Accuracy of cranial ultrasound in the diagnosis of hydrocephalus in children under 6 months of age keeping CT scan as a gold standard

  • Rabia Akram Bacha Khan Medical College Mardan
  • Amna Khalid Fouji Foundation Hospital Rawalpindi
  • Wasif Farman Bacha Khan Medical College Mardan
  • Fazal Hussain Shah Brig (R) Shafiq Memorial Trust Hospital, Darya Khan Road, Bhakkar https://orcid.org/0000-0002-6521-2587
  • Hina Baig Bacha Khan Medical College Mardan
  • Sadaf Ajaib CMH, Mardan
Keywords: Hydrocephalus, Tomography, X-Ray Computed, Ultrasonography

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.

Published
2020-03-28
How to Cite
1.
Akram R, Khalid A, Farman W, Shah F, Baig H, Ajaib S. 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]. 28Mar.2020 [cited 31May2020];24(1):3-. Available from: http://journalrmc.com/index.php/JRMC/article/view/1016