Akut ve Kronik Enfarktüslerde Beyin Omurilik Sıvısındaki Değişikliklerin Bilgisayarlı Tomografi Kullanılarak Değerlendirilmesi

Öz

Amaç: Bu araştırma, akut enfarktüslü, kronik enfarktüslü ve normal sağlıklı kontroller arasında beyin omurilik sıvısı yoğunluğunu beyin bilgisayarlı tomografi (BT) taramaları ile değerlendirerek beyin omurilik sıvısındaki farklılıkları incelemeyi amaçlamaktadır. Materyal ve Metot: Bu araştırmada, 128 hastadan oluşan bir örneklemde lateral ventrikülden beyin omurilik sıvısının yoğunluk ölçümleri retrospektif olarak gerçekleştirilmiştir. Analiz, beyin BT taramalarının yanı sıra difüzyon ağırlıklı manyetik rezonans görüntüleme (DAG) yöntemlerini de içermektedir. Her bir olguda yoğunluk ölçümleri için 0,25 cm² alana sahip dairesel bir ilgi alanı (ROI) uygulanmıştır. Bulgular: Ortalama intraventriküler yoğunluk değerlerinin enfarktüs durumuna göre analizi, akut enfarktüsü olan bireylerin ortalama yoğunluğunun 5,79 HU olduğunu ve bunun kaydedilen en düşük değer olduğunu, enfarktüsü olmayan bireylerin ise ortalama yoğunluğunun 6,36 HU olduğunu ve bunun en yüksek değer olduğunu ortaya koymuştur. Sonuç: Akut ve kronik inme durumlarında bilgisayarlı tomografi (BT) kullanılarak beyin omurilik sıvısındaki (BOS) değişikliklerin analizi, nörolojik hasarın boyutunun anlaşılmasında ve uygun terapötik müdahalelerin geliştirilmesinde hayati bir rol oynar. Akut ve kronik enfarktüslerde beyin omurilik sıvısındaki değişikliklerin değerlendirilmesi, hastalığın seyrinin anlaşılmasında kritik bir rol oynar.

Anahtar Kelimeler

• Bilgisayarlı tomografi
• BOS
• Yoğunluk
• Enfarktüs

Assessment of Alterations in Cerebrospinal Fluid in Acute and Chronic Infarcts Utilizing Computed Tomography

Öz

Objective: This study aims to examine the differences in cerebrospinal fluid among patients with acute infarcts, chronic infarcts, and healthy controls by evaluating the density of cerebrospinal fluid via computed tomography (CT) scans of the brain. Materials and Methods: In this study, density measurements of cerebrospinal fluid (CSF) were retrospectively conducted from the lateral ventricle in a sample of 128 patients. The analysis incorporated diffusion-weighted magnetic resonance imaging (DWI) alongside CT scans of the brain. A circular region of interest (ROI) with an area of 0.25 cm² was consistently applied for the density measurements in each case. Results: The analysis of mean intraventricular density values in relation to infarct status revealed that individuals with acute infarction exhibited a mean density of 5.79 HU, which was the lowest recorded, while those without infarction had a mean density of 6.36 HU, representing the highest value. Conclusions: The analysis of changes in CSF using CT in acute and chronic stroke conditions plays a vital role in understanding the extent of neurological injury and in the development of appropriate therapeutic interventions. Evaluation of changes in CSF in acute and chronic infarctions plays a critical role in understanding the course of the disease.

Anahtar Kelimeler

• Computed tomography
• CSF
• Density
• İnfarct

Kaynakça

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