UTILITY OF CT SCAN IN DIAGNOSIS OF PSYCHIATRIC DISORDERS: A CLINICAL STUDY
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 1
Abstract
Background: Brain disorders may present initially or solely with psychiatric signs and symptoms. CT may be used to detect incidental findings. The present study was conducted to determine utility of CT scan in different brain abnormalities in psychic patients. Materials & Methods: This study was conducted in the department of Radio-diagnosis in year 2014. It included 95 psychic patients who visited for brain CT scan. Patient information such as name, age, gender etc was recorded. A detailed case history, symptoms, significant past medical history, presence or absence of confusion, abnormal neurological signs and previous history of head injury or seizure were also recorded. All cognitive and neurological examinations were performed as part of the routine clinical evaluation by the treating psychiatrist. All CT images were read by trained radiologist for the presence, absence of brain abnormalities. Results: Out of 95 patients, males were 64 and females were 31. The difference was significant (P - 0.05). Among various psychic disorders with abnormal scans were dementia (15), mood disorders (17), schrizophrenia (4), personality disorder (7), behavior disorder (10) and anxiety disorder (2). Mood disorder showed maximum number of abnormal scan among all disorders. The most common abnormal scan in psychiatric disorder patients was generalized brain atrophy (GBA) (24) followed by brain ischemia (11), generalized brain atrophy and ischemia etc. In dementia patients, 12 patients showed neurodeficit, 13 showed seizures and 15 had head injury. In mood disorder patients, 13 had neurodeficit, 11 had seizures and 8 had head injury, Schrizophrenia patients had neurodeficit (3), seizures (7), head injury (9), personality disorder patients had neurodeficit (8), seizures (12) and head injury (14). Conclusion: CT scan is useful diagnostic modality in psychiatric patients. It helped in diagnosing as well as provides additional favorable signs which could be beneficial for the patients.
Authors and Affiliations
Ashok Kumar Jain, Shishir Gupta
Keywords
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