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ISSN 2063-5346
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Neuroimaging and its role in paediatric CNS Disorders

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Dr. Zarna S Shah,Dr. Shachi Y Ganatra,Dr. Dipkala R Jayswal,Dr. Disha D Kalola
» doi: 10.48047/ecb/2023.12.7.275

Abstract

This study may help in establishing coordination between paediatrician and radiologist regarding use of better neuroimaging techniques for particular neurological disorder in children. CNS disorders form a significant proportion of non-communicable disease. The average crude rate of CNS disorder in India is 2394 per 1,00,000 population. Most of the CNS disorders result into long term disability in the form of physical functioning limitation, Cognitive impairment, Behaviour problems, psychosocial limitation. Aim: To study neuroimaging findings in various CNS disorder and emphasizes its role in diagnosis. Methods: Cross sectional observational study was conducted over period of 1 year in the Paediatric department of a tertiary care hospital. Patients between 1 month - 12 year of age admitted in pediatric ICU / ward or attending pediatric / neuropediatric OPD diagnosed having any CNS disorder were included in study. Patients diagnosed with acute traumatic head injury or febrile seizure were excluded. Demographic data, clinical profile, Neuroimaging results of enrolled patients were noted. CSF examination and EEG were performed in required CNS disorders as per standard protocol and results were noted. Observations: It was observed from the study that common CNS disorders found were CNS infection (22%), encephalopathy (18%), congenital malformation (14%) and hydrocephalus (12%). Other disorder found were brain tumor, demyelinating disorder, neurocutaneous disorders and cerebrovascular disorders. Conclusion: Availability of neuroimaging has made diagnosis of CNS disorders easy in paediatric population. In emergency conditions CT scan is used but MRI is a feasible and sensitive modality without radiation exposure. Neuroimaging holds extreme value for definitive diagnosis of CNS disorder and also identifying exact anatomical location for further neurosurgical intervention of structural lesions. It also helps in establishing etiology, provides prognostic information and directs treatment

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