Evaluation of CT and MRI Findings among Patients Presented with Chief Complaint of Headache in Central India

Singh, Garjesh

doi:10.7860/jcdr/2016/16852.7249

Cited by 13 publications

(16 citation statements)

References 21 publications

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“…65 Furthermore, the utility of other red flags in predicting secondary etiologies of headache has not been well studied in HIV-uninfected populations and not studied at all in HIVþ populations. [66][67][68][69] The few studies that have been conducted indicate that abnormal findings on neurologic examination are the strongest predictor of intracranial pathology, 68,69 but this, too, poses challenges in low-income countries. Neurologists are scarce, and frontline health care providers with minimal training in neurology may not be able, or have the equipment, to reliably detect subtle abnormalities such as a visual field deficit, or even critical signs such as papilledema.…”

Section: Secondary Headachesmentioning

confidence: 99%

The Global Burden of Headache

2018

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At the turn of the century, most of the world's population lived in regions where the prevalence of headache was unknown and its impact poorly understood. Lifting The Burden (LTB), a nonprofit organization in official relations with the World Health Organization, established the Global Campaign against Headache, with the ultimate purpose of reducing the burden of headache worldwide. First, the scope and scale of this burden had to be known. LTB embarked upon a program of population-based studies in countries in all world regions in order to achieve its aim. Its studies have demonstrated a high prevalence of headache disorders, including migraine, tension-type headache, and medication-overuse headache, and their associations with impaired quality of life, substantial lost productivity, and high economic costs in every country surveyed. Informed by these, the Global Burden of Disease study ranks headache disorders as the second leading cause of years lived with disability worldwide; migraine alone is third among people aged 15 to 49 years. With interventions urgently needed to reduce these burdens throughout the world, we review the epidemiological studies conducted by LTB, examine proposed interventions to improve provision of headache care including a three-tier system of structured headache services, and consider the challenges still remaining in providing effective, efficient, and equitable headache care especially in low-income countries.

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Section: Secondary Headachesmentioning

confidence: 99%

The Global Burden of Headache

2018

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Section: Discussionmentioning

confidence: 99%

“…A study done in India by Garjesh Singh Rai et al (2016) found that headache is more common in female (62.6%) than male (37.4%) and the commonest age group ranging from 20-30 years (29%) followed by 30-40 years (27.8%) and 40-50 years (15.8%). 16 Another study done in the United States of America showed that migraine headache, the commonest primary headache diagnosed in primary healthcare setting peaks between the ages of 25-55 years. 17 In our study, female patients (50.96%) were slightly more than the male (49.04%) patients and majority of the participants were in the age group of >20 to ≤40 years (54.14%) followed by >40 to ≤60 years (25.47%).…”

Section: Discussionmentioning

confidence: 99%

Computed Tomography Scan Findings of Patients Presenting With Headache at Tripura Medical College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, Tripura- A Cross-Sectional Study

Debbarma¹,

Pal²,

Chakma³

et al. 2017

jebmh

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BACKGROUNDHeadache is one of the causes of discomfort to a human being and can be classified as primary or secondary headache. CT scan has proved to be useful when the neurological physical examination is abnormal. The aim of the study is to-1. Determine the causes of headache of patients presenting with nontraumatic headache by CT scan at Tripura Medical College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, West Tripura. 2. Correlate the clinical diagnosis and the CT scan findings of patients with nontraumatic headache. MATERIALS AND METHODSA total of 157 patients presented with nontraumatic headache underwent CT scan examination in the Radiodiagnosis Department of Tripura Medical College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, West Tripura and scans were viewed for the presence of any secondary cause of headache and findings were expressed as frequency and percentage. Statistical Analysis-The data were entered in spreadsheet and analysed using SPSS 21 statistical software. Results were expressed as frequency and percentage. RESULTSIn our study, female patients (50.96%) were slightly more than the male (49.04%) patients and majority of the patients were in the age group of >20 to ≤40 years (54.14%) followed by >40 to ≤60 years (25.47%).Primary headache (73.89%) was found to be more common than secondary headache (26.11%). Sinusitis (73.17%) was the commonest cause of secondary headache. Prevalence of positive CT scans of patients presenting with headache was 26.11%. Most of the clinical diagnosis did not correlate (61.78%) with the CT scan finding. Patients with clinical diagnosis of migraine correlates mostly with the CT scan finding (69.44%), which is one of commonest cause of primary headache where we got negative findings in CT scan followed by sinusitis (38.77%), CVA/ICH (cerebrovascular accident and intracerebral haemorrhage) 32.25% and brain SOL (25%). CONCLUSIONCT scan has a role in determining the cause of headache. Primary headache is more common than secondary headache. CT scan has a significant role in detecting intracranial pathology in patient presenting with headache associated with abnormal neurological function.

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“…The major integrant of paranasal sinus includes the mucus secretions, the hair-like structure that drains the mucus out of the paranasal sinus, and the sinus ostium. Any inflammation in above-mentioned components render the sinus liable to infections [2].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Morphological Changes of the Paranasal Sinus in Computed Tomography and Magnetic Resonance Imaging Modalities

Ojha¹,

Debnath²,

Niraula³

et al. 2020

Asian J Pharm Clin Res

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Objectives: The objective of the study was to evaluate the prevalence of pathological conditions and anatomical variations occurring within paranasal sinus among the patients undergoing computed tomography (CT) scan and magnetic resonance imaging (MRI) scan in Gurugram district. Methods: A prospective study was conducted among 20 patients in each modality, the patient undergoing the CT of paranasal sinus and patients undergoing routine MRI brain study. The clinical findings from CT and MRI were taken as primary data and later on compiled together under different variables to assess the occurrence of paranasal sinus disease and anatomical variations within. Results: The present study revealed that the most common pathology was mucosal thickening followed by polyp and the occurrence of air-fluid level; maxillary sinus being commonly affected. In patients undergoing CT, the most common anatomical variation was deviated nasal septum, that is, 16 out of 20 patients followed by the bone spur formation. In the patients undergoing routine MRI brain, most of the patient had mucosal thickening <5 mm. In the lining of maxillary sinus, moderate hyperintensity was reported. Conclusion: Based on the study, it is concluded that mucosal thickening is most commonly evident pathology with maximum occurrence seen in the maxillary sinus. The co-occurrence of more than 1 anatomical variation and involvement of multiple paranasal sinuses were seen positive. MRI was found more sensitive in assessing the early changes in sinus mucosal abnormalities.

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Evaluation of CT and MRI Findings among Patients Presented with Chief Complaint of Headache in Central India

Cited by 13 publications

References 21 publications

The Global Burden of Headache

The Global Burden of Headache

Computed Tomography Scan Findings of Patients Presenting With Headache at Tripura Medical College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, Tripura- A Cross-Sectional Study

Evaluation of Morphological Changes of the Paranasal Sinus in Computed Tomography and Magnetic Resonance Imaging Modalities

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