Utility of computed tomography of brain and limited paranasal sinuses scanning in patients with headache
Journal Title: Medpulse International Journal of Radiology - Year 2017, Vol 4, Issue 1
Abstract
Background: Headache is the most frequent illness suffered by human beings and affects wide range of population with a variety of etiology. The primary headache disorders which include migraine, cluster and tension-type headaches, account for the majority of headaches, while secondary headaches which are those with underlying pathology (e.g. tumour) are far less common. Methodology: In this prospective study, 200 cases with primary complaint as headache undergoing Computed Tomography of the brain and limited paranasal sinus CT scan were included. Results were tabulated and analyzed for the diagnostic yield from imaging. Results: The most common symptom for referral to CT brain was isolated headache followed by headache with vomiting. Significant abnormality was detected in 22 subjects, 13 due to intracranial pathology and 9 due to paranasal sinus disease. Among these 22 positive cases, 6 are space occupying lesions, 2 acute infarcts, 1 subarachnoid hemorrhage, 4 cortical vein thrombosis and 9 had sinusitis. Conclusion: Computed tomography is a useful screening modality in evaluating patients with headache.
Authors and Affiliations
Naveen Kumar, Prajwal Lakkol P S
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