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ORIGINAL ARTICLE
Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 26-31

Clinical study, evaluation, and management of cases of intracranial tumors admitted at Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe)


1 Department of Surgery, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India
2 Department of Neurosurgery, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India

Correspondence Address:
Parag Jaipuriya
Jawaharlal Nehru Medical College, Sawangi (Meghe), Wardha, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_17_17

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Background: The introduction of modern neuro-imaging techniques, as well as various environmental factors, has been changing the incidence and the proportions of the types of clinically diagnosed intracranial tumours. Common presenting symptoms include headache, seizures, and altered mental status. Radiological investigations like MRI and CT helps in defining the extent and type of tumour, histopathology is often required to confirm the diagnosis. Treatment depends on the histology diagnosis which may be surgical resection, radiation therapy or chemotherapy. The aim of this study was to assess the clinical presentation, radiological evaluation and outcome after primary management of cases of intracranial tumours in central India. Materials and Methods: 62 cases of primary intracranial tumours who were admitted at AVBRH (Acharya Vinoba Bhave Rural Hospital), Sawangi(Meghe), Wardha were studied between August 2013 to August 2015. Results: The age group most frequently affected was 41-60 years (51.61%), mean age was 46.62±13.79 years. Astrocytomas (50%) were the most common intracranial tumour. Males (53.23%) were more frequently affected than females (46.77%) with male to female ratio as 1.13:1. Headache (48.38%) was the most common presenting symptom followed by vomiting (45.16%). Cerebral lobe (45.16%) was the most commonly affected site followed by convexity (16.12%).The sensitivity of CT scan and MRI scan were 83.33% and 87.71% respectively. All cases were surgically treated. 87.09% patients improved, 9.67% patients deteriorated and mortality was 3.23%. Conclusion: There seems to be an apparent increase in registration of brain tumours in recent years, which may well reflect the changing awareness and improved diagnostic facilities. The study shows highest frequency of tumours in the middle age group. The most common presenting symptom is headache followed by vomiting and neurological deficit. CT and MRI are useful modalities in diagnosing the intracranial tumours. Histopathology is still the gold standard for diagnosing the intracranial tumours and its types. Surgical treatment forms one of the main modality of treatment . Most of the cases show improvement after surgical management.


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