A cross sectional study of prevalance, clinical profile and CT scan features of intracranial space occupying lesions (original) (raw)
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2016
Introduction: The high morbidity & mortality associated with ICSOLs necessitates their early diagnosis so as to plan the required intervention. Intracranial Space occupying lesions (ICSOL) can be neoplastic, inflammatory or infective in aetiology. Widely available imaging techniques, computed tomography (CT) & magnetic resonance imaging (MRI) are used to detect these lesions. This study was done to evaluate the ICSOL on neuroimaging & correlate the clinical findings with the radiological assessment. Methods: In this prospective cohort study, 80 patients with ICSOL were studied by CT & MRI. Imaging findings were evaluated & tabulated & correlated with the clinical findings & histopathological findings (wherever available). The findings were statistically analyzed. Results: Most patients were in age range of 31 – 50 years (mean 42.2 y). Male : females ratio was 3:2. Most common presenting symptom was headache. Solitary lesions were present in 58 patients (72.5%) and multiple lesions i...
Clinical Pattern of Intra-cranial space occupying lesion in Tertiary Level Hospital
Journal of Dhaka Medical College, 2020
Background : The term “Intra-cranial space occupying lesion” (ICSOL) is defined as any neoplasm, benign or malignant, primary or secondary, as well as any inflammatory or parasitic mass lying within the cranial cavity. Advances in intracranial imaging have made the detection of intracranial lesions relatively accurate and enabling us to focus on the etiology of these space-occupying lesions. Many reports suggested that both incidence and pattern of intracranial space occupying lesions are subject to considerable geographic and racial variations. Knowledge of the regional peculiarities of these lesions will help in identifications of possible risk factors. Materials and Methods: This observational study was done in the department of medicine of Mymensingh medical college hospital, Bangladesh from November, 2011 to April, 2012 to evaluate the clinical pattern of ICSOL among the 75 adult admitted patients. Patient aged more than 15 years of either sex with symptoms and signs of ICSOL a...
International Journal of Current Advanced Research, 2017
Distributions of tumor types vary substantially by age group and among the developing/developed countries. Data from several national cancer registries support differences in the epidemiology of brain tumors in children versus adults. High-grade glioma (30.5%) and meningioma (29.4%) are the most common types of adult primary brain tumors (data taken from the Swedish cancer registry). Males also generally have higher rates of primary malignant brain tumors while females have higher rates of non-malignant tumors, primary meningiomas. 1 During the last few years, the role of magnetic resonance imaging (MRI) as a diagnostic tool in neuroradiology is well-established. With advanced MRI techniques such as perfusion, diffusion, and spectroscopy, it now possible to differentiate between various intracranial lesions. The differential diagnosis of intra cerebral necrotic tumors and the cerebral abscess is frequently difficult on
Intra Cranial Space Occupying Lesions In Saudi Patients Using Computed Tomography
Asian Journal of Medical Radiological Research, 2013
Intracranial Space occupying lesions (ICSOL) of the brain are usually due to malignancy but it can be caused by other pathology such as an abscess or a haematoma. This study was designed with an aim to study the incidence of ICSOL in Saudi patients at Al-Kharj province by using computed tomography modality.This retrospective cohort study was performed in the period of May 2011 to December 2012. A total of hundred consecutive patients referred to the Radiology Department of King Khalid Hospital at Al-Kharj province were recruited. Data collected included age, gender, ethnicity, underlying medical conditions, symptoms, signs and radiological imaging including chest radiographs and CT Brain.Out of examined samples, male to female ratio of 1.7:1; mean age±SD of 29±1.7 years. Neoplastic lesion; meningiomas were diagnosed in 22 males and 16 females, while non-neoplastic lesion; tuberculoma was diagnosed in 11 males and 6 females.Despite the different factors that may limit the validity of this study, this study has highlighted the relative frequency of different ICSOL at Al-Kharj province.
A Study on Role of Magnetic Resonance Imaging (MRI) in Intracranial Space Occupying Lesions
National Journal of Medical Research, 2015
Background: The high morbidity and mortality associated with Intracranial Space Occupying Lesions necessitates their early diagnosis so as to plan the intervention that is required. In the present study cases of either clinically suspected brain space occupying lesions or already diagnosed cases of brain space occupying lesions were studied by cross sectional imaging of MRI. Methodology: The present cross-sectional study was conducted presented with symptoms of raised ICT of sub acute onset & had lateralizing sign. A semi-structured questionnaire was prepared and demographic and clinical data like age, sex, symptoms and various morphological characters of Supratentorial SOLs were studied. A clinico-radiological correlation and confirmation of Radiological diagnosis was done by biopsy/surgery/MRI whenever possible to minimize patient follow up. Results: Majority of the patients were in the fourth decade (28.5%). Metastases were the most common single group of intracranial space occupying lesion (27%), Gliomas were the most common brain tumors (31.4%). Of the Gliomas, astrocytomas accounted for (81.8%). Most common hemisphere to be involved was the parietal lobe (31.4%). Intra-axial involvement (78.58 %) was most common localization in present study. Edema was the most common associated MRI finding (74.3%). Conclusion: The diagnostic accuracy of MRI in evaluation of intracranial space occupying lesion was 98.57 %. MRI remains the first line investigation for diagnosing and evaluation Intracranial space occupying lesion with a reasonable degree of diagnostic accuracy and with the advent of newer modifications of MRI such as MR Spectroscopy, 3-Tesla MRI, and newer techniques like MR Perfusion.
Computed Tomography Evaluation of Intracranial Space Occupying Lesions in Adults
2014
Introduction: Neoplasms of the brain present a remarkably diverse spectrum of growths. Computed tomography (CT) has now become the primary imaging modality for intracranial space occupying lesions (SOL) with effi cacy of 90-98%. Aim: The aims and objectives of this study are to know the frequency of occurrence of various intracranial SOL in adults and to analyze the CT brain scan data to determine the diagnostic sensitivity and specifi city of CT. Materials and Methods: A total of 100 cases of intracranial SOL were studied in patients above the age group of 18 years. Patients were followed up over a period of 2 years for histological co-relation. Data collected was analyzed with review of the literature. Results: This review has indicated that intracranial SOL often show characteristic features on CT that help in making a confi dent diagnosis. It is possible to attempt grading of the tumor with a fair degree of reliability. Conclusion: CT assessment supported by a sound understandin...
Imaging of Intracranial Space Occupying Lesions
International Journal of Medical and Biomedical Studies, 2021
Introduction: With advanced MRI techniques such as perfusion, diffusion, and spectroscopy, it is now possible to differentiate between various intracranial lesions. Materials and Methods: This prospective cohort study was conducted on 50 patients referred by various clinical departments with clinical suspicion of intracranial space occupying lesions, evaluated by computed tomography & magnetic resonance imaging. Result: Solitary lesions were present in 35 patients (70%) & multiple lesions in 15 patients (30%). 68.00% lesions were Supratentorial & 32.00% infratentorial in location. Most common supratentorial location in adults was frontal lobe 40% followed by parietal lobe 30%. Most common supratentorial locations in children were frontal lobe. Infratentorially, cerebellum & posterior fossa were found to be most common location in adults & children respectively. Supratentorial lesions were most common both in adults & children. 60% lesions were intraaxial & 40 % extra axial in locati...
Multislice Computed Tomographic Evaluation of Intracranial Space Occupying Lesions
Introduction: The term intracranial space occupying lesions includes lesions which expand in volume to displace normal neural structures. They give rise to the various symptoms like focal seizures, paralysis, features of raised intracranial tension and false localizing signs. AIMS & OBJECTIVES: To determine the role of computed tomography in evaluation of space occupying lesions of brain, assessment of the site, nature and extent, age and sex prevalence of space occupying lesions. MATERIAL & METHODS: The present study was conducted on one hundred patients with space occupying lesions of the brain presenting with various neurologic symptoms or incidental findings. Patients of all age groups suspected to have intracranial space occupying lesions were included in the study. Results were expressed as mean ± SD and proportions as percentages. Results: Most of the cases of hyperdense lesions were intracerebral hemorrhages, meningioma, lymphoma and medulloblastoma. High grade astrocytomas were heterogenous hypodense lesions with irregular ring enhancement associated perilesional edema and mass effect. Low grade astrocytomas had minimal rim/ mural nodule enhancement. Intracranial tuberculoma and neurocysticercosis showed ring with nodular enhancing. Calcification was seen in tuberous sclerosis, neurocysticercosis, meningiomas, oligodendrogliomas, arteriovenous malformations and dermoid cyst. Congenital lesions had variable presentation ranging from cystic to mixed pattern lesions. CONCLUSIONS: In developing countries, CT imaging remains as a major diagnostic modality, with easy accessibility and technical ease as compared to MRI.
Zenodo (CERN European Organization for Nuclear Research), 2018
Background: Tumors of Central Nervous System constitute approximately 2% of all malignancies. Cancers of the central nervous system (CNS) are considered to be among the most notorious of all cancers. Low-grade cns tumors have been found over time to progress to high grade tumors. CNS is a common site for metastasis from other organs. Due to newer techniques used in radio diagnosis and stereotactic biopsies, more & more CNS tumors are being diagnosed & are being operated upon. Aims and objectives: The objective of this article is to provide an overview of intracranial and intraspinal space occupying lesions at a single tertiary care referral center. The aim was to study incidence of various lesions in light of the WHO classification of tumours of the central nervous system, 2016 and to study relevant statistics.
Journal of Datta Meghe Institute of Medical Sciences University
Background: Tumors of Central Nervous System constitute approximately 2% of all malignancies. Cancers of the central nervous system (CNS) are considered to be among the most notorious of all cancers. Low-grade cns tumors have been found over time to progress to high grade tumors. CNS is a common site for metastasis from other organs. Due to newer techniques used in radio diagnosis and stereotactic biopsies, more & more CNS tumors are being diagnosed & are being operated upon. Aims and objectives: The objective of this article is to provide an overview of intracranial and intraspinal space occupying lesions at a single tertiary care referral center. The aim was to study incidence of various lesions in light of the WHO classification of tumours of the central nervous system, 2016 and to study relevant statistics.