Surgery in Hypertensive Intracerebral Haematoma (ICH) Study of 49 Cases

Surgery in hypertensive intra cerebral haematoma are still controversial. We treated 49 cases of intracerebral haematoma surgically from January 1995 to December 2005. Hypertensive haematomas are- putaminal, thalamic, cerebellar, pontine haemorrhage and subcortical. These haematomas are mild, moderate and severe type. We operated ICH, where the diameters of haematomas were more than 3cm. Outcome was assessed on basis of activity of daily living (ADL). Male to female ratio was 5:2, Patients age ranged 45 to 72 years. All patients presented with unconscious or semiconscious stage, 100% patients had CT scan of brain. In this study of 49 cases 20(40.82%) had ADL II, 24 (45.82%) had ADL III, 1 (2.4%) had ADL IV. Death occurred in 04 (8.16%) cases. doi: 10.3329/taj.v20i2.3073 TAJ 2007; 20(2): 127-128

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Brain Tumors - Analysis of 320 Cases

TAJ Journal of Teachers Association ◽

10.3329/taj.v19i1.3164 ◽

2011 ◽

Vol 19 (1) ◽

pp. 24-26

Author(s):

Md Lutfor Rahman ◽

ASM Shawakat Ali ◽

Md Shofiqul Islam ◽

Intekhab Alam ◽

AKM Mohiuddin

Keyword(s):

Cognitive Impairment ◽

Intracranial Pressure ◽

Brain Tumors ◽

Ct Scan ◽

Operative Mortality ◽

Surgical Intervention ◽

Excisional Biopsy ◽

Raised Intracranial Pressure ◽

Female Ratio ◽

Male To Female

We have studied 320 cases of brain tumour. In adults 80% tumours were supra-tentorial and 20% were infra-tentorial. In case of children, 71.25% were infra-tentorial and 29.8 % were supratentorial. Age ranges in our study were between 10 months to 75 years. Male to female ratio of incidence were about 2:1. All (100%) patients had cognitive impairment with features of raised intracranial pressure. Diagnosis was made on the basis of CT scan of brain (78.12%) or MRI of Brain (21.88%). Surgical intervention was done in the form of burr hole and biopsy in 45 cases (14.06%), Craniotomy with total excisional biopsy in 109 cases (34.6%) and excision and biopsy with residual tumors in 166 cases (51.81%). Peri-operative mortality in our study was 6.25%. doi: 10.3329/taj.v19i1.3164 TAJ 2006; 19(1): 24-26

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CT scan findings in mild head trauma: a series of 2,000 patients

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2002000200004 ◽

2002 ◽

Vol 60 (2A) ◽

pp. 204-210 ◽

Cited By ~ 20

Author(s):

Kelly C. Bordignon ◽

Walter Oleschko Arruda

Keyword(s):

Ct Scan ◽

Head Trauma ◽

Alcohol Intoxication ◽

Head Injuries ◽

Cranial Computed Tomography ◽

Female Ratio ◽

Brain Contusion ◽

Interpersonal Aggression ◽

Common Causes ◽

Male To Female

The present study describes the cranial computed tomography (CT) scan findings of 2,000 cases of mild head trauma (HT) in Curitiba, Southern Brazil. The mean age of the entire series was 30.8 ±19 years. The overall male to female ratio was 2:1. The most common causes of head injury were interpersonal aggression (17.9%), falls (17.4%), automobile accidents (16.2%), falls to the ground (13.1%) and pedestrian injuries (13 %). Alcohol intoxication was associated with HT in 158 cases (7.9%). A normal CT scan was seen in 60.75% (1215) and an abnormal CT scan in 39.25% (785) of patients. Out of 785 abnormal CT scan, 518(65.9%) lesions were related to HT. The most common CT scan HT related findings were: soft tissue swelling (8.9 %), skull fractures (4.3 %), intracranial and subgaleal hematomas (3.4% and 2.4 %), brain swelling (2 %) and brain contusion (1.2%). Out of 785 abnormal CT scans, 267 (34.1%) lesions were not related to head trauma. Incidental CT scan findings included brain atrophy (5.9%), one calcification (5.2%) several calcifications (2.4%) (probably neurocysticercosis in most cases), ischemic infarct (1.9%) and leukoaraiosis (1.3%). These findings showed the importance of CT scan examination in mild head injuries. Further studies to identify mild HT patients at higher risk of significant brain injury are warranted in order to optimize its use.

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Clinical study of non epidermoid malignancies of the paranasal sinuses

International Journal of Otorhinolaryngology and Head and Neck Surgery ◽

10.18203/issn.2454-5929.ijohns20190773 ◽

2019 ◽

Vol 5 (2) ◽

pp. 421

Author(s):

Y. Prabhakar Rao ◽

Punga Amreeta Kaur

Keyword(s):

Ct Scan ◽

Paranasal Sinuses ◽

Nasal Endoscopy ◽

Purulent Discharge ◽

Age Group ◽

Soft Tissue Density ◽

Female Ratio ◽

Non Hodgkins Lymphoma ◽

Male To Female

Background: Malignancy of paranasal sinuses post challenging issues not only for surgeons but also for radiologists. Patients also try to avoid and neglect the condition. Hence clinical studies are more pertinent on this issue. Objective was to study clinical picture of non epidermoid malignancies of the paranasal sinuses.Methods: This was a retrospective hospital based study of 30 patients with non epidermoid malignancies of the paranasal sinuses from two hospitals over a period of more than four years. Clinical characteristics were studied. CT scan, diagnostic nasal endoscopy, histopathology was done for all patients. Data was analyzed using proportions. Results: Majority affected were males. The male to female ratio was 2:1. Maximum cases were found in the age group of 51-60 years and all of them were males. Left side was most commonly affected. The most common presenting feature was nasal obstruction in 50% of the cases. Nasal endoscopy findings has shown that there were five cases each of pinkish red polypoid mass, pinkish grey fleshy mass, pinkish red proliferative mass, pink fleshy mass, purulent discharge and fleshy pinkish red mass. Heterogeneous soft tissue density was the most common CT scan finding. Non Hodgkins lymphoma was more common. Half of the cases were managed by maxillectomy and half of the cases were managed by radiotherapy. There was no recurrence of the tumor after 6-9 months of follow up.Conclusions: Males are more commonly affected than females. Appropriate management of cases prevents recurrence of the tumors.

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Effects of lumbar corset on the patients with lumbar spondylosis

Bangladesh Medical Journal ◽

10.3329/bmj.v42i2.18987 ◽

2014 ◽

Vol 42 (2) ◽

pp. 55-59

Author(s):

MT Islam ◽

MA Shakoor ◽

MA Emran ◽

KMT Islam ◽

MG Nobi ◽

...

Keyword(s):

Activities Of Daily Living ◽

Daily Living ◽

Female Ratio ◽

Lumbar Spondylosis ◽

End Of Treatment ◽

Significant Difference ◽

Group A ◽

Group B ◽

Medical University ◽

Male To Female

This experimental study was done in the Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University to find out the effects of lumbar corset on the patients with lumbar spondylosis. Ninety seven patients were selected in the study. Out of them 40(41.24%) were male and 57(58.76%) were female. The male to female ratio was 1:1.42. The mean age was 41.22 ± 8.52 years. The patients were divided into two groups, 50 patients in group A ( Treated with NSAID, activities of daily living instructions and lumbar corset) and another 47 patients in group B (Treated with NSAID and activities of daily living instructions only ). In both the groups, patients were treated for six weeks and assessed at 7 days interval. Improvement was noticed in both the groups in every visit but there was no difference in improvement between the groups till 4th week of treatment. At the end of treatment group A showed statistically significant difference in overall improvement in comparison to group B. So, from the present study, it may be concluded that lumbar corset is beneficial to the patients with lumbar spondylosis. DOI: http://dx.doi.org/10.3329/bmj.v42i2.18987 Bangladesh Med J. 2013 May; 42 (2): 55-59

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Clinical and Sociodemographic Characteristics of Ingrown Nails in Children

Journal of the American Podiatric Medical Association ◽

10.7547/17-089 ◽

2019 ◽

Vol 109 (4) ◽

pp. 272-276 ◽

Cited By ~ 1

Author(s):

Ibrahim Etem Arica ◽

Seher Bostanci ◽

Pelin Koçyigit ◽

Deniz Aksu Arica

Keyword(s):

Family History ◽

Children And Adolescents ◽

Daily Living ◽

Positive Family History ◽

Sociodemographic Characteristics ◽

Female Ratio ◽

Daily Living Activities ◽

History Of ◽

Ingrown Nail ◽

Male To Female

Background: Ingrown nail is a condition frequently seen in children and adolescents, the pain from which can affect their daily living activities and school performances. The purpose of this study was to determine the clinical and sociodemographic characteristics of ingrown nails in children. Methods: The clinical and sociodemographic characteristics of patients aged 0 to 18 years presenting with ingrown nail were evaluated retrospectively from clinic records. Results: Sixty-two patients aged 3 to 18 years (mean age, 15 years; male to female ratio, 1.06) were enrolled. A total of 175 ingrown nails were evaluated (all of them were in the halluces, 54.3% of them were on the lateral margin). A positive family history of ingrown nail was present in 15.7%. High prevalences of incorrect nail cutting (72.1%), trauma (36.1%), poorly fitting shoes (29%), hyperhidrosis (12.9%), obesity (9.7%), and accompanying nail disorders (9.7%) were determined among the patients. Conclusions: This study revealed the clinical and sociodemographic characteristics of ingrown nails in children. These data will be useful in preventing the occurrence of ingrown nail by revealing and then eliminating predisposing factors.

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Usefulness of CT Scan and MRI for the Detection and Evaluation of Brain Tumors

Asian Journal of Medical Radiological Research ◽

10.47009/ajmrr.2020.8.1.28 ◽

2020 ◽

Vol 8 (1) ◽

pp. 154-158

Author(s):

D. Saraswathi ◽

G. Srirama Murthy

Keyword(s):

Brain Tumors ◽

Ct Scan ◽

Cross Sectional Study ◽

Brain Parenchyma ◽

Intracranial Tumors ◽

Mri Imaging ◽

Cross Sectional ◽

Female Ratio ◽

Magnetic Resonance Imaging Mri ◽

Male To Female

Background: Intracranial tumors can arise from various locations in the brain parenchyma. Computed tomography scan (CT) and magnetic resonance imaging (MRI) are important modalities for diagnosis of intracranial tumors. The aim of the study is to study the usefulness of CT scan and MRI for the detection and evaluation of brain tumors. Subjects and Methods: This was a prospective cross sectional study comprising of 95 patients diagnosed with brain tumors clinically. CT scan was done in all the patients and MRI was done in 45 patients. Findings were correlated with histopathology. Results: In the present study, age group distribution included from 20 years to more than 50 years.In the present study males were predominant and the male to female ratio was 1.3:1. All the cases, (100%) presented with seizures, followed by headache, hemiparesis and vomiting. Conclusion: CT scan and MRI imaging modalities are of utmost importance in diagnosing brain tumors. Early diagnosis is important and the imaging guides the neurosurgeon regarding appropriate surgical approach.

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