English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

1, 5 Junior Resident, Department of Radiology, RIMS Ranch 2 Professor & HOD, Department of Radiology, RIMS Ranchi 3,4 Associate Professor, Department of Radiology, RIMS Ranchi 6 Senior Resident, Department of Radiology, RIMS Ranchi *Corresponding Author Dr Rupam Kumari Add: New PG Girl’s hostel, RIMS, Bariyatu, Ranchi 834009, India Mobile No: 8674829414, Email: rupam.rims08@gmail.com Abstract Background: Cerebral vasculopathy leading to infarct are the most serious complications of tuberculous meningitis (TBM). Transcranial Doppler (TCD) allows early diagnosis and monitoring of cerebral hemodynamics. It is real time, non-invasive and non-ionizing imaging modality. Aims & Objectives: 1) To describe spectrum of findings and to detect cerebral vasculopathy in pediatric TBM patients by using TCD. 2) To determine reliability of TCD by correlating its findings with computed tomography (CT) findings and stage of the disease. Materials & Methods: 40 children≤ 13 years with diagnosis of TBM referred in Department of Radiology of a Tertiary care Hospital, Rajendra Institute of Medical Sciences (RIMS), Ranchi from September 2017 – August 2018 underwent serial TCD imaging on day 1, day 3 & day 7 after obtaining written informed consent. Findings were analyzed and then compared with CT findings and stage of the disease. Results: Out of 40 study subjects who underwent TCD imaging, 19 patients showed abnormal Doppler findings in the form of stenosis in 15, vasospasm in 4, and hyperemia in 2 children. Sensitivity and Specificity of TCD as compared to CT to detect stenosis in cerebral arteries were 91.7% & 85.7% respectively. Conclusion: Serial TCD can be used as a reliable modality for early diagnosis and monitoring of intracranial vasculopathy in childhood TBM.

journal of medical science and clinical research

Utility of Serial Transcranial Doppler in Diagnosis of Intracranial Vasculopathy with Computed Tomography Correlation in Children with Tuberculous Meningitis