Print ISSN: 2790-0207

Online ISSN: 2790-0215

Author : Sadiq, Israa Mohammed

Normal Spleen Size in Adults in Kirkuk Population Using Ultrasound Scan

Israa Mohammed Sadiq; Saman Anwer Nooruldeen; Zahraa Ahmed Hasan; Mohammed Mustafa

Kirkuk Journal of Medical Sciences, 2018, Volume 6, Issue 1, Pages 34-40
DOI: 10.32894/kjms.2021.169411

Background: Splenomegaly is a clinically important finding, particularly for physicians required to make decisions on variety of disease status including infectious, storage diseases and malignant disorders. Objective diagnostic measures have been proposed as a useful step in making decisions in those patients using ultrasonography, as it‘s a noninvasive, established, safe, quick and accurate method for measurement of spleen size. There are racial differences in normal splenic size, as previous ultrasound data have been suggested. These differences in splenic size result in improper interpretation of splenic measurements. Objectives: To develop standards of normal range of splenic length (as indicator for splenic size) for our adult population based on gender, age and body mass index using ultrasound scan. Material and Methods: A cross-sectional study conducted in the department of Radiology in Azadi Teaching Hospital, Kirkuk, Iraq within a period from May 2013 to April 2016. The study was conducted among 303 adult individuals (120 males and 183 females), they were healthy individuals more than 18 years old not suffering from diseases affecting the spleen, the exclusion criteria were individuals not willing to participate; history of medical disorders affecting spleen, such as blood, metabolic and connective tissue diseases, portal hypertension, high body temperature within the last month of examination, malignancy, and pregnancy. Maximum splenic length in centimeters was assessed at level of splenic hilum on the longitudinal view using 5 MHz sector curvilinear transducer probe for trans-abdominal Ultrasonography. 2-tailed t test was used to assess the differences between continues variables. The Relationship of length of spleen with age, and body mass index (BMI) were assessed with the Pearson‘s correlation coefficient (r). Results: The mean age of the study sample was 38.05±15.58 years for male and 37.23±13.98 for female, their mean body height was 173.1±46 cm for male and 159.70±4.88 cm for female, their body weight was 83.42±16.70 kg for male and 73.19±15.90 Kg for female and mean BMI were 27.86 ±5.42 for male and 28.58±6.27 for female. Mean spleen length were 10.65±1.41 for male and 9.52±1.25 for female. There was significant correlation between spleen length and gender (p< 0.05). There was weak negative correlation with age, and weak positive relation between the splenic length and BMI. Conclusion: This study provides the values of normal splenic size by ultrasonography in adults‘ for both genders at Kirkuk city. The splenic size had weak positive correlation with body mass index (BMI), and weak negative correlation with age.

Brain Computerized Tomography Scans Findings in Children with Cerebral Palsy

Israa Mohammed Sadiq; Saman Anwer Nooruldeen

Kirkuk Journal of Medical Sciences, 2017, Volume 5, Issue 1, Pages 90-98
DOI: 10.32894/kjms.2021.169447

dnuorgkcaB: Cerebral palsy (CP) is a major cause of the disability in children. It is considered a neurological disease occurs due to a non-progressive brain injury or anomaly that occurs while the brain is developing. Intracranial imaging provides a window to see the brain lesion and potentially, provide an insight into the pathogenesis of CP. Objectives: To reveal the radiological changes of brain using CT scan in different clinical types of CP and in those CP children with functional impairments. Material and methods: Sixty eight children with previous diagnosis of cerebral palsy were scanned with computed tomography (Philips, brilliance 64) for brain without contrast at Azadi Teaching Hospital/Kirkuk city, from February 2013 to July 2016. Clinical information was obtained from the documentation of pediatricians. The images were reviewed by two board certificate radiologists with at least 6 years of experience. Result: Sixty-eight patients were included in the study, 42(61.8%) females and 26(38.2%) males with female to male ratio 1.6:1and an overall mean age at presentation was 12 months. Most (79.3%) children with cerebral palsy had abnormal neuro-radiological findings, Diffuse brain atrophy predominantly involving the cortical –subcortical grey matter with and without white matter hypodensities which indicate grey matter injury (35.4%) was the most common finding and it was more in the pyramidal CP (100%), followed by white matter atrophy and hyposensitizes with or without ventriculomegaly indicating white matter injury in (23.5%) which was the most common CT finding in cerebellar CP (50%), congenital malformations found in (8.8%) including pachygyria, and Dandy-Walker malformation, entirely seen in quadriplegic type, focal vascular brain insult seen in (5.9%) occurred only in diplegic type, and the least was ventriculomegaly labeled as miscellaneous (2.9%) occurred only in quadriplegic CP. CT scan was normal in (20.7%), predominantly in cerebellar type. There were significantly more patients with abnormal CT findings among CP children suffering from convulsion (p>0.05) than those without convulsion, this was not true in those with microcephaly (p<0.05). Conclusion: CT scan brain is a good modality for detection of structural brain abnormality in cerebral palsy (CP) cases. There was significant correlation between the topographic distribution of motor deficit and brain CT findings. There were significantly more patients with abnormal CT findings among CP children suffering from convulsion but not microcephaly