Clinical and CT correlates in the diagnosis of intracranial tumours.

Sotaniemi, K A; Rantala, M; Pyhtinen, J; Myllylä, V V · J Neurol Neurosurg Psychiatry · 1991

prospective_cohort · Level II

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Abstract

The correlation between clinical and CT findings in cerebral tumours was prospectively studied in 1191 consecutive referrals for cerebral CT. CT revealed a mass lesion in 51 cases (4.3%): 32 neoplasms, five haematomas and one abscess. The diagnostic specificity of CT for neoplasmic tumours was 86% (32 of 37). The clinical suspicion of a cerebral neoplasm was correct in 25 cases (78%) and the clinical localisatory hypothesis was correct in 20 cases (63%) of the neoplasms. A cerebral tumour was found in 5% (11 out of 226) of patients investigated for their first seizure and in 1% (two of 207) investigated for headache without clinical signs.

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