Cadabams Diagnostics
MRI

MRI Brain with Seizure Protocol

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MRI BRAIN WITH SEIZURE PROTOCOL

60 Mins

Report Turnaround

1M

Happy Customers

4.9

Google Rating

5

Certified Labs

MRI Brain with Seizure Protocol Overview

Why Cadabams Diagnostics for epilepsy MRI

  • 3T & 1.5T systems with epilepsy-dedicated coils
  • Radiologists trained in seizure protocol interpretation
  • Same-day appointments and online report access

Quick snapshot of test purpose and safety

  • Purpose: Pinpoint seizure focus and guide treatment
  • Safety: No radiation, non-invasive, safe for children and adults
  • Duration: 20–40 minutes, depending on sequences required

List of Parameters

List of Parameters Considered During the MRI Brain Seizure Protocol

SequenceSlice ThicknessGapPurpose
T2 axial4 mm0.5 mmGeneral anatomy
FLAIR axial4 mm0.5 mmWhite-matter lesions
DWI4 mm0 mmAcute ischemia
T1 coronal2 mm0 mmHippocampal volume
T2 sagittal4 mm0.5 mmMidline malformations

Reasons for Taking an MRI Brain Seizure Protocol

  • Identify mesial temporal sclerosis causing temporal-lobe epilepsy
  • Reveal cortical scarring from old trauma or infection
  • Detect low-grade tumours missed on CT scans
  • Spot vascular malformations such as cavernomas or AVMs
  • Guide anti-epileptic drug choices and surgical planning

When to Take Test

When and Who Needs to Take an MRI Brain Seizure Protocol?

Common indications

  • First seizure after age 25
  • Intractable epilepsy (seizures despite two anti-epileptic drugs)
  • Pre-surgical work-up for epilepsy surgery or VNS implant

Adult vs paediatric eligibility

  • Adults: No age limit; safe even above 80 years
  • Paediatrics: From 1 month onward; child-friendly mock scanner available

Benefits

Benefits of Taking the Test

  • Non-invasive: No needles unless contrast is required
  • Radiation-free: Safe for children and repeated follow-ups
  • High-contrast images: Soft-tissue detail far superior to CT
  • Early diagnosis: Reduces seizure burden and long-term cognitive impact

Illnesses Diagnosed with MRI Brain Seizure Protocol

  • Epilepsy & seizure disorders
  • Hippocampal sclerosis
  • Brain tumours (low-grade gliomas, gangliogliomas)
  • Arteriovenous malformations (AVMs)
  • Cortical dysplasia, tuberous sclerosis, and other congenital malformations

Preparing for Test

Preparing for an MRI Brain Seizure Protocol

Fasting & medication guidelines

  • No fasting needed for routine protocol
  • Take anti-epileptic drugs as usual; bring list to appointment

Metal screening checklist

  • Remove jewellery, watches, hairpins
  • Inform staff about implants, tattoos, or prior eye injury

Best time to scan

  • Schedule when the patient is neurologically stable (no post-ictal confusion)

Eligibility criteria

  • Weight limit: up to 150 kg on 3T, 180 kg on 1.5T
  • Estimated GFR > 30 if contrast is planned

Step-by-step scanning procedure

  1. Change into MRI-safe gown
  2. Lie on table, head in epilepsy-dedicated coil
  3. Foam cushions minimise motion
  4. Earplugs and headphone music reduce noise

Cautions before entering MRI room

  • Lockers provided for mobiles, wallets, and keys
  • Credit cards and hearing aids must stay outside

Risks & Limitations of the MRI Brain Seizure Protocol

Contraindications

  • Cardiac pacemakers
  • Cochlear implants
  • Certain aneurysm clips and older ferromagnetic stents

Limitations in detecting subtle cortical dysplasias

  • Ultra-microscopic malformations may still be invisible
  • Post-surgical scar can mimic dysplasia—comparison with earlier scans helps

Test Results

Results and Interpretations

Finding / ObservationDescriptionGeneral Interpretation / Significance
Hippocampal sclerosisVolume loss & T2 hyperintensityLikely temporal-lobe epilepsy
Cortical dysplasiaThickened cortex & blurred gray-white junctionMay need surgery
CavernomaPopcorn-like lesion with hemosiderin rimRisk of seizures
Low-Grade Glioma (e.g., Ganglioglioma)Slow-growing brain tumor seen as abnormal mass with variable enhancement, often in temporal lobes.May directly trigger seizures. Management typically includes neurosurgical consultation, biopsy, or resection, depending on tumor behavior.
Low-grade tumourHypointense T1, hyperintense T2Biopsy or resection required
Gliosis / EncephalomalaciaArea of scarring or softening in the brain, appearing as volume loss with abnormal signal, often from prior injury.Indicates previous brain injury (e.g., trauma, infection, infarct). This region may now act as a seizure focus.
Mesial Temporal Sclerosis (MTS)A form of hippocampal sclerosis involving medial temporal lobe atrophy and signal abnormality.Equivalent to hippocampal sclerosis; hallmark finding in many patients with temporal lobe epilepsy.
Evidence of Past Traumatic Brain InjurySigns such as encephalomalacia, hemosiderin staining, or cortical irregularity reflecting previous trauma.Post-traumatic epilepsy is common following significant brain injury. MRI findings help correlate with seizure onset zones.
Developmental Venous Anomaly (DVA)A benign vascular anomaly with radial venous drainage pattern—typically normal brain tissue between veins.Usually asymptomatic and incidental. Occasionally associated with seizure-causing cavernomas or other malformations.

FAQs

  • 20–40 minutes, depending on whether contrast is used.

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Cadabam's Diagnostics: What Defines Us

Welcome to Cadabam's Diagnostics, where diagnostic care meets modern convenience. We believe that accessing vital health insights shouldn't mean sacrificing comfort. That's why we bring advanced, high-quality testing services delivered straight to your doorstep. Our commitment to accuracy, speed, and compassion ensures that every test is handled with the utmost care, giving you reliable results without leaving home. Trusted by healthcare providers and patients alike, we're here to support your wellness journey with expertise you can count on.