IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-7-11-17251 Original Research Paper CT evaluation of non-traumatic intracerebral haemorrhage in adults S. Venkateswara Rao Dr. Dr. D. B. Venkateswarlu Dr. November 2018 7 11 01 02 ABSTRACT

 

Intracranial haemorrhage is a devastating disorder with poor prognosis and high mortality rates1and hence is an indication for urgent neuroimaging. Advances in neuroimaging techniques have improved diagnostic capabilities, enabling understanding of the underlying pathophysiology and etiology of intracranial haemorrhage, and helped to establish prognosis. CT with a high sensitivity in detection of intracranial haemorrhage can detect within a short time, also can image soft tissues &cranial bones with a significant degree of accuracy.

AIMS AND OBJECTIVES

–    Evaluation of the site and type of intracranial haemorrhage.

–    Evaluation of the volume of intracranial haemorrhage.

–    Evaluation of the intraventricular extension of haemorrhage.

–    Evaluation of mass effect in the form of midline shift and cerebral     herniation.

–    Evaluation of subarachnoid extension.

MATERIALS AND METHODS

·         Place:This study was carried out from the cases collected from the Department Of  Radio diagnosis,  Alluri Sitaram Raju Academy of Medical Sciences, Eluru.

·         Duration:18 months between October 2016 and March 2018

·          Study Design:Prospective study.

·         Source Of Data:All patients with symptoms and signs suggestive of ICH referred for noncontrast plain CT scan of the head.

·         Study Population :100 cases

·         Technique: Serial CT Sections of the brain were obtained from orbitomeatal line at 5 mm interval in posterior fossa and 10 mm interval thereafter. Thin cuts were taken wherever necessary. Scan time is reduced to up to 1 second in uncooperative patients.

 

 

 

 

Protocol

A)    Standard Brain (Transverse Scan)

·         Patients’ position:  Supine.

·         Gantry angulation : –50 to orbito metal line.

·         Start position: External auditory meatus.

·         End position: Top of the head.

·         Slice thickness: 10mm.

B)    Standard Posterior Fossa (Transverse Scan)

·         Patient Position: Supine

·         Gantry Angulation: Parallel to orbito metal line.

·         Start Position: Foramen magnum

·         End Position: One slice above petrous bone.

·         Slice thickness: 5mm