World Rural Health Conference
Home Print this page Email this page Small font size Default font size Increase font size
Users Online: 2198
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2018  |  Volume : 7  |  Issue : 2  |  Page : 357-361

Is there a misuse of computed tomography in the diagnostic workup of headache? A retrospective record-based study in secondary health-care facility in Saudi Arabia


1 Department of Anatomy, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA; Department of Anatomy, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2 Department of Family Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA
3 Department of Anatomy, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA
4 Department of College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj, KSA
5 Department of Histology and Embryology, College of Medicine, Ondokuz Maiz University, Samsun, Turkey; Department of Emergency Medical Specialist, Al-Ghad International Colleges for Applied Medical Sciences, Al Madinah Al Munawarah, KSA

Correspondence Address:
Dr. Ali Hassan A. Ali
Department of Anatomy, College of Medicine, Prince Sattam Bin Abdulaziz University, Al Kharj

Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_338_17

Rights and Permissions

Introduction: Headache disorders are one of the most prevalent global public-health problems that require placing high demand on health-care Services. Since it is one of the most frequent complaints in clinical practice worldwide, it causes a considerable burden in terms of the social cost. The study aimed to give a guide for the decision on the utilization of computed tomography (CT) in the diagnostic workup and identify if patients require neurological imaging (CT) for proper diagnosis or not. Material s and Methods: The study was carried out in the Radiology Department in King Khalid Hospital, Al Kharj, Saudi Arabia from October 15, 2016, to February 15, 2017. A retrospective record-based study conducted using the documented CT reports in the files of patients whom were referred to the radiology department complaining of any type of a headache. Results: The data included 210 patients 51% were males and 49% were females. The patients were distributed into age groups; the mean age was 38.46 standard deviation ± 13.56. Among Saudi population, the etiology of headache was varying; the most prevalent type of headache was tension headache 25.71% of the total headache patients followed by cluster 25.24% and the migraine with the lowest proportionality. The majority of the patients' headache pain was mild 60%. Moreover, the CT reports for most of the patients were normal. Spearman Correlation test was used to see if there is a significance in using the CT for any patient who comes with symptoms including headache, and the results have shown that there is no association and clinical significance in using the CT for patients with headache without suspecting other clinical condition (P = 0.177). Conclusion: Headache disorders must be on the public-health agenda. Tension, migraine, and cluster-type headaches represent the majority of primary headaches. Statistically no significance or need to obtain CT if there are no life-threatening conditions expected or trauma presented.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed597    
    Printed8    
    Emailed0    
    PDF Downloaded59    
    Comments [Add]    

Recommend this journal