Ishtiaq Ahmad Qureshi, Muhammad Akhtar, Nasir Saud, Mashkoor Ahmad.
Role of CT Scan in Meningitis: a hospital based study.
Pak Armed Forces Med J Jan ;54(2):137-41.

To document the features of meningitis and to evaluate the complications of meningitis on computed tomography, Combined Military Hospital and Military Hospital, Rawalpindi, patients of all ages and sex with clinical and / or laboratory diagnosis of meningitis were studied. Computed tomography (CT) scan brain was done before and after intra- venous contrast administration. CT scan brain was normal in 16 (23%) patients and abnormal in 54 (77%). Exaggerated meningeal enhancement was the most common feature of meningitis, seen in 85.12 % cases. Most common site of pathological meningeal enhancement was tentorium cerebelli followed by basal cisterns and sylvian fissure. Hydrocephalus of varying degrees in 66.66%, cerebral infarction in 46.29%, cerebritis in 31.48%, Transependymal cerebro spinal fluid (CSF) leak in 29.92%, tuberculoma in 12.96%, cerebral atrophy in 7.43% and subdural effusion was seen in 1.8% patients. CT scan has been proved helpful in diagnosis and evaluation of the complications of meningitis.

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