Evaluation of the Head CT Findings Compare to Clinical Diagnosis in Sudanese Children

Abstract

A descriptive study was performed in Sudanese hospitals and medical

centers during the period from July 2016 – March 2017.

The aim of the study was to evaluate the head CT findings and

clinical diagnosis in Sudanese children.

The study applied for all children patients whom examined clinically

and by CT scan to diagnose head cases which were 81 patients.

The data was collected, classified, analyzed by using computerized

statistics procedure (Excel).

The analysis of the results found that the male patients were dominant

(55.6%) while females were (44.4%) and most effected age group was

1-5 years (35.9%). And most of the patients were outpatient

(84.09%).

The most common head clinical diagnosis for children of the sample

showed that (28.4%) of the patients had intracranial hemorrhage

(ICH), which the trauma was indicated to it and also hydrocephalus

had same percentage (28.4%). Also study showed the normal CT

findings of the sample were (45.7%) while abnormal was (54.3%).

The high percentages of radiological findings for head CT did not

confirm the clinical diagnosis which the compatibility of head CT

findings with clinical diagnosis was (48.1%), while the incompatible

was (51.9%).

The study concluded that most head CT done for children were not

justification as well as there were more head CT findings not confirmed the

clinical diagnosis, although the head CT may be significant in most of the

cases. Hence, there is a big concern about the increasing requests for

unnecessary head CT.