دورية أكاديمية
Magnetic resonance imaging in chronic headache: our experiences and perspectives.
| العنوان: | Magnetic resonance imaging in chronic headache: our experiences and perspectives. |
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| المؤلفون: | Itanyi UD; Department of Radiology, University of Abuja Teaching Hospital, Abuja, Nigeria., Okere PC; Department of Radiation Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria., Iloanusi NI; Department of Radiation Medicine, Faculty of Medical Sciences, College of Medicine, University of Nigeria, Ituku-Ozalla Campus, Enugu, Nigeria., Uduma FU; Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, Uyo, Nigeria. |
| المصدر: | African health sciences [Afr Health Sci] 2020 Sep; Vol. 20 (3), pp. 1496-1506. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Faculty of Medicine, Makerere University Country of Publication: Uganda NLM ID: 101149451 Publication Model: Print Cited Medium: Internet ISSN: 1729-0503 (Electronic) Linking ISSN: 16806905 NLM ISO Abbreviation: Afr Health Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Kampala, Uganda : Faculty of Medicine, Makerere University, [2001- |
| مواضيع طبية MeSH: | Headache Disorders/*diagnostic imaging , Sinusitis/*diagnostic imaging, Adolescent ; Adult ; Aged ; Female ; Humans ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Nigeria ; Retrospective Studies ; Young Adult |
| مستخلص: | Background: Headache is a common symptomatology necessitating hospital consultations. Despite the prohibitive cost to patients in Nigeria, Magnetic resonance imaging (MRI) has become an evaluating tool for headache. Objectives: To determine the yield of cranial MRI and frequency of significant intracranial lesions among patients with chronic headache. Methods: A three-year retrospective analysis of cranial MR images and records of patients referred to Medicaid Diagnostic Centre in Abuja, Nigeria on account of chronic headache was done. Data was analyzed using SAS software version 9.3. Results: 150 patients aged 9 to 73 years (mean= 39.5 years) with chronic headache were studied. There were 54 males and 96 females with a ratio of 1:1.8. 48% and 52% had normal and abnormal MRI findings respectively. Although the number with abnormal MRI was higher than those with normal exams, this difference was not significant (p=0.624). The commonest neoplastic and non-neoplastic abnormalities were pituitary macroadenoma (4%) and sinusitis (21.3%) respectively. Conclusion: In our study, MRI had a low diagnostic yield in patients with chronic headache. Therefore, it is expedient that physicians stratify patients with chronic headache based on red flag signs to determine the need for cranial MRI in view of financial burden. (© 2020 Itanyi UD et al.) |
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| فهرسة مساهمة: | Keywords: Chronic headache; MRI; diagnostic yield; sinusitis |
| تواريخ الأحداث: | Date Created: 20210106 Date Completed: 20210630 Latest Revision: 20220419 |
| رمز التحديث: | 20221213 |
| مُعرف محوري في PubMed: | PMC7751559 |
| DOI: | 10.4314/ahs.v20i3.56 |
| PMID: | 33402999 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1729-0503 |
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| DOI: | 10.4314/ahs.v20i3.56 |