Biplab Debbarma1, Debal Kisor Pal2, Amar Kanti Chakma3, Kshitish Mallik4, Amitava Kundu5, Sonali Bhaumik6
scan has proved to be useful when the neurological physical examination is abnormal.
The aim of the study is to
1. D etermine the causes of headache of patients presenting with nontraumatic headache by CT scan at Tripura Medical
College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, West Tripura.
2. C orrelate the clinical diagnosis and the CT scan findings of patients with nontraumatic headache.
MATERIALS AND METHODS
A total of 157
patients presented with nontraumatic headache underwent CT scan examination in the Radiodiagnosis
Department of Tripura Medical College and Dr. B.R. Ambedkar Memorial Teaching Hospital, Hapania, Agartala, West Tripura
and scans were viewed for the presence of any secondary cause of headache and findings were expressed as frequency and
percentage.
Statistical Analysi
s The data were entered in spreadsheet and analysed using SPSS 21 statistical software. Results were
expressed as frequency and percentage
RESULTS
In our study, female patients (50.96%) were slightly more than the male (49.04%) patients and majority of the patients were
in the age group of >20 to ≤40 years (54.14%) followed by >40 to ≤60 years (25.47%).Primary headache (73.89%) was
found to be more c ommon than secondary headache (26.11%). Sinusitis (73.17%) was the commonest cause of secondary
headache. P revalence of positive CT scans of patients presenting with headache was 26.11%. Most of the clinical diagnosis
did not co rr elate (61.78%) with the CT scan finding. Patients with clinical diagnosis of migraine co r relates mostly with the CT
scan finding (69.44%), which is one of commonest cause of primary headache where we got negative findings in CT scan
followed by sinusitis (38.77%), CVA/ICH (cerebrov ascular accident and intracerebral haemorrhage ) 32.25% and brain SOL
(
CONCLUSION
CT scan has a role in determining the cause of headache. Primary headache is more common than secondary headache.
CT
scan has a significant role in detecting intracrani al pathology in patient presenting with headache associated with abnormal
neurological function.
