A Comparative Study Between Early Versus Delayed Neuroimaging In Trauma Acute Encephalopathy in Paediatric Age Group
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2780-2790
AbstractIntroduction: Encephalopathy can present a very broad spectrum of symptoms that range from mild, such as some memory loss or subtle personality changes, to severe, such as dementia, seizures, coma or death. In general, encephalopathy is manifested by an altered mental state that is sometimes accompanied by physical manifestations
Materials & Methods: This study conducted at Dept. Of Paediatrics ,Vels medical college and hospital from(Jan 2020 to June 2022). MRI/CT brain will be performed according to the clinical requirement and patient condition at initial admission. If there is clear diagnostic information on initial imaging no further neuroimaging will be performed on these children unless a prognostic imaging is deemed necessary by treating neurologist. Delayed imaging will be done when the initial neuroimaging is normal/nondiagnostic and child continues to have neurological symptoms and signs without obvious diagnoses from clinical, blood, CSF investigations.
Results: Highest percentage of symptom was fever (68.29%) followed by seizure (65.85%) and encephalopathy (60.9%). Vomiting was in 34.14% of patients. Lowest percentage of symptom was Visual impairment. (21.95%).In 39.02 % of cases, first neuroimaging was done on Day-2 of illness and in 26.82% of cases, it was done on Day-1 of illness followed by 12.19% of patients on 3rd day of illness.
Conclusion: Consequently, paediatric neurologists may utilize several different tests at the same time to diagnose both the primary condition (the cause of encephalopathy) and the encephalopathy itself.
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