Epilepsy is a neurological condition with various causes that often begins in childhood. MRI is the imaging modality of choice when clinical findings suggest a symptomatic epileptic seizure, as it is significantly more sensitive than CT in identifying the underlying lesion. MRI helps determine the nature of the epileptogenic lesion, pinpoints its extent, and guides therapeutic management; it also allows for monitoring the effects of prolonged epileptic seizures on the cerebral parenchyma and contributes to establishing the prognosis.