Sensitivity of Magnetic Resonance Imaging as Evaluating Tool in Patients Presenting with Temporal Lobe Epilepsy

Objective: To establish the sensitivity of MRI brain in diagnosing temporal lobe epilepsy. Study Design: Cross sectional study. Place and Duration of Study: Neurology Department Pak Emirates Military Hospital, Rawalpindi Pakistan, from Jan 2021 to Dec 2021 Methodology: Non-randomized convenient sampling was done.110 patients (55 in each group) were enrolled. All MRIs were reported by senior radiologists who were blinded regarding patients’ history. All MRIs were done using epilepsy protocol. Independent sample t test was used to compare means between two groups and Chi square test was used to assess relationship between categorical variables Results: A total of 110 individuals were enrolled in this study. Mean age of study population was 38.91±12.52 years with 67(63.81%) males and 48(36.19%) females. Two by two table analysis was done, and it revealed a sensitivity of 42.31% and Specificity of 94.34% of MRI as a diagnostic tool in temporal lobe epilepsy. Conclusion: TLE is a prevalent disease which in majority of cases is diagnosed accurately on clinical criteria. MRI brain with epilepsy protocol might be used if there is any diagnostic uncertainty.