INTRODUCTION– Seizures are defined as transient occurrence of signs and/or symptoms due to abnormal excessive or synchronous neuronal activity in the brain. The incidence of epilepsy is 1% [1], with no gender or geographical differences making it a common neurological condition. Neuroimaging becomes important and mandatory in the work up for epilepsy in localisation and lateralisation of the seizure focus. METHOD– A total of 40 patients presenting in Dhiraj hospital with epilepsy (> 2 episodes of seizures) were included. Head CT was obtained in 15 (37.5%) and MRI in all cases. RESULTS– The most common cause of epilepsy in our study was tuberculoma and tubercular meningitis. This was followed shortly by neurocysticercosis. CONCLUSION– The imaging modality of choice is MRI because of its superior resolution multiplanar imaging capability, improved contrast of soft tissue and high anatomical resolution compared to CT.