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Prospective Study of Intracranial Space Occupying Lesions in Children in Correlation with C . T . Scan
| Content Provider | Semantic Scholar |
|---|---|
| Author | Yashodhara, P. Reddy, A. Thirupathi |
| Copyright Year | 2015 |
| Abstract | Aims and Objectives of the Study: Intracranial space occupying lesions are not uncommon in children. Without early diagnosis and treatment, they cause great mortality and morbidity. Intracranial space occupying lesions in children are recognized much earlier now in the course of the disease than they were two decades ago, partly as a result of improved diagnostic neuroradiology. Furthermore the outlook for children with intracranial lesions is more hopeful because of the improvement of various therapeutic modalities. Taking the above facts into the consideration, this study is under taken to analyse the age and sex incidence, clinical features, etiology of ICSOL in children. The advantage of CT scan in making early and specific diagnosis of ICSOL especially granulomatous lesions were also studied. Materials and Methods: Patients presenting with signs and symptoms of ICSOL in pediatric outpatient and inpatient departments in Government General Hospital& MRI over 2year period who showed evidence of ICSOL on CT scan were taken up for study. The patient is investigated on routine and specific lines to find out possible etiological agents like infective, parasitic, vascular, developmental, neoplastic or otherwise. All patients who showed signs and symptoms of raised intracranial tensionwere subjected to CT Scanning of brain (Plain / with contrast) done in all patients enrolled in the study and MRI where ever indicated. For the diagnosis of tuberculoma. clinical data, nutritional and immunization status, history of contact with tuberculosis patient in the family, extra cranial evidence of tuberculous infection, positive tuberculin or BCG test, radiological evidence of intrathoracic tuberculosis, microscopic examination of sputum and gastric aspirate, tuberculous histology of the lymphnode and CT Characteristics of the lesion were taken into consideration. A small enhancing lesion on computerized tomography (CT) is a common finding in patients with signs and symptoms of ICSOL. Cysticercus granulomasand tuberculomas are the two common conditions to be considered for the diagnosis of ICSOL. Many of non invasive tests fail to differentiate between these two pathologies, as both of these lesions can be managed conservatively; it would be ideal if an etiological diagnosis could be made without a biopsy. The specific serological tests are also not available in this institution for diagnosing above conditions. As such the diagnosis in the present study is mainly based on clinical and CT Scan criteria as the study conducted by Dr. V. Rajshekhar et al , "Differentiating small cysticercus granulomas and tuberculomas in patients with epilepsy". |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.ijsr.net/archive/v4i2/SUB15985.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
