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The value of computerized axial tomography of the brain in children with central nervous system disorders.

Journal of the Korean Pediatric Society 1991;34(10):1409-1416.
Published online October 31, 1991.
The value of computerized axial tomography of the brain in children with central nervous system disorders.
Young Gyun Lee, Dae Sung Hwang, Kwang Soo Oh, Hyang Seuk Yoon, Jong Duck Kim
Department of Pediatrics, Wonkwang University School of Medicine, Iri, Korea
중추신경계 이상 환아에서 뇌전산화 단층촬영의 진단적 의의*
이영균, 황대성, 오광수, 윤향석, 김종덕
원광대학교 의과대학 소아과학교실
Received: 10 April 1991   • Accepted: 28 June 1991
Abstract
The introduction of computerized tomography (CT), a diagnostic method, has revolutionized the evaluation of neurologic disorders in children. And it provides a noninvasive, safe, and rapid diagnosis of intracranial pathology. CT scanning was performed on 126 children with neurologic symptoms who had admitted to department of pediatrics, Wonkwang University Hospital, from January 1986 to June 1990. Our study was designed to evaluate the usefulness of the CT scanning in the medical evaluation of above patients. The results were as follows; 1) Of the 126 patients, 34 percent had abnormal CT findings. 2) Of the 43 (34%) patients who had abnormal CT scans, 9 had cerebral atrophy, 8 had hydroce- phalus, 5 had cerebrovascular disorder, each 4 had brain tumor and porencephaly, respectively. 3) The incidence of abnormal CT scans according to chief complaints was high in large head, growth and mental retardation, whereas low in seizure, visual disturbance and headache. 4) Multivariate analysis with statistical package for social sciences (SPSS) was used to determine which factors were most strongly related to the abnormal CT findings. Among 4 variables including age, chief complaints, final diagnosis and sex, the age was most significant factor to predict abnormal CT scans. 5) Brain CT was valuable in diagnosis of tumor, vascular lesion, hydrocephalus and subdural hygroma.
Key Words: Brain CT, Central Nervous System Disorder


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