Introduction: Children with epilepsy vary from adults not just in terms of their seizure clinical symptoms, but also in terms of aetiology. In aetiology, primary generalised epilepsy is considered hereditary, whereas most localization-related epilepsy has arisen as a consequence of a cerebral insult. Latest advances in brain imaging have contributed to the detection of more children of the origin of seizures. Objective: Using magnetic resonance imaging to study the etiological characteristics of seizures in paediatric patients. Methods: 150 paediatrics patients under the age of 12 years with a generalized or partial seizure disorder or absence seizures were assessed in this hospital-based review. The patients underwent MRI scanning. Final diagnosis on radiological characteristics and in inconclusive cases was made; follow-up MRI and therapeutic response were diagnosed. Results: Anoxia and hypoxic-ischaemic encephalopathy were found to be the most prevalent aetiology in 46 patients (41.8%), accompanied by cortical developmental malformations in 22 patients ( 20%), miscellaneous causes in 14 patients (12.7%), and infection in 8 patients (7.4%). Six patients (5.5 percent) had phakomatosis. There were 4 patients each (3.6 per cent) with mesial temporal sclerosis and hereditary metabolic disorders and neoplasm. Only two patients (1.8 percent) had vascular triggers. Conclusion: Management must determine the cause of the seizure. MRI has been a versatile instrument in the imaging of paediatric seizure patients.