KARAKTERISTIK HASIL CT SCAN KEPALA NON KONTRAS PENDERITA CEDERA KEPALA DI RSD KOTA TIDORE KEPULAUAN TAHUN 2018

2021 ◽  
Vol 2 (2) ◽  
Author(s):  
DEWI DARMAYANTI ◽  
LIASARI ARMAIJN

Pemeriksaan radiologi CT (Computerized Tomography) Scan merupakan modalitas pilihan padapasien cedera kepala karena mampu melihat seluruh jaringan otak dan tulang tengkorak dan secara tepat dancepat mampu membedakan sfiat lesi intrakranial/ekstrakranial tersebut. Penelitian ini bertujuan untukmengetahui karakteristik hasil CT scan kepala pada penderita cedera kepala di RSD Kota Tidore Kepulauantahun 2018. Penelitian ini merupakan penelitian deskriptif retrospektif dengan menggunakan data sekunderdari instalasi Radiologi RSD Kota Tidore Kepulauan.Sampelnya adalah seluruh pasien cedera kepala yangdilakukan CT scan kepala di instalasi Radiologi RSD Kota Tidore Kepulauan tahun 2018, dengan kriteriainkusi dan eksklusi. Analisis data menggunakan analisis univariat. Dari 40 pasien, didapatkan frekuensiterbanyak pasien cedera kepala berdasarkan umur adalah 11-20 tahun (35%), berjenis kelamin laki-lakisebanyak 62,5%, berdasarkan lesi intrakranial adalah Epidural Hematoma (EDH) dan lesi multipel masingmasing25%, dan berdasarkan fraktur tengkorak adalah fraktur multiple (25%).Kata Kunci : CT scan kepala, cedera kepala, RSD Kota Tidore Kepulauan

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Muhammad Ali ◽  
Rute Castelhano ◽  
Aris Theofilis ◽  
Emily Wass ◽  
Roderick Alexander ◽  
...  

Abstract Aims The standard way to investigate patients referred on the two week wait colorectal cancer (2WW) pathway is to do a colonoscopy when patients are deemed fit. Due to limited endoscopy services during the COVID-19 lockdown period, we performed computerized tomography scan of thorax, abdomen and pelvis (CT TAP) for all fast-track colorectal referrals in addition to colonoscopy when service restarted. The aim of this study is to assess the benefit of CT scan in this group of patients. Methods All 2WW patients referred to our district general hospital from April 1, 2020 to July 31, 2020 were included in the study. The data were collected retrospectively from GP referral forms and the electronic patient records. Patient demographics, presenting complaints, investigations, diagnosis and treatment were recorded. Results A total of 658 patients were included in the study. The commonest presenting complaint was change in bowel habit (62.5%). A total of 414 colonoscopies, 347 CT TAP, 89 flexible sigmoidoscopies and 37 CT colonography were performed. 194 patients had both CT TAP and colonoscopy and another 32 patients had both CT TAP and flexible sigmoidoscopy showing that 34% of patients had both CT TAP and endoscopy. 41 patients were diagnosed with colorectal malignancy (6.2%) and 120 had polyps (18%). CT TAP missed 3 colorectal cancers but picked up 28 patients (4.3%) diagnosed with extra-colonic tumours. Conclusions Colonoscopy remains the gold standard for investigating colorectal cancer. However, CT scan have their value in diagnosing extra-colonic tumours in this specific group of patients.


e-CliniC ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Matthew N. Ruslim ◽  
Ramli H. Ali ◽  
Elvie Loho

Abstract: Nasopharyngeal carcinoma is the most common malignancy of the head and neck. In Indonesia, the prevalence is 6/100.000 and Manado has become one of the regions with the highest incidence of nasopharyngeal carcinoma. CT Scan imaging is a standard radiologic modality in diagnosing and evaluating nasopharyngeal carcinoma. This study was aimed to obtain the profile of CT Scan imaging in nasopharyngeal carcinoma patients. This was a retrospective descriptive study conducted in October 2016. Data were obtained from head and neck CT Scan request form and eventually there were 46 patients (63%) with the radiologic diagnosis of tumor mass in the nasopharynx. The majority of patients were males (30 patients; 65,2%); age group 50-59 years old (17 patients; 37%); and T4 as the size of the primary tumor (18 cases; 39.1%). There were five anatomical structures most frequently infiltrated, as follows: nasal cavity (39.1%), ethmoidal sinuses (30.4%), maxillary sinuses (23.9%), sphenoidal sinuses (23.,9%), and intracranial areas (19.6%).Keywords: nasopharyngeal carcinoma, computerized tomography scan. Abstrak: Karsinoma nasofaring merupakan keganasan kepala dan leher yang paling sering terjadi. Indonesia memiliki prevalensi sekitar 6/100.000 dan Manado menjadi salah satu daerah dengan insidensi karsinoma nasofaring yang tinggi. Pemeriksaan radiologi CT Scan, merupakan modalitas radiologis standar dalam mendiagnosis dan mengevaluasi karsinoma nasofaring. Penelitian ini bertujuan untuk mendapatkan profil pemeriksaan CT Scan pada pasien karsinoma nasofaring. Jenis penelitian ialah deskriptif retrospektif yang dilakukan pada bulan November 2016. Data diperoleh melalui lembaran permintaan pemeriksaan CT Scan kepala-leher dan didapatkan sebanyak 46 pasien (63%) dengan diagnosis radiologis massa tumor di nasofaring. Mayoritas pasien ialah ialah laki-laki berjumlah 30 pasien (65,2%), kelompok usia 50-59 tahun berjumlah 17 pasien (37%), dan ukuran tumor primer T4, pada 18 pasien (39,1%). Didapatkan lima struktur anatomi yang paling sering diinfiltrasi, yaitu kavum nasi (39,1%), sinus etmoidalis (30,4%), sinus maksilaris (23,9%), sinus sfenoidalis (23,9%), dan area intrakranial (19,6%). Kata kunci: karsinoma nasofaring, computerized tomography scan


2021 ◽  
pp. 1025-1030
Author(s):  
Ilya Noginskiy ◽  
Neil Nimkar ◽  
Madhumati R. Kalavar

A retroperitoneal finding on a computerized tomography scan, in a symptomatic patient, can harbor the clinician to many differential diagnoses from infectious to malignancy. Desmoid fibromatosis (DF), a relatively innocuous mass that can spread locally, can be found in that anatomical region. Even for a rare tumor such as DF, our patient did not meet the usual benchmarks of this cancer, being an elderly female and having it appear as an abscess radiologically. Timely clinical response with radiotherapy and tamoxifen allowed our patient’s DF to regress and resolved her symptoms.


1983 ◽  
Vol 59 (2) ◽  
pp. 217-222 ◽  
Author(s):  
M. Peter Heilbrun ◽  
Theodore S. Roberts ◽  
Michael L. J. Apuzzo ◽  
Trent H. Wells ◽  
James K. Sabshin

✓ The production model of the Brown-Roberts-Wells (BRW) computerized tomography (CT) stereotaxic guidance system is described. Hardware and software modifications to the original prototype now allow the system to be used independently of the CT scanner after an initial scan with the localizing components fixed to the skull. The system is simple and efficient, can be used universally with all CT scanners, and includes a phantom simulator system for target verification. Preliminary experience with 74 patients at two institutions is described. It is concluded that CT stereotaxic guidance systems will become important tools in the neurosurgical armamentarium, as they allow accurate approach to any target identifiable on the CT scan.


Neurosurgery ◽  
1982 ◽  
Vol 10 (4) ◽  
pp. 487-489 ◽  
Author(s):  
Z. Harry Rappaport ◽  
Itzchak Shaked ◽  
Rina Tadmor

Abstract A case of delayed visualization of an acute parietal epidural hematoma by computed tomography (CT) in a child is presented. The initial CT 2½ hours after injury was negative. After neurological deterioration, a repeat CT scan 8 hours postinjury demonstrated a parietal epidural hematoma and a small cerebellar hematoma. The case demonstrates the need for a high level of vigilance in head trauma patients even in the face of an initially negative CT scan.


1989 ◽  
Vol 71 (2) ◽  
pp. 175-179 ◽  
Author(s):  
David W. Newell ◽  
Peter D. LeRoux ◽  
Ralph G. Dacey ◽  
Gary K. Stimac ◽  
H. Richard Winn

✓ Computerized tomography (CT) infusion scanning can confirm the presence or absence of an aneurysm as a cause of spontaneous intracerebral hemorrhage. Eight patients who presented with spontaneous hemorrhage were examined using this technique. In five patients the CT scan showed an aneurysm which was later confirmed by angiography or surgery; angiography confirmed the absence of an aneurysm in the remaining three patients. This method is an easy effective way to detect whether an aneurysm is the cause of spontaneous intracerebral hemorrhage.


Author(s):  
K. S. Raja Rajeswari ◽  
R. Niranjana

Background: Eclampsia is a leading cause of maternal death, with classical neurological symptoms that include headache, nausea, vomiting, cortical blindness, coma and convulsions. Computed tomography (CT) scan helps in diagnosing and management of eclampsia in pregnant women. The present study was done with the objective to analyse the findings of CT scan of brain in eclampsia, to identify the prevalence of neurovascular complications in these cases and to determine if these findings can be of value in determining the prognosis of this disorder.Methods: This was a prospective study done on 100 patients with eclampsia. All of the 100 patients were screened with CT scan brain at Institute of Obstetrics and Gynaecology, Egmore, Chennai during the period from August 2008 to August 2009. All the data were analyzed and compared between the groups of positive CT scan and negative CT scan observations.Results: Out of 100 patients, positive CT scan findings were noticed in 15 patients. Of them, 7 patients expired, and 8 patients survived after treatment. Of the expired patients (7), 5 of them expired due to brain haemorrhage, and 1 patient died with cerebral oedema and 1 with brain infarction. Cerebral odema (46%) was the most common positive CT finding.  Parietal region of brain was the most common (40%) affected area.Conclusions: CT scan of brain provides valuable information in determining the prognosis and the prevalence of neurovascular complications in Eclampsia.


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