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Cranial computed tomography in the under twos.

A E Hill1, E M Hicks

  • 1Royal Belfast Hospital for Sick Children, Northern Ireland.

Early Human Development
|August 1, 1991
PubMed
Summary

Cranial computed tomographic (CT) scans in young children frequently reveal abnormalities, particularly in cases of seizures with neuro-developmental symptoms. Even normal CT scans are valuable for ruling out serious intracranial conditions.

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Area of Science:

  • Pediatric Radiology
  • Neuroradiology
  • Child Neurology

Background:

  • Cranial computed tomographic (CT) scans are frequently utilized in pediatric patients.
  • Understanding the diagnostic yield and findings in infants and toddlers is crucial for effective management.

Purpose of the Study:

  • To review the findings and diagnostic utility of cranial CT scans in children aged 0-2 years.
  • To identify common indications and abnormalities detected by CT in this age group.

Main Methods:

  • Retrospective review of 100 consecutive cranial CT scans performed on children aged 0-2 years.
  • Analysis of scan indications, findings, and impact on patient management.

Main Results:

  • 73% of CT scans were abnormal, with developmental central nervous system (CNS) malformations and cerebral atrophy being the most common findings.
  • Seizures were the most frequent indication, with the highest diagnostic yield when associated with neuro-developmental symptoms.
  • Normal CT scans were also valuable in excluding intracranial pathology, aiding management decisions.

Conclusions:

  • Cranial CT scans are highly informative in children aged 0-2 years, with a high rate of abnormality detection.
  • CT plays a vital role in diagnosing neurological conditions and guiding management, even when scans are normal.

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