‘’ CT AND MRI IN ASSESSMENT OF MENINGITIS AND MENINGOENCEPHALITIS PATIENTS’’
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Keywords
meningo-encephalitis, tuberculosis, vasculitis
Abstract
Introduction: Meningitis is a clinical syndrome characterized by inflammation of meninges. The classic triad of meningitis consists of fever, headache and neck stiffness. Encephalitis presents as diffuse or focal neuropsychological dysfunction although it primarily involves the brain, it often involves the meninges as well (meningoencephalitis). This study is done to emphasize the importance of early diagnosis, so that prompt management is given at appropriate time.
Aim: This is a prospective observational, single center study done in Department of medicine and radiology in MGM medical college and MY hospital Indore in 93 patients of acute meningoencephalitis cases from 1st March to 2021 to 1st March August 2023. The main aim of this study is ‘‘’ CT and MRI in assessment of meningitis and meningo-encephalitis patients’’.
Materials And Methods: In the present study, we recruited 93 patients who presented with meningitis and meningoencephalitis who fulfilled the inclusion criteria. Proforma is used to collect data needed. Data are statistically analysed. The data will be recorded in the predesigned proforma and then It will be entered in the MS excel and eventually it will be analysed by using statistical software -SPSS version 23. Association of qualitative data will be tested by chi square test and fischer exact test, Student t test will be applied in quantitative data. A p value < 0.05 will be considered significant.
Results: Among the 93 patients with meningo-encephalitis in this study. the common initial presenting symptoms were fever (89%) and Vomiting (89%) > altered sensorium > headache and neck pain and stiffness> Focal neurological deficit> seizure. Fever was the most common initial presenting symptom. 86 patients (92.5%) had fever and headache (92.5%). Most of them had poor prognosis and presented with altered sensorium and high-grade fever. On investigation we found that 0 = Normal, 1 = Meningeal Enhancement, 2 = Hydrocephalus, 3 = Granuloma, 4= Vasculitic infarct, 5 = Other findings (Thrombosis, Sinusitis, Icsol, Gliosis) found.
Conclusion: In the present study we found that, most of the patients with meningoencephalitis were males and young adults. Tuberculous meningitis was the most common cause in patient with subacute meningitis. All patients with chronic presentation had tuberculous meningitis. We came across atypical presentation of cryptococcal meningitis in a non-HIV patient. 47 patients recovered well without neurological deficits.
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Dr. Dharmendra Malviya
Senior Resident, Department of Radiodiagnosis MY Hospital, MGM Medical college, Indore,
Dr. Rajkumari Rawat
Assistant professor, Department of Radiodiagnosis Sri Aurobindo institute of medical science, Indore