolonged febrile seizures (PFS), or status epilepticus (SE) in children aged 0-18 years. Studies reporting diffusion weighted images/apparent diffusion coefficient maps (DWI/ADC), T2/fluid attenuated inversion recovery (FLAIR), arterial spin labelling (ASL), functional MRI (fMRI), or diffusion tensor imaging (DTI) changes were considered.Results: Twenty-seven studies were included, most focusing on children with PFS and SE, whereas focal seizures were underreported, particularly extratemporal ones. Acute MRI findings (},
	issn = {2224-4344},	url = {https://tp.amegroups.org/article/view/155980}
}