Official publication of Rawalpindi Medical University
Accuracy of cranial ultrasound in the diagnosis of hydrocephalus in children under 6 months of age keeping CT scan as a gold standard
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How to Cite

1.
Rabia Ikram RI, Amina Khalid AK, Wasif Farman WF, Fazal Hussain Shah FHS, Hina Baig HB, Sadaf Ajaib SA. Accuracy of cranial ultrasound in the diagnosis of hydrocephalus in children under 6 months of age keeping CT scan as a gold standard. JRMC [Internet]. 2020 Mar. 28 [cited 2022 Dec. 1];24(1). Available from: http://www.journalrmc.com/index.php/JRMC/article/view/1016

Abstract

Introduction: CT and MRI modalities are considered a gold standard for the diagnosis of hydrocephalus. The more readily available and cheap options like sonography are being sought out for the diagnosis of this entity.

Objectives: To determine the accuracy of cranial ultrasonography in the diagnosis of hydrocephalus keeping CT scan as a gold standard.

Study design: Cross-sectional study

Place and duration of study: Department of Pediatrics, Combined Military Hospital, Rawalpindi, from 01-01-2017 to 30-06-2017

Materials and Methods: A total of 121 children with a clinical diagnosis of hydrocephalus were selected and subjected to ultrasound of the head. Subsequently, a CT scan of the head was done and both modalities were compared. The diagnostic accuracy of the ultrasound was determined to keep CT findings as to the gold standard.

Results: The mean age was 51.36 ± 34.01 days. The male gender was dominant as 81 (66.9%) patients were males. Ultrasonography of the head detected 93 (76.9%) patients with hydrocephalus while CT scan detected 90 (74.4%). Sensitivity, specificity, PPV, NPV and accuracy of USG to diagnosed hydrocephalus were 88.9%, 58.1%, 86.0%, 64.3% and 80.99% respectively

Conclusion: Ultrasonography of head is a valuable screening tool for the diagnosis of hydrocephalus.

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