abnormal findings in brain ct scans among children

Authors

mahnaz haghighi department of pediatrics, islamic azad university, kazeroon branch, kazeroon, ir iran; islamic azad university, kazeroon branch, medical school, kilometer 5, kazeroon-bushehr rd., p.o. box: 73135-168, kazeroon, ir iran. tel: + 98-9173106480, fax: +98-7112295336

mohammad hadi baghery department of radiology, shiraz university of medical sciences, shiraz, ir iranسازمان اصلی تایید شده: دانشگاه آزاد اسلامی علوم و تحقیقات (islamic azad university science and research branch)

faride rashidi school of medicine, islamic azad university, kazeroon branch, kazeroon, ir iranسازمان اصلی تایید شده: دانشگاه علوم پزشکی شیراز (shiraz university of medical sciences)

zahra khairandish department of pediatrics, islamic azad university, kazeroon branch, kazeroon, ir iranسازمان اصلی تایید شده: دانشگاه آزاد اسلامی علوم و تحقیقات (islamic azad university science and research branch)

abstract

conclusions headache, seizure, and trauma are the main reasons for ct scan requests. about 12% of the brain ct scans were abnormal. being knowledgeable about the indications of imaging, unnecessary imaging can be prevented, and consequently, its risks can be minimized. patients and methods in the present case series, demographic information and ct scan reports of 167 patients referred to taba radiology center in shiraz from april 2010 to august 2011 were collected. the major complaints of the patients were gathered through phone contacts. descriptive statistics and pearson chi-square tests were used. p < 0.05 was considered statistically significant. results among the 167 patients, 84 (50.3%) were males and the average age of the patients was 12.5 ± 4.7 years. twenty patients (11.98%) had abnormal ct scans. the most prevalent abnormal findings were arachnoid cyst in 4 (20%), cerebral hemorrhage in 3 (15%), atrophic change in 3 (15%), hydrocephaly in 3 (15%), and congenital underdevelopment in 2 (10%) cases. the most common major complaints included headache in 73 (60.8%), head injury in 14 (11.5%), and seizure in 12 (10%) patients. only 2.7% of the patients with headaches showed abnormal findings in ct scans, compared with 17% of patients with other complaints; this difference was significant (p = 0.013). background ct scan is one brain imaging method, being used to a greater extent than the past. objectives this study aimed to investigate the prevalence of abnormal findings in brain ct scans among children as well as the reasons for brain ct scan requests.

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Journal title:
journal of comprehensive pediatrics

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