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KMID : 0378019870300040045
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New Medical Journal
1987 Volume.30 No. 4 p.45 ~ p.52
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A Clinical Study on Brain C-T in Neuropsychiatric Outpatients
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Abstract
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Computed tomography (CT) is a new diagnostic radiologic procedure for detecting cranial and intracranial structure and differentiating organic disease from functional psychiatric disease.
The authors have had the opportunity to investigate 77 patients who had visited neuropsychiatric OPD and then who had been performed brain CT in Chin-ju Provential Medical Center from Feb. 1985 to Marca 1986 and have analysed the clinical data.
The results were as follows;
1. The samples were 6.6% of all neuropsychiatric OPD patients and fifties and sixties were the most commen age groups.
The sex distribution of the patients took 66.1%a of male (n-50) and 33.9% of female (n = 27), and the most common age groups were teens and fifties of male.
2. With regard to the reasons for referral, specific disorders were 75.3% (n = 56) and non-specific disorders were 24.7% (n=21).
3. With regard to the clincial diagnosis, psychiatric disorders including organic mental disorders were the most common diagnostic group.
CT finding positive cases were 66.3% (n=51), negative cases were 33.7% (n = 26).
There were 15 cases (19.5%) whose CT findings were missed critically.
In the ten cases performed by anti-medical advice, two cases disclosed cerebral atrophy and intracerebral hemorrhage respectively.
4. In detecting organic pathology, the brain CT was superior to simple skull X-rays.
5. In the cases of the patients, who had the first seizure and seizure like attack above 15 yrs old, the brain CT was superior to EEG in the efficacy of detecting organic pathology.
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