[Abstract] [PDF] [HTML] [Linked
International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 3, July 2015 pp 544-546
Computed tomographic study of brain in children with clinically central nervous system involvement
V L Bhavari1, C S Rajput2
1Assistant Professor, Department of Paediatrics, MIMER Medical College, Maharashtra, INDIA.
2Professor and HOD, Department of Paediatrics, General Hospital Sangli and Govt Medical College, Miraj, Maharashtra, INDIA.
Introduction: It is very important to make an accurate diagnosis of neurological diseases in children’s, because most of these diseases are life threatening. The Nobel prize winning discovery of computerized Axial Tomography by Hounsfield and Ambross in 1972 caused a major revolution in the diagnosis of Neurological diseases. CT scan offered the advantage of noninvasiveness, exact localization of lesions, high degree of detection of lesions like hemorrhage and detection of small lesions which do not have mass effect sufficient to distort the vascular configuration. Methodology: This study includes 50 patient who presented with sign and symptoms of neurological disease and required CT scan for definitive diagnosis. The study was carried out during period of July 1998 to July 2000 in the age group from newborn to 12 year at the Dept of pediatrics, General Hospital Sangli attached to Govt Medical College Miraj. Result: Out of total 50 patient 23 was male (46%) and 27 female (54%).majority of patient was having meningoencephalitis 12 (24%). Tuberculous meningitis and space occupying lesions was diagnosed in 9 (18%) patients. Pyogenic meningitis with complication and intracranial hemorrhage was noted in 6 (12%) patient. Tuberous sclerosis and Sturge weber syndrome were diagnosed in 2 patient each. Conclusion: CT scan is found to be helpful noninvasive investigation in many neurological disease for clinicopathological correlation and localization. Tuberculous meningitis was diagnosed clinically and proved with the help of CT scan. It was helpful investigation for localization of lesions in case of acute emergency such as head injury or suspected intracranial hemorrhage.