Evaluation of brain CT-scan results and indications before lumbar puncture in children suspected of meningitis hospitalized in Ardabil city hospital

Background: Multiple use of CT scan is associated with an increased risk of cancer in the future especially in children due to cellular growth and mutation. The aim of this study was to evaluate the result and indications of brain CT scan before lumber puncture in children with suspected of meningitis.Methods: In this retrospective cross-sectional study, information of brain CT Scans on all meningitis suspected children under 12 years old hospitalized in Ardabil city hospital at 2016 who were candidates of CT Scan before Lumbar Puncture were extracted and the results were analyzed by statistical methods in SPSS version 22.Results: In this study, a total number of 67 patients were studied and CT scan changes were seen in 13 cases (19.4%) that of them 6 (46.2%) were male and rest of them were female. The mean age of the cases that had CT scan changes was 36.9±2.14 months and in other patients were 38.8±3.56 months. Of all patients, 13 patients experienced decrease in consciousness level that CT scan changes were observed in 8 cases (61.5%). Of the 13 patients (19.4%) had CT scan changes, 5 (38.4%) ha brain structural lesions.Conclusions: The prevalence rate of CT-scan changes was 19.4% and the most commonly detections in patients by CT scan, were structural disorder of the brain and subdural effusion.

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The Frequency of Brain CT-Scan Findings in Patients with Scalp Lacerations Following Mild Traumatic Brain Injury; A Cross-Sectional Study

Bulletin of Emergency and Trauma ◽

10.29252/beat-060108 ◽

2018 ◽

Vol 6 (1 JAN) ◽

pp. 54-58 ◽

Cited By ~ 1

Author(s):

Hadid Hamrah ◽

◽

Sarah Mehrvarz ◽

Amir Mohammad Mirghassemi

Keyword(s):

Traumatic Brain Injury ◽

Brain Injury ◽

Ct Scan ◽

Mild Traumatic Brain Injury ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Brain Ct ◽

Brain Ct Scan

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Initial brain CT scan and shunting outcomes in children with hydrocephalus

Paediatrica Indonesiana ◽

10.14238/pi53.4.2013.200-3 ◽

2013 ◽

Vol 53 (4) ◽

pp. 200

Author(s):

Andi Anita Utami ◽

Alifiani Hikmah Putranti ◽

Yetty Movieta Nency ◽

Eddy Sudijanto

Keyword(s):

Ct Scan ◽

Fourth Ventricle ◽

Third Ventricle ◽

Cross Sectional Study ◽

Shunt Surgery ◽

Cross Sectional ◽

Brain Ct ◽

Brain Ct Scan ◽

Group 2 ◽

Group 1

Background Hydrocephalus is one of the most common clinicalconditions affecting the central nervous system, with a congenitalhydrocephalus incidence of 3-4 per 1000 births. Incidence ofacquired types of hydrocephalus is unknown. Brain computerisedtomography (CT) scan can be used to assess the size of ventriclesand other structures. Shunting has long been performed toalleviate hydrocephalus. Shunting has dramatically changed theoutlook of children with hydrocephalus, with many of them havingnormal life expectancies and attaining normal intelligence.Objective To determine the outcomes of shunting in childrenwith hydrocephalus based on initial brain CT scan.Methods We performed a cross-sectional study in Dr. KariadiHospital. Initial brain CT scan data were collected from themedical records of children admitted to the Neurosurgery Wardfor ventriculoperitoneal (VP) shunt surgery from January 2009to December 2010. We studied the brain CT scan findings beforeVP shunt surgery and the outcomes of the children after VP shuntsurgery. Radiological findings were determined by a radiologistresponsible at that time.Results This study consisted of 30 subjects, 19 boys and 11girls. Initial brain CT scans to assess disease severity revealed thefo llowing conditions: lateral ventricle dilatation in 7 subjects,lateral and third ventricle dilatation in 16 subjects, and lateral,third and fourth ventricle dilatation in 7 subjects. After VPshunt surgery, 3 subjects in the lateral, third and fourth ventricledilatation category died. They were grouped according to theircondition. Group 1 consisted of subjects with only lateral ventricledilatation and subjects with lateral and third ventricle dilatation(23 subjects), while group 2 consisted of subjects with lateral,third and fourth ventricle dilatation (7 subjects). More survivorswere found in group 1 than those in group 2.Conclusion Less severe initial brain CT scan findings areassociated with better shunting outcomes children withhydrocephalus.

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The utility of brain CT scan modality in the management of dizziness at the emergency department: A retrospective single-center study

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102220 ◽

2021 ◽

pp. 102220

Author(s):

Khaled Z. Alawneh ◽

Liqaa A. Raffee ◽

Ahmad A. Oqlat ◽

Ammar A. Oglat ◽

Majdi Al Qawasmeh ◽

...

Keyword(s):

Emergency Department ◽

Ct Scan ◽

Single Center ◽

Brain Ct ◽

Single Center Study ◽

Brain Ct Scan ◽

Center Study

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Alcohol-related hospitalisations of trauma patients in Southern Taiwan: a cross-sectional study based on a trauma registry system

BMJ Open ◽

10.1136/bmjopen-2014-005947 ◽

2014 ◽

Vol 4 (10) ◽

pp. e005947 ◽

Cited By ~ 9

Author(s):

Cheng-Shyuan Rau ◽

Hang-Tsung Liu ◽

Shiun-Yuan Hsu ◽

Tzu-Yu Cho ◽

Ching-Hua Hsieh

Keyword(s):

Ct Scan ◽

Injury Severity ◽

Trauma Registry ◽

Cross Sectional Study ◽

Blood Alcohol ◽

Cross Sectional ◽

Brain Ct ◽

Registry System ◽

Gcs Score ◽

Trauma Registry System

ObjectivesTo provide an overview of the demographic characteristics of patients with positive blood alcohol concentration (BAC) and to investigate the performance of brain CT scans in these patients.DesignCross-sectional study.SettingTaiwan.Participants2192 patients who had undergone a test for blood alcohol of 13 233 patients registered in the Trauma Registry System between 1 January 2009 and 31 December 2012. A BAC level of 50 mg/dL was defined as the cut-off value. Detailed information was retrieved from the patients with positive BAC (n=793) and was compared with information from those with a negative BAC (n=1399).Main outcome measuresGlasgow Coma Scale (GCS) and Injury Severity Score (ISS) as well as the performance and findings of obtained brain CT scans.ResultsPatients with positive BAC had a higher rate of face injury, but a lower GCS score, a lower rate of head and neck injury, a lower ISS and New Injury Severity Score. Alcohol use was associated with a shorter length of hospital stay (8.6 vs 11.4 days, p=0.000) in patients with an ISS of <16. Of 496 patients with positive BAC who underwent brain CT, 164 (33.1%) showed positive findings on CT scan. In contrast, of 891 patients with negative BAC who underwent brain CT, 389 (43.7%) had positive findings on CT scan. The lower percentage of positive CT scan findings in patients with positive BAC was particularly evident in patients with an ISS <16 (18.0% vs 28.8%, p=0.001).ConclusionsPatients who consumed alcohol tended to have a low GCS score and injuries that were less severe. However, given the significantly low percentage of positive findings, brain CT might be overused in these patients with less severe injuries.

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KORELASI KADAR LAJU ENDAP DARAH DENGAN NILAI ASPECTS PADA PASIEN STROKE ISKEMIK

Majalah Kedokteran Andalas ◽

10.22338/mka.v38.i1.p26-32.2015 ◽

2015 ◽

Vol 38 (1) ◽

pp. 26

Author(s):

Ratih Ismiranti Murni ◽

Dwi Pudjonarko ◽

Bambang Satoto ◽

Sukma Imawati

Keyword(s):

Diabetes Mellitus ◽

Ischemic Stroke ◽

Ct Scan ◽

Acute Ischemic Stroke ◽

Clinical Manifestations ◽

Stroke Patients ◽

Cross Sectional ◽

Emergency Imaging ◽

Brain Ct Scan ◽

Relationship Of

AbstrakStroke adalah penyebab utama ke-3 kematian di Amerika Serikat. Stroke iskemik adalah kondisi kompleks dengan etiologi dan manifestasi klinis bervariasi. CT Scan kepala adalah pencitraan darurat stroke membedakan dengan perdarahan intrakranial. Beberapa peneliti mengemukakan adanya korelasi independent dan hubungan pemeriksaan rutin biomarkers pada pasien stroke iskemik akut termasuk di dalamnya parameter inflamasi yang berperan pada patofisiologi iskemia otak. Tujuan penelitian ini mengetahui korelasi kadar LED dengan penilaian ASPECTS pada pasien stroke iskemik. Penelitian ini merupakan penelitian observasional analitik belah lintang dari catatan rekam medik. Selama periode Desember 2012 - Oktober 2014. Didapatkan 16 sampel yang memenuhi kriteria inklusi dan ekslusi. Dengan beberapa karakteristik subyek penelitian meliputi usia, jenis kelamin, hipertensi, diabetes mellitus, dislipidemia, kadar LED 1 dan 2, awitan stroke iskemik akut. Uji statistik Rank Spearman’s,dan uji bivariat maupun multivariat. Didapatkan hasil tidak ada korelasi antara nilai ASPECTS dengan kadar LED dan faktor yang mempengaruhi nilai ASPECTS.AbstractStroke is the third major cause of death in United States. Ischemic stroke results from complex conditions with various etiologies and clinical manifestations. Brain CT Scan is a stroke emergency imaging to differentiate intracranial hemorrhage. Several studies claimed there were independent correlation and relationship of biomarker in routine examination of acute ischemic stroke patients including inflammation parameters that contribute to the pathophysiology of brain ischemic. The purpose in this study was to identify correlation between ESR level and ASPECTS in ischemic stroke patients. The method of study was analytical observational cross sectional taken from medical record. It was performed in 16 patients that fulfill the inclusion and exclusion criteria during December 2012- October 2014. Several characteristics of subject that affecting ASPECTS included age, gender, hypertention, diabetes mellitus, dyslipidemia, ESR level 1 and 2, and onset of acute ischemic stroke were assessed. Analytical test was performed by Rank spearman’s test and multivariate test. There was no correlation between ASPECTS with ESR level and factors that affect ASPECTS.

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The Relationship between Risk Factors of Head Trauma with CT Scan Findings in Children with Minor Head Trauma Admitted to Hospital

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2017.071 ◽

2017 ◽

Vol 5 (3) ◽

pp. 319-323 ◽

Cited By ~ 2

Author(s):

Babak Masoumi ◽

Farhad Heydari ◽

Hamidreza Hatamabadi ◽

Reza Azizkhani ◽

Zahra Yoosefian ◽

...

Keyword(s):

Risk Factors ◽

Emergency Department ◽

Ct Scan ◽

Head Trauma ◽

Predictive Value ◽

Tissue Injury ◽

Soft Tissue Injury ◽

Normal Brain ◽

Brain Ct ◽

Brain Ct Scan

BACKGROUND: In emergency medicine for determining the intracranial injury (ICI) in children with head trauma, usually brain CT scan is performed. Since brain CT scan, especially in children, has some disadvantages, it is better to find a procedure which could help to choose only the children with real head trauma injury for brain CT scan.AIMS: The aim of this study is to find such procedure. This study was descriptive, analytic and non-interventional.METHODS: We reviewed the archived files of children with head trauma injuries referred to the emergency department of Imam Hossein Hospital within two years. Patientâ€™s CT scan findings and head trauma risk factors were evaluated in this study.RESULTS: Out of 368 patients, 326 patients had normal brain CT scan. 28 of them showed symptoms of ICI consisting intraventricular haemorrhage (IVH), contusion, subarachnoid haemorrhage (SAH), subdural haemorrhage (SDH), epidural hematoma (EDH), and pneumocephalus. Twenty-seven patients showed skull FX, which 14 of them had an Isolated fracture, and 13 of them also showed symptoms of ICI. Since patients with isolated FX usually discharge quickly from Emergency Department; their data did not include in results of the study. The patients have been divided into two groups: 1- ICI, 2- without ICI. RR (relative risk), CI (Confidence interval) and sensitivity, positive predictive value (PPV), negative predictive value (NPV) and association of these risk factors with ICI were assessed with the Chi-2 test. In the end to determine the indications of CT scan, the presence of one of these five risk factors is important including abnormal mental status, clinical symptoms of skull FX, history of vomiting, craniofacial soft tissue injury (including subgaleal hematomas or laceration) and headache.CONCLUSIONS: For all other patients without these risk factors, observation and Follow Up can be used which has more advantages and less cost.

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