Radiology

Permanent URI for this collection

http://etd.aau.edu.et/handle/123456789/64

Browse

Browsing Radiology by Author "Ahmed Akrem"

Now showing 1 - 1 of 1
  • No Thumbnail Available
    Item
    Brain Imaging Evaluation of Ventriculoperitoneal Shunting and Complication at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
    (Addis Abeba University, 2021-10) Ahmed Akrem ; S Amal ; Tesfayea
    Background: Hydrocephalus is an abnormal accumulation of CSF in the central nervous systemby different pathologic causes. Abnormal CSF accumulation causes a rise of intracranial pressureand results in catastrophic complications unless treated. The management focused on relivingraised intracranial pressure using different methods and one of the commonly used methods is aventriculoperitoneal shunt. Our study direction was to assess brain image evaluation of ventriculoperitoneal shunt using different imaging. Methods: A retrospective cross-sectional study was conducted, on all patients who had aventriculoperitoneal shunt, and brain imaging was reviewed from 15 Jun 2017 to 2 Mar 2021G.C. Data Review of medical records and all the images in the study population during the studyperiod was carried out. Information on socio-demographic characters, indication for shunting,imaging finding, and related complication were reviewed, using data collected by using structured questionnaires and image analysis. Data were compiled and analyzed using SPSS 23.0computer software and presented using tables, graphs, and figures. Result: In 60 patients we study the age of the participants ranges from 1 month to 55 years, witha mean of 20.8, and a median of 19. The sex distribution showed 22(36.1%) females and38(63.9%) were males. Post-op CT images done in the study period were 45(75%), and shunt tipgrading analysis showed grade two shunt tip of 28(46.7%) and grade one in 19(31.6%). Fiftyfour(90%)causes of Hydrocephalus were ,andone(1.6%)meningitis.Complications we identifiedin our studywere12(20%)intracranialhemorrhage,four(6.7%)ventriculitis,andfive(8.3%)pneumocephalus. Conclusion: Our study showed, most patients had no imaging evaluation after VPS procedure,and common imaging used where pre-contrast CT. A common indication for VPS insertion wasneoplasm. Complications related to VPS in our study are commonly caused by intracranialhemorrhage.