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 |
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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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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</description><identifier>ISSN: 0020-7454</identifier><identifier>EISSN: 1563-5279</identifier><identifier>EISSN: 1543-5245</identifier><identifier>DOI: 10.1080/00207450490269435</identifier><identifier>PMID: 14702205</identifier><identifier>CODEN: IJNUB7</identifier><language>eng</language><publisher>London: Informa UK Ltd</publisher><subject>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</subject><ispartof>International journal of neuroscience, 2004-02, Vol.114 (2), p.167-174</ispartof><rights>2004 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2004</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c432t-a941083b5c4565702efb9bc85fc8d47ef69c867bf2028f56f71840dce4e8afad3</citedby><cites>FETCH-LOGICAL-c432t-a941083b5c4565702efb9bc85fc8d47ef69c867bf2028f56f71840dce4e8afad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00207450490269435$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00207450490269435$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15463016$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14702205$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>TUNCER, OGUZ</creatorcontrib><creatorcontrib>ÇAKSEN, HÜSEYIN</creatorcontrib><creatorcontrib>ARSLAN, SÜKRÜ</creatorcontrib><creatorcontrib>ATAS, BÜLENT</creatorcontrib><creatorcontrib>ÜNER, ABDURRAHMAN</creatorcontrib><creatorcontrib>ÖNER, AHMET FAIK</creatorcontrib><creatorcontrib>ODABAS, DURSUN</creatorcontrib><title>CRANIAL COMPUTED TOMOGRAPHY IN PURULENT MENINGITIS OF CHILDHOOD</title><title>International journal of neuroscience</title><addtitle>Int J Neurosci</addtitle><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</description><subject>Adolescent</subject><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Developing Countries</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrocephalus</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Meningitis, Bacterial - diagnosis</subject><subject>Meningitis, Bacterial - epidemiology</subject><subject>Meningitis, Bacterial - physiopathology</subject><subject>Nervous system involvement in other diseases. Miscellaneous</subject><subject>Neurology</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Seizures - microbiology</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>0020-7454</issn><issn>1563-5279</issn><issn>1543-5245</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kF9LwzAUxYMoOqYfwBfpi75V0zRpExSkdP8KXTtm9-BTSdMEK906kw3ZtzdjExHBp8vl_s695x4Arj1470EKHyBEMMQEYgZRwLBPTkDPI4HvEhSyU9Dbz10L4AtwZUxT2d5nDFF6Di48HEKEIOmB53geZUmUOnE-nS2K4cAp8mk-nkezyauTZM5sMV-kw6xwpsMsycZJkbw4-ciJJ0k6mOT54BKcKd4aeXWsfbAYDYt44qb5OImj1BXYRxuXM2xN-xURmATEHpeqYpWgRAla41CqgAkahJVCEFFFAhV6FMNaSCwpV7z2--DusHetu4-tNJty2Rgh25avZLc1JYUwZJSEFvQOoNCdMVqqcq2bJde70oPlPrjyT3BWc3Ncvq2Wsv5RHGOywO0R4EbwVmm-Eo354QgOfOgFlns6cM1KdXrJPzvd1uWG79pOf4v8_3w8_pK_Sd5u3gTXsnzvtnplA_7niy9DZpO0</recordid><startdate>20040201</startdate><enddate>20040201</enddate><creator>TUNCER, OGUZ</creator><creator>ÇAKSEN, HÜSEYIN</creator><creator>ARSLAN, SÜKRÜ</creator><creator>ATAS, BÜLENT</creator><creator>ÜNER, ABDURRAHMAN</creator><creator>ÖNER, AHMET FAIK</creator><creator>ODABAS, DURSUN</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20040201</creationdate><title>CRANIAL COMPUTED TOMOGRAPHY IN PURULENT MENINGITIS OF CHILDHOOD</title><author>TUNCER, OGUZ ; ÇAKSEN, HÜSEYIN ; ARSLAN, SÜKRÜ ; ATAS, BÜLENT ; ÜNER, ABDURRAHMAN ; ÖNER, AHMET FAIK ; ODABAS, DURSUN</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-a941083b5c4565702efb9bc85fc8d47ef69c867bf2028f56f71840dce4e8afad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adolescent</topic><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Developing Countries</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrocephalus</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Meningitis, Bacterial - diagnosis</topic><topic>Meningitis, Bacterial - epidemiology</topic><topic>Meningitis, Bacterial - physiopathology</topic><topic>Nervous system involvement in other diseases. Miscellaneous</topic><topic>Neurology</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Seizures - microbiology</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>TUNCER, OGUZ</creatorcontrib><creatorcontrib>ÇAKSEN, HÜSEYIN</creatorcontrib><creatorcontrib>ARSLAN, SÜKRÜ</creatorcontrib><creatorcontrib>ATAS, BÜLENT</creatorcontrib><creatorcontrib>ÜNER, ABDURRAHMAN</creatorcontrib><creatorcontrib>ÖNER, AHMET FAIK</creatorcontrib><creatorcontrib>ODABAS, DURSUN</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>TUNCER, OGUZ</au><au>ÇAKSEN, HÜSEYIN</au><au>ARSLAN, SÜKRÜ</au><au>ATAS, BÜLENT</au><au>ÜNER, ABDURRAHMAN</au><au>ÖNER, AHMET FAIK</au><au>ODABAS, DURSUN</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CRANIAL COMPUTED TOMOGRAPHY IN PURULENT MENINGITIS OF CHILDHOOD</atitle><jtitle>International journal of neuroscience</jtitle><addtitle>Int J Neurosci</addtitle><date>2004-02-01</date><risdate>2004</risdate><volume>114</volume><issue>2</issue><spage>167</spage><epage>174</epage><pages>167-174</pages><issn>0020-7454</issn><eissn>1563-5279</eissn><eissn>1543-5245</eissn><coden>IJNUB7</coden><abstract>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</abstract><cop>London</cop><pub>Informa UK Ltd</pub><pmid>14702205</pmid><doi>10.1080/00207450490269435</doi><tpages>8</tpages></addata></record> |
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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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