Neuroimaging of Patients with Headache in the Emergency Room: A Retrospective Analysis

23981

Purpose: Headache is a frequent cause of application to the physicians. In this study, the aim is analyzing the clinic and neuroimaging findings and comparing the red alert and neuroimaging findings about 3,109 patients admitted Elazig Education and Research Hospital with acute headache. Material and Methods: We analyzed the clinic, neuroimaging findings, the red alert findings of 3,109 patients admitted Elazig Education and Research Hospital with acute headache. Result: 237 patients (7.6%) went to brain CT, 25 of them went to additional diffusion MRI after neurological examination. We assigned chronic infarct area in 21 patients, sinusitis in 20 patients, mega cisterna magna in 10 patients, acute ischemic infarct in 9 patients, chronic subdural hemorrhage in 6 patients, spontaneous subarachnoid hemorrhage in 5 patients, arachnoid cyst in 5 patients, intracerebral hematoma in 2 in patients, acute hydrocephalus in 2 patients. Red alert neurological examination findings were identified in 185 patients. Intracranial pathology with non bening character was detected in 45 patients and 39 of this patients (%86) carried the red alarm findings. Conclusion: In the emergency department during evaluation of headache, that should be done first is the exclusion of headaches which is caused by non beningn intracranial patologies. Therefore, from the entrance of the patients evaluated in the emergency room, it is important that they must be directed to rapid diagnosis and treatment with considering the red alert findings.

86

Headache , emergency department , neuroimaging

Cukurova Medical Journal

90

Cukurova Medical Journal