Computed Tomography Evaluation of Intracranial Space Occupying Lesions in Adults (original) (raw)
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IP innovative publication pvt ltd, 2020
Introduction: Intracranial space occupying lesion (ICSOL) are infective and non-infective conditions, which can infect and occupy space in brain parenchyma. These ICSOL produce characteristic symptom and signs. If these symptom and signs are identified at an early stage of disease, more than half of these ICSOL are amenable to treatment Objective: Our study was done to identify the incidence of ICSOL in our city, along with the various co factors such as the gender, age socioeconomic condition and other risk factors. We also determined the prognosis of various ICSOL and Materials and Methods: Patients admitted in RKDF Medical College and Hospital, Bhopal in the department of Medicine, Neurology and Neurosurgery department with history and clinical features suggestive of intracranial space occupying lesion. Results: The study sample size included 30 patients, Of the 30 patients studied, 17 were male and 13 were female patients. Infective ICSOL was found to be more common in young age, while non infective was more common in old age. Common infective(16) causes, were Neurocysticercosis, Tuberculoma, Toxoplasmosis and Brain abscess. Non infective ICSOL accounted for 14 cases. Common non infective ICSOl were Glioma meningioma had the second highest incidence. Conclusion: The prevalence of ICSOL was found to be around 0.01%. Infective SOL was found to be more common in males during second and third decade. While Non infective SOL was found to be more common in females during sixth and seventh decade. ICSOL were associated with features of raised ICT, seizure or focal neurological deficit.. Radiologically, they were characterized by multiple or single well circumscribed ring-enhancing lesion. Aims and Objectives: 1: To find out the prevalence of intracranial space occupying lesion (ICSOL) and different causes of intracranial space occupying lesion in RKDF Medical college hospital and research center Bhopal during one year period between 01/03/2018 - 28/02/2019. 2: To find out the clinical features and CT Scan features of various intracranial space occupying lesion and their correlation (CT/Clinical).
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...
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.
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.
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...
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.
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...
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.
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