The diagnosis of epilepsy is clinical and requires integration with electroencephalographic (EEG) data. The CT examination is commonly prescribed, on an emergency basis, to rule out other pathologies that may have triggered an epileptic episode; however, it has a limited role due to its low sensitivity in identifying small neoplasms, cortical developmental abnormalities and some vascular lesions. Studies on the role of CT in determining the etiology of epilepsy in children have not been identified in the scientific literature. Imaging is only required in cases of drug-resistant epilepsy, while it is not indicated in children with generalized genetic epilepsy and childhood benign epilepsy with rolandic (centrotemporal) spikes (BECRS) that responds to drug treatment. When necessary, the imaging of choice is MRI; the use of CT should be limited in the presence of contraindications to the MRI examination (medical devices, pacemakers, etc.). The X-ray examination of the skull does not find any indication in the patient with epilepsy as it can only identify skeletal anomalies not related to the disease. Unnecessary TC and X-rays expose patients to ionizing radiation, including high costs for society and environmental harm.

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