A study of various associated complications of intracranial neoplasms as diagnosed by CT scan
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 8
Abstract
Background: Intracranial structures and their pathologies have always posed a challenge to physicians, surgeons and radiologists since long period. The complex anatomy, the multitude of structures and relative inaccessibility had rendered it an enigma until the advent of CT scan. Aims and Objectives: To study various associated complications of intracranial neoplasms as Diagnosed by CT scan Methodology: This was a cross-sectional study carried out at Shri. Chhatrapati Shivaji Maharaj General Hospital, Solapur, Maharashtra in the Department of Radiodiagnosis Carried out in 100 patients of both sexes and all ages who came to department of radiodiagnosis with clinical suspicion of intracranial neoplasm. Patients who did not have intracranial neoplasms on CT scan despite clinical suspicion were excluded from the study, Patients without clinical suspicion of intracranial neoplasm, showing intracranial neoplasm on CT were also included. Third generation spiral CT Philips Medical System India, Private Limited. CT Model – CT vision, CT secura. Results: In our study the complications observed were 53% cases were associated with perilesional oedema. High grade glioma, GBM and metastases shows the presence of perilesional oedema to cause mass effect in form of midline shift, herniation and compression of ipsilateral lateral ventricle. Out of 100 cases, 29 cases shown subfalcine herniation while 7 cases shown descending transtentorial herniation. 76.9% cases of GBM and 66.6% cases of high grade glioma showed subfalcine herniation. Obstructive hydrocephalus was seen mainly with posterior fossa tumors due to either compression or involvement of fourth ventricle, as in cerebellar astrocytoma, ependymoma, medulloblastoma and meningioma, acoustic neuroma. Conclusion: In our study High grade glioma, GBM and metastases shows the presence of perilesional oedemaalso high grade glioma showed herniation. Obstructive hydrocephalus was seen mainly with posterior fossa tumors due to either compression or involvement of fourth ventricle mainly in cerebellar astrocytoma, ependymoma, medulloblastoma and meningioma,
Authors and Affiliations
Jyoti Kacharulalji Tapadia, Anand Shrikant Gajakos
Keywords
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