CRANIAL COMPUTED TOMOGRAPHY IN PURULENT MENINGITIS OF CHILDHOOD

The cranial computed tomography (CT) findings of 48 children with purulent meningitis were examined, prospectively, to determine the importance of cranial CT findings on the prognosis of childhood meningitis, in a developing country. The age of children ranged from 2 months to 13 years. Of 48 patien...

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Veröffentlicht in:International journal of neuroscience 2004-02, Vol.114 (2), p.167-174
Hauptverfasser: TUNCER, OGUZ, ÇAKSEN, HÜSEYIN, ARSLAN, SÜKRÜ, ATAS, BÜLENT, ÜNER, ABDURRAHMAN, ÖNER, AHMET FAIK, ODABAS, DURSUN
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container_issue 2
container_start_page 167
container_title International journal of neuroscience
container_volume 114
creator TUNCER, OGUZ
ÇAKSEN, HÜSEYIN
ARSLAN, SÜKRÜ
ATAS, BÜLENT
ÜNER, ABDURRAHMAN
ÖNER, AHMET FAIK
ODABAS, DURSUN
description The cranial computed tomography (CT) findings of 48 children with purulent meningitis were examined, prospectively, to determine the importance of cranial CT findings on the prognosis of childhood meningitis, in a developing country. The age of children ranged from 2 months to 13 years. Of 48 patients, 29 (60.5%) survived without sequelae, 13 (27%) survived with sequelae, and six (12.5%) died. Cranial CT was normal in 21 (43%) patients of 48 children with meningitis at admission. Abnormal CT findings were detected in 10, 11, and 6 children in the groups of survived without sequelae, survived with sequelae, and deaths, respectively, at admission (p < .05) We found that CT scan results were correlated with neurological signs (p < .05). At least one or more cranial CTs were was re-taken in children in whom the first CT revealed abnormal findings; we did not find a statistically significant difference for the follow-up CT findings between the groups (p > .05). Hydrocephalus and subdural effusion were the commonest abnormal CT findings. In conclusion, our findings showed that cranial CT may safely be used to detect intracranial complications of meningitis in childhood and the ratio of sequelae and death were more common in children with abnormal cranial CT than those of normal cranial CT findings. Additionally, there was a positive correlation between CT scan results and neurological signs
doi_str_mv 10.1080/00207450490269435
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subjects Adolescent
Age Factors
Biological and medical sciences
Child
Child, Preschool
Developing Countries
Female
Humans
Hydrocephalus
Infant
Male
Medical sciences
Meningitis, Bacterial - diagnosis
Meningitis, Bacterial - epidemiology
Meningitis, Bacterial - physiopathology
Nervous system involvement in other diseases. Miscellaneous
Neurology
Prognosis
Retrospective Studies
Seizures - microbiology
Tomography, X-Ray Computed - methods
title CRANIAL COMPUTED TOMOGRAPHY IN PURULENT MENINGITIS OF CHILDHOOD
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