MRI and Epilepsy: Safety and Strategy for Optimal Patient Management

Abstract

Epilepsy is a chronic neurological disorder characterized by recurrent seizures, which can pose significant challenges in clinical management during diagnostic procedures such as MRI. This study highlights the critical role of the Medical Radiology Technician (MRT) in managing epileptic patients during MRI, given the high probability of seizures induced by visual, auditory, and stress-related stimuli. Through a literature review and analysis of current practices, protocols for monitoring and preventive measures—such as the use of noise-canceling headphones and eye masks—are defined. These interventions significantly reduce the risk of stimulus-induced seizures, up to 70% in predisposed patients. Furthermore, the study explores coordination between the MRT, nurse, radiologist, and anesthesiologist for a timely response in case of seizures, with particular attention to the administration of anticonvulsant medications and respiratory support. This study underscores the importance of continuous training and monitoring, contributing to improved safety and tolerability of MRI examinations in patients with epilepsy.