Computed Tomography Evaluation of the Patients Presenting with Headache at Tertiary Care Hospital of Bihar
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Objective: (1) To evaluate the organic causes of headache in patients undergoing computed tomography (CT) scan of brain both with or without neurologic abnormality, (2) to know the age incidence, and (3) to know the sex incidence of the headache. Materials and Methods: This study is a prospective observational study and has been done over a span of 1½ year (October 2015-March 2017) in the CT scan unit of Department of Radiodiagnosis, IGIMS, Patna. 2072 patients were enrolled in this study coming from various departments including General medicine, Neurology, Neurosurgery, Emergency, and Psychiatric department. Written consent has been taken from all the participating patients or from guardian (in case of minor patients). Patients were divided into three groups based on CT findings: (1) Those with no abnormality, (2) those with minor abnormality (not altering the patient management), and (3) those with clinically significant abnormality (altering the management protocol). Results: CT detected abnormality constitute 9.84% in which major and minor abnormalities constitute 3.28% and 6.26%, respectively, that will help in further management. Headache is more common in females (59.31%). Most common age group affected is 21-40 years (51.64%). Conclusion: The percentage of intracranial abnormalities detected by CT scan in this study was almost similar to previous studies provided normal neurological examinations. In the absence of neurological abnormality, CT scan did not offer any advantages.
Authors and Affiliations
Manisha Kumari, Vinod Kumar, Govind Kumar, Umakant Prasad, Amit Kumar, Shishir Kumar, S K Suman
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