ABSTRACT
Introuction: Study aimed to follow up the cases of cerebralvenous thrombosis over short term and long term aftertreatment and discharge from hospital.Material and methods: This prospective observational studywas carried out in the department of Neurology, at Bombayhospital Indore. 75 patients included in this study, who wereadmitted between July 2010 to June 2013. Patients of all agegroups and both sexes were included in this study. Patientswere followed up to 12 months after treatment and dischargefrom the hospital.Result: Total 75 patients were taken. M: F ratio was 1:1.4 andmean age was 36 yrs. The short term outcome and response tothe treatment were good and comparable.Conclusion: Overall prognosis of cerebral venous thrombosisis good in terms of recovery, low rate of neurological sequelae,low risk of recurrence and long term follow up. Chronicanticoagulant treatment is necessary to prevent recurrence ofthrombosis.
ABSTRACT
Aim and objective:To study the role of MR spectroscopy in the evaluation and differential diagnosis of various ring enhancing lesions in the brain with multi-voxel proton MR spectroscopy. Materials and methods: It is the prospective observational study carried out on 42 patients from June 2016 to Aug 2018 at Department of Radiodiagnosis at AVBRH, DMIMS, Sawangi, Wardha. Appropriate MRI sequences with spectroscopy and multiplanar imaging has been performed on patients with intracranial ring enhancing lesions. Result and Conclusion: Total 42 patients were taken. Most common lesions seen were tuberculoma (38%) followed by brain metastasis (34%), neurocysticercosis (16%) and pyogenic brain abscess (12%). On MRS, Tuberculoma was differentiated from NCC by high Cho: Cr ratio > 1.1 and high lipid lactate peak. Special peaks like amino acids, acetate, aspartate and succinate were seen in pyogenic brain abcess while alanine and succinate were present in NCC. High choline peak and high Cho: Cr ratio were seen in brain metastases.