CT SCAN

THE DIAGNOSTIC VALUE OF THE BASAL ENHANCEMENT IN TUBERCULOUS MENINGITIS

Authors

  • ABDUL REHMAN Quaid-e-Azam Medical College Bahawalpur (Pakistan)
  • MOHAMMAD AMIN SHEIKH Quaid-e-Azam Medical College Bahawalpur (Pakistan)
  • MUSTANSAR MAHMOOD WARAICH Quaid-e-Azam Medical College Bahawalpur (Pakistan)

DOI:

https://doi.org/10.29309/TPMJ/2009.16.04.2746

Keywords:

Tuberculous meningitis, childhood tuberculosis, pyogenic meningitis, CT scan, basal enhancement

Abstract

Objective: To study the diagnostic value of basal enhancement on computed tomography (CT scan) in differentiating tuberculous
(TBM) from pyogenic (PM) meningitis. Design: Retrospective case control study. Setting: The Pediatric department in collaboration with the
department of Radiology and Diagnostic imaging of Bahawal Victoria hospital, Bahawalpur. Methods: The reports of CT scan (contrast) done
within 5 days of admission of children 4 month to14 years of age with a diagnosis of either TBM (case group) or PM (control group) were
analyzed for the basal enhancement. Results: The sensitivity, specificity, PPV and NPV of basal enhancement in the diagnosis of TBM was
0.97,1,1 and 0.95 respectively. Conclusions: The presence of the basal enhancement on CT scan can effectively distinguish TBM from PM.

Author Biographies

ABDUL REHMAN, Quaid-e-Azam Medical College Bahawalpur (Pakistan)

MBBS, DCH, FCPS
Assistant Professor of Pediatrics

MOHAMMAD AMIN SHEIKH, Quaid-e-Azam Medical College Bahawalpur (Pakistan)

MBBS, FCPS
Assistant Professor of Pediatrics

MUSTANSAR MAHMOOD WARAICH, Quaid-e-Azam Medical College Bahawalpur (Pakistan)

MBBS, DMRD, FCPS
Assistant Professor (Diagnostic Radiology)

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Published

2009-12-10

Issue

Vol. 16 No. 04 (2009): Vol: 16 No. 04

Section

Articles