Rodríguez NP, Dena EEJ, Basile LR, Gavito HA, Fuentes GM, Madrid RMÁ, Jiménez GJ

Language: Spanish
References: 9
Page: 225-231
PDF size: 231.89 Kb.

ABSTRACT

Objectives: To show the frequency and findings through computerized tomography (CAT) of skull, so much pathological as no pathological, as well as reference diagnosis in pediatric and adult patients and highlighting the relevance of an adequate assessment of the risks in children.
Material and methods: Longitudinal retrospective study where computerized tomographies (CAT) of skull, simple and contrasted of 1,114 patients, from January to December 2005, in pediatric and adult patients of the departments of Neuropediatrics, of the Pediatric Service and of the Neurology and Neurosurgery Service of the Hospital General de Mexico O.D., Governmental Hospitals in Mexico City, Hospital Infantil de Mexico and Rehabilitation Infantil Teletón’s Center were studied.
Results: Of the CAT studied, 479 corresponded to children (299 without pathology and 134 with pathology and 46 urgencies); 63 cases of CNS malformations were found. Within other pathologies in children, hydrocephalus in 30 cases and tumors in 15 predominated. In the Skull CAT without pathology, according to the reference diagnosis, the convulsive crises with 104 cases predominated. The CAT of adults was 635 (288 without pathology and 262 with pathology, 85 urgencies). In the Skull CAT with pathology the following predominated: calcified Granuloma in 50 cases, cerebral infarction in 46 and tumors were observed in 25 patients. In the Skull CAT without pathology according to the reference diagnosis the following was found: Cephalea in 89 cases, craniocerebral trauma in 35 and convulsive crisis in 33 patients.
Conclusions: CAT is the initial study of the patients with neurological diagnosis in our field due to its resolution capacity since it offers information enough to confirm or to discard organicism and to integrate a certainty diagnosis. It is important to show epidemiology of the skull pathology and to emphasize in the assessment of risks in children, which justify the exposition to the ionizing radiation, to the anesthetic risk and to the risk for the administration of a means of contrast.

REFERENCES

1. Rodríguez NP, Dena EEJ, et al. Malformaciones del Sistema Nervioso Central y el Raquis en pacientes pediátricos. Experiencia en el Hospital General de México. An Radiol Mex 2007; 4: 263-76.

2. Rodríguez NP, Dena EEJ, et al. Craneosinostosis Multisutural del tipo cráneo en trébol o Kleeblattschädel y otras craneosinostosis. An Radiol Mex 2007; 3: 219-31.

3. Centro Mena JJ. Comportamiento clínico- epidemiológico de los tumores del SNC en niños menores de 15 años atendidos en el Servicio de Oncología del Hospital Infantil “Manuel de Jesús Rivera” en el periodo 2001-2003. Disponible en: minsa.gob.ni/bsb/.../update/tumores del sistema nervioso central. 2004.

4. Morán AIC, Cruz LV. Teniosis-cisticercosis. Epidemiología y factores de riesgo. Rev Fac Med UNAM 2000; 43(2): 67.

5. Srinivasan A, Goya Ml, Al Azri F, Lum CH. State-of-the-Art Imaging of Acute Stroke. RadioGraphics 2006; 26: S75-S95.

6. Boyer R. MR in brain formation and malformations. Sem US, CT, MR 1988; 9: 183-5. Desarrollo normal del encéfalo y clasificación general de las malformaciones congénitas (clasificación simplificada de las malformaciones encefálicas), trastornos del cierre del tubo neural, trastornos de la diverticulación y segmentación, formación de surcos y migración celular, malformaciones y quistes de la fosa posterior, trastornos de la histogénesis, síndromes neurocutáneos en: Osborn AG. Neurorradióloga Diagnóstica. Hearcout Brace de España 1998: 3-116.

7. Arce O, Parodi JC, Meana JL Ibarra, Cosimi RJH. Ictericia neonatal: revisión. Revista de Posgrado de la VI Cátedra de Medicina 2005; 151: 8-16.

8. González MA, Caraballo MA, Guerrero SA, Montenegro SO. Sepsis neonatal y prematurez. Revista de Posgrado de la VI Cátedra de Medicina 2006; 160: 22-8.

9. Puebla SFM, Aparicio JLS. En recién nacidos a término afectados de encefalopatía hipóxico-isquémica, la hipotermia terapéutica podría disminuir la mortalidad y las secuelas graves. Evid Pediatr 2007; 3: 106.