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The Topography of White Mater Peri-Ventricular Hyperintensities on Brain Magnetic Resonance Imagings (MRI) Among Cameroonians | OMICS International | Abstract

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Research Article

The Topography of White Mater Peri-Ventricular Hyperintensities on Brain Magnetic Resonance Imagings (MRI) Among Cameroonians

Uduma FU1,5*, Ongolo CP2,5, Okoye IJ3 and Muna W4,5
1Department of Radiology, Faculty of Clinical Sciences, College of Health Sciences, University of Uyo, Uyo, Nigeria
2Department of Radiology, University of Yaounde, Yaounde, Cameroon
3Department of Radiation Medicine, Faculty of Health Sciences and Technology, College of Medicine, University of Nigeria, Enugu, Nigeria
4Department of Medicine, University of Yaounde, Yaounde, Cameroon
5Polyclinic Bonanjo, Douala, Cameroon
Corresponding Author : Uduma FU
Department of Radiology
Faculty of Clinical Sciences
College of Health Sciences
University of Uyo, Uyo, Nigeria
Received May 29, 2013; Accepted July 25, 2013; Published August 03, 2013
Citation: Uduma FU, Ongolo CP, Okoye IJ, Muna W (2013) The Topography of White Mater Peri-Ventricular Hyperintensities on Brain Magnetic Resonance Imagings (MRI) Among Cameroonians. OMICS J Radiology 2:136. doi: 10.4172/2167-7964.1000136
Copyright: © 2013 Uduma FU, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Background: Peri-Ventricular Hyperintensity (PVH) refers to bright signal adjacent to lateral ventricles on T2 weighted (T2W) and Fluid Attenuated Inversion Recovery (FLAIR) brain MR images. It is a qualitative evaluation of white mater lesions. Aim: Evaluating the incidence and topographic distribution of cerebral periventricular hyperintensities among Cameroonians using FLAIR and T2W brain MR images. Materials and methods: Prospective study of patients who came for brain MRI from June 2009 to Febuary 2010. Patients were scanned after data documentation with AIRIS 11 0.3 Tesla imager starting from medullo-cervical cord junction. Axial T2W and FLAIR images were acquired using 6-8mm slice tissue thickness and 0.5-1 mm intersection gap. Images were evaluated qualitatively into absent, type 1-3 PVH. Type 1-peri-ventricular frontal capping, rimming or thin smooth halo. Type 2-PVH extends into deep white mater. Type 3-PVH extends into sub-cortical white mater. Inclusion criteria included reportable quality images. Results were analysed with Computer statistical package SPSS 13 Results: Ninety seven patients with 60 (61.86%), males and 37 (38.14%) females were studied. Age range was 0- 89 with mean of 44.5. 75.26% of all cases, 70% of all males and 83.78% of all females had absent PVH. 24.74% (n=24, M: F=3:1) of studied population had PVH, shared into 33.33% type 1 PVH, 58.33% type 2 and 8.33% type 3. Peaks of type 2 PVH in males and females were 60-69 and 70-79 respectively. The commonest association of type 2 PVH in males and females were CVD (62%) and cerebral atrophy (50%) respectively. Conclusion: The incidence rate of PVH among Cameroonians without population bias is 24.74% with male earlier onset and predominance. PVH is common and severer among elderly (50 years and above). The predominant type of PVH in both sexes is type 2 with commonest association in males being CVD but cerebral atrophy in females.