Serial CT scanning in childhood XXXX : prognostic features in 198 cases.

@entity1 @entity1276 @entity3791 @entity16 @entity1483 @entity1906 @entity1188
Serial cranial computed tomographic (CT) scanning and intracranial pressure monitoring were performed on 198 @entity1 with stage II and III @entity1906 . The aims of the study were to document the course of tuberculous @entity1276 during medical and surgical treatment, as well as the prognostic significance of parenchymal changes in the brain as demonstrated by CT. Lumbar cerebrospinal fluid pressure was monitored continuously for a 1-hour period in all @entity1 on admission and at weekly intervals in @entity1 with communicating @entity1276 for the 1st month of treatment. Cranial CT scanning was done on admission and repeated in survivors after 1 month and again after 6 months of antituberculous therapy. The raised intracranial pressure of 112 @entity1 with communicating @entity1276 , as demonstrated by air-encephalography, was treated medically (with daily @entity3791 and @entity1483 ) for 1 month. Thirty-one @entity1 with noncommunicating @entity1276 were referred for immediate ventriculoperitoneal shunting. No significant difference was found in the eventual ventricular size or clinical outcome between the two treatment groups. Lumbar cerebrospinal fluid pressure changes in the @entity1 with communicating @entity1276 closely followed changes in the degree of @entity1276 during the course of treatment. The main cause of permanent @entity16 was @entity1188 , which occurred unilaterally in 21% and bilaterally in 10% of @entity1 on admission and developed in a further 22% of @entity1 during treatment. A prominent subarachnoid space, which was seen on the CT scan of 36% of @entity1 after the 1st month of treatment and which reverted to normal, probably relates to the poor nutritional state of these @entity1 on admission.(ABSTRACT TRUNCATED AT 250 WORDS)
