Intracranial space occupying lesions- review of 386 cases

An analysis of 386 of Intracranial Space Occupying Lesions [SOL] including neoplastic and inflammatory masses diagnosed and treated at Jinnah Postgraduate Medical Centre, Karachi over a period of 2 years is presented. C.T. Scan and MRI were used for the diagnosis of midline, multiple and very small lesions. S.O.L. were more common in males in the age group 11-20 years. Gliomas comprised 32.1% of the total cases followed by meningiomas 13.7%, abscesses 13.2% and pituitary tumours 13.2%. Tuberculomas constituted 5.5% and therefore, should always be considered in the differential diagnosis

Role of ventriculoperitoneal shunt in post-tuberculous meningitis hydrocephalous

Thirty-two patients with post-tuberculous meningitic hydrocephalous were admitted. Thirty were subjected to ventriculoperitoneal shunt. Diagnosis was based on CSF analysis and CT scan. Five patients at a Glasgow Coma Score of 3-7 underwent an external ventricular drainage as an initial procedure followed by shunt in 3 patients when condition improved, 17 patients who were conscious at the time of admission made good recovery as compared to 13 patients with altered consciousness who either died [5 patients], or were disabled [8 patients] even after surgery. A mortality of 22% was noted. An early detection and referral is desired to improve the prognosis