COMPUTED TOMOGRAPHY IN COMPLICATED CHILDHOOD MENINGITIS STUDIES

Raz Un nisa; Muhammad ashraf ali; Manzoor ahmed

COMPUTED TOMOGRAPHY IN COMPLICATED CHILDHOOD MENINGITIS STUDIES

Raz Un nisa, Muhammad ashraf ali, Manzoor ahmed

Abstract

ABSTRACT

Objective: To use computed tomography scan to visualize the intracranial complications of meningitis.

Design: Retrospective analysis of the clinical and radiology records of children who underwent CT scans between January 1, 2021, and December 31, 2021.

Setting: Sandemen Provincial Hospital Quetta at Radiology department.

Subjects: Fourty two patients under the age of 15 years who had serious meningitis that had been diagnosed clinically and in a lab.

Results: We found fever (86.1%), convulsions (83.3%), vomiting (52.4%) Headache (35.7%) which were the presenting features that made necessary the request for CT scan brain. Communicating hydrocephalus (42.9%), subdural effusion (19%), diffuse cerebral infarction (19%) and cerebral abscess (4.8%) which was the common findings in CT scan in patients.

Conclusion: Computed tomography is a practical and reliable method for identifying meningitis-related intracranial complications in children. The outcome of the patients will be improved by prompt and precise detection of conditions like hydrocephalus, abscess in brain, and subdural effusion. In order to lessen the long-term neurological effects of this disorder early detection by Computed tomography are the options available.

Key words: Computed tomography, meningitis,

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References

REFERENCES:

Feigin RD, McCracken GH Jr, Klein JO. Diagnosis and management of meningitis. Pediatr Infect Dis J 1992; 11: 785-814.

Cabral DA, Flodmark O, Farrell K, Speert DP. Prospective study of computed tomography in acute bacterial meningitis. J Pediatr. 1987 Aug;111(2):201-5.

Stovring J, Snyder RD. Computed tomography in childhood bacterial meningitis. J Pediatr 1980; 96: 820-3.

Kaplan SL. Current management of common bacteria] meningitides. Pediatr Rev 1985; 7: 77-87.

Brenner DJ, Hall EJ. Computed Tomography—An Increasing Source of Radiation Exposure. New England Journal of Medicine. 2007; 357(22):2277–84.

Ferry PC. Computed cranial tomography in children. The Journal of Pediatrics. 1980; 96(6):961–7.

Chodick G, Ronckers C, Ron E, Shalev V. The utilization of pediatric computed tomography in a large Israeli Health Maintenance Organization. Pediatr Radiol. 2006 Jun; 36(6):485-90.

Dorfman AL, Fazel R, Einstein AJ, Applegate KE, Krumholz HM, Wang Y, Christodoulou E, Chen J, Sanchez R, Nallamothu BK. Use of medical imaging procedures with ionizing radiation in children: a population-based study. Arch Pediatr Adolesc Med. 2011 May;165(5):458-64.

Salih MA, Khaleefa OH, Bushara M, Taha ZB, Musa ZA, Kamil I, HofvanderY, Oclen P. Long-term Sequelae of Childhood Acute Bacterial Meningitis in a Developing Country: AStudyfrom Sudan. ScandJInfect Dis1991; 23(2):175-82.

Faust SN, Pathan N, Levin M. Bacterial meningitis and brain abscess. Medicine International 2005; 33:55-60.

Machingaidze PR, Buys H, KilbornT, Muloiwa R (2020) Clinical use and indicationsfor head computed tomography in children presenting with acute medical illness in a low- and middleincome setting. PLoS ONE 15(9): e0239731

Azhar S. Daoud, FRCP, Hamzi Omari, FRCR, Mahmoud Al-Sheyyab, MRCPI, Faisal Abuekteish, MRCP, Indications and Benefits of Computed Tomography in Childhood Bacterial Meningitis, Journal of Tropical Pediatrics, Volume 44, Issue 3, June 1998, Pages 167–168.

Cockrill HH Jr, Dreisbach J, Lowe B, Yamauchi T. Computed tomography in leptomeningeal infections. AM J Roentgenol 1978;130(3):511-5.

Eze KC, Salami TA, Eze CU, Alikah SO. Computed tomography study of complicated bacterial meningitis. Niger J Clin Pract. 2008 Dec;11(4):351-4

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