Computed tomography for primary headache
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Tarih
2004
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info:eu-repo/semantics/openAccess
Özet
Amaç: Baş ağrısı en sık rastlanan fiziksel şikayetlerden biridir. Baş ağrıları genellikle selim olmalarına rağmen, altta yatan ciddi bir hastalık olasılığına karşı görüntüleme sıklıkla yapılır. Bu çalışmada baş ağrısı olan ancak nörolojik muayene bulgusu vermeyen hastaların bilgisayarlı beyin tomografisi (BT) ile değerlendirmesi sonrası pozitif bulgu sıklığını belirlemeyi amaçladık. Gereç ve Yöntemler: Nöroloji polikliniğine 1998 Ocak ve 2003 Kasım ayları arasında başvuran 191 migren, gerilim tipi, kronik günlük, migranöz ve miks tip baş ağrılı hastada BT ile saptanan anormalliklerin sıklığını saptamak üzere bu retrospektif çalışmayı gerçekleştirdik. Bulgular: Bu çalışmada BT görüntülemesi hastaların %87.4’ünde normaldi. Her sekiz hastanın birinde bazı anormallikler saptandı. Anormallikler arasında en sık rastlananlar; lakün (%2.1), inflamatuar sinüs hastalığı, polipoid kitle ve retansiyon kisti (%1.6), kortikal atrofi (%3.1), cavum septum pellucidum (%1), kalsifikasyon (%1), ve diğerleri (%3.6). Hiçbir hastada klinik olarak anlamlı bulgu saptanmadı. Sonuç: Nörolojik muayenesi normal olan baş ağrısı hastalarında klinik olarak anlamlı hiçbir bulguya rastlamadık.
Objective: Headache is one of the most common physical complaints. Although headaches are generally benign, neuro-imaging studies are frequently performed to exclude serious underlying disease. In this study, we aimed to determine the frequency of abnormal computed tomography (CT) scans of the brain in the evaluation of patients with headache who present without neurological signs. Material and Methods: A retrospective study was performed in order to evaluate the frequency of abnormalities detected by CT in 191 patients presenting in the Neurology Outpatient Clinic between January 1998 and November 2003 with complaints of tensiontype and chronic daily headache, migraine and migrain-like headache, as well as mixed-type headache. Results: CT scans was normal in 87.4% of the patients. Some abnor-malities were encountered in about one out of eighth patients. Among the abnormalities, the most commonly seen were; lacunal (2.1%), inflammatory sinus disease, polypoid mass and retention cyst (1.6%), cortical atrophy (3.1%), cavum septum pellucidum (1%), calcification (1%), and others (3.6%). None of the patients had clinically significant lesions. Conclusion: We found no clinically significant abnormality in headache patients with normal neurological examinations.
Objective: Headache is one of the most common physical complaints. Although headaches are generally benign, neuro-imaging studies are frequently performed to exclude serious underlying disease. In this study, we aimed to determine the frequency of abnormal computed tomography (CT) scans of the brain in the evaluation of patients with headache who present without neurological signs. Material and Methods: A retrospective study was performed in order to evaluate the frequency of abnormalities detected by CT in 191 patients presenting in the Neurology Outpatient Clinic between January 1998 and November 2003 with complaints of tensiontype and chronic daily headache, migraine and migrain-like headache, as well as mixed-type headache. Results: CT scans was normal in 87.4% of the patients. Some abnor-malities were encountered in about one out of eighth patients. Among the abnormalities, the most commonly seen were; lacunal (2.1%), inflammatory sinus disease, polypoid mass and retention cyst (1.6%), cortical atrophy (3.1%), cavum septum pellucidum (1%), calcification (1%), and others (3.6%). None of the patients had clinically significant lesions. Conclusion: We found no clinically significant abnormality in headache patients with normal neurological examinations.
Açıklama
Anahtar Kelimeler
Baş Ağrısı, Bilgisayarlı Tomografi, Lezyon, Headache, Tomography Scanners, X-ray Computed
Kaynak
Türkiye Klinikleri Tıp Bilimleri Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
24
Sayı
6
