To Know The Radiological Spectrum of ICSOL in Pediatric Age Group.

Abstract

Background: This prospective study was done in the Department of Radiodiagnosis NSCB Medical College, Jabalpur. A total of 82 patients presenting with signs, symptoms or radiologically suspicious findings of ICSOLS in pediatric outpatient and inpatient department in NSCB Medical College, Jabalpur over a period of 01 year.

Method: Referred for radioimaging were subjected to a MRI brain evaluation with contrast wherever needed. Other findings like past history, family history, food habits, pattern of headache, CSF analysis, chest Xrays, previous CT scan reports etc, if available, were considered wherever relevant. 12 patients were later lost in follow up and were not considered in the final tabulations.

Conclusion: Majority of patients in our study group belonged to the age group 5-9 years (33%). The percentage of males (54%) presenting with ICSOLs was slightly higher than females (46%) with Male: Female ratio approximately 1.2:1 Headache (77%) was the main presenting complaint followed by seizure(53%), fever(28%), vomiting (26%) and ataxia (10%), focal neurological deficits (11%) and papilloedema  (11%). Vomiting and ataxia were more common in infra tentorial lesions while seizures were found more commonly in supra tentorial lesions.

Multiplelesions (68%) were more common than single lesions in our study. Multiple lesions mainly belonged to infective etiology. Intraaxial lesions (84%) were more common than extra axial lesions in our study.

Keywords: Radiological, Spectrum, MRI, ICSOL & Paediatrics