PEDIATRICS Vol. 59 No. 2 February 1977, pp. 173-181
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Computerized Axial Tomography in Clinical Pediatrics

David C. McCullough M.D.1, Conrad Kufta M.D.1, Stewart P. Axelbaum M.D.1, and Dieter Schellinger M.D.1

1 Division of Neurosurgery and the Departments of Pediatrics and Radiology, Georgetown University Hospital, Washington, D.C.

Computerized axial tomography (CAT), a noninvasive radiologic method, provides a new dimension in screening and diagnosis of intracranial pathology. Evaluation of 725 scans in infants and children demonstrates that CAT may be performed with negligible risk, although sedation and restraint are essential to the successful performance of studies in children under 6 years of age. CAT is the preferred initial diagnostic method in suspected hydrocephalus and is accurate in the detection and precise localization of brain tumors. The management of hydrocephalus and brain tumors has been significantly altered by the availability of CAT. Few invasive neuroradiologic procedures are required and pneumography is especially curtailed. Serial scanning is the best available method of monitoring ventricular alterations in hydrocephalus, tumor size during radiotherapy or chemotherapy, and postoperative recurrence of benign neoplasms. Complex intracranial anomalies are detectable with computerized tomography, but complete definition of pathology often requires angiography and air studies. Limited clinical experience in detecting neonatal intraventricular hemorrhage suggests that CAT will be a valuable tool for future investigations of that problem.

Submitted on March 1, 1976
Accepted on June 29, 1976




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