Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)?
Objective: To compare the efficacy of cranial imaging techniques in adult patients with acute febrile encephalopathy. Methods: We enrolled one hundred and two patients presenting to the emergency with fever of shorter than 15-day duration and altered sensorium. All the patients were subjected to rou...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Journal of Acute Disease |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2221618913600025 |
| _version_ | 1818671947152621568 |
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| author | A Bhalla V Suri P Singh S Varma NK Khandelwal |
| author_facet | A Bhalla V Suri P Singh S Varma NK Khandelwal |
| author_sort | A Bhalla |
| collection | DOAJ |
| description | Objective: To compare the efficacy of cranial imaging techniques in adult patients with acute febrile encephalopathy.
Methods: We enrolled one hundred and two patients presenting to the emergency with fever of shorter than 15-day duration and altered sensorium. All the patients were subjected to routine investigations, detailed cerebrospinal fluid analysis, computerized tomograms (Non contrast followed by contrast enhanced) and Magnetic resonance imaging of the brain. Final diagnosis was reached after considering the clinical, biochemical findings, imaging results and response to therapy. The positive yield of radiological investigations was compared against the final diagnosis.
Results: The patients were divided into three groups. Of these patients, 48 had evidence of meningoencephalitis, 22 patients had pyogenic meningitis, and 20 were combined together in others group. In other 12 patients, a definitive diagnosis could not be made. Only 37% patients were detected to have abnormal computerized tomograms and the commonest abnormality was diffuse edema, which failed to point to an etiological diagnosis. Magnetic resonance imaging was abnormal in 62.75% cases and was able to suggest an etiological diagnosis in 100% cases of cerebral venous thrombosis, tubercular meningitis, 95% cases of meningoencephalitis and 45% with meningitis.
Conclusions: Magnetic resonance imaging provides better information than computerized tomography in adult patients with acute febrile encephalopathy. |
| first_indexed | 2024-12-17T07:32:05Z |
| format | Article |
| id | doaj.art-d2f5a202e8904785a1402b0752570e2a |
| institution | Directory Open Access Journal |
| issn | 2221-6189 |
| language | English |
| last_indexed | 2024-12-17T07:32:05Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Acute Disease |
| spelling | doaj.art-d2f5a202e8904785a1402b0752570e2a2022-12-21T21:58:28ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892012-01-011171210.1016/S2221-6189(13)60002-5Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)?A Bhalla0V Suri1P Singh2S Varma3NK Khandelwal4Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radio Diagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaDepartment of Radio Diagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh, IndiaObjective: To compare the efficacy of cranial imaging techniques in adult patients with acute febrile encephalopathy. Methods: We enrolled one hundred and two patients presenting to the emergency with fever of shorter than 15-day duration and altered sensorium. All the patients were subjected to routine investigations, detailed cerebrospinal fluid analysis, computerized tomograms (Non contrast followed by contrast enhanced) and Magnetic resonance imaging of the brain. Final diagnosis was reached after considering the clinical, biochemical findings, imaging results and response to therapy. The positive yield of radiological investigations was compared against the final diagnosis. Results: The patients were divided into three groups. Of these patients, 48 had evidence of meningoencephalitis, 22 patients had pyogenic meningitis, and 20 were combined together in others group. In other 12 patients, a definitive diagnosis could not be made. Only 37% patients were detected to have abnormal computerized tomograms and the commonest abnormality was diffuse edema, which failed to point to an etiological diagnosis. Magnetic resonance imaging was abnormal in 62.75% cases and was able to suggest an etiological diagnosis in 100% cases of cerebral venous thrombosis, tubercular meningitis, 95% cases of meningoencephalitis and 45% with meningitis. Conclusions: Magnetic resonance imaging provides better information than computerized tomography in adult patients with acute febrile encephalopathy.http://www.sciencedirect.com/science/article/pii/S2221618913600025Acute febrile illnessEncephalopathyEncephalitisMeningoencephalitisMagnetic resonance imagingCT scan |
| spellingShingle | A Bhalla V Suri P Singh S Varma NK Khandelwal Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? Journal of Acute Disease Acute febrile illness Encephalopathy Encephalitis Meningoencephalitis Magnetic resonance imaging CT scan |
| title | Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? |
| title_full | Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? |
| title_fullStr | Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? |
| title_full_unstemmed | Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? |
| title_short | Imaging in adult patients with acute febrile encephalopathy: What is better, computerized tomography (CT) or magnetic resonance imaging (MRI)? |
| title_sort | imaging in adult patients with acute febrile encephalopathy what is better computerized tomography ct or magnetic resonance imaging mri |
| topic | Acute febrile illness Encephalopathy Encephalitis Meningoencephalitis Magnetic resonance imaging CT scan |
| url | http://www.sciencedirect.com/science/article/pii/S2221618913600025 |
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