ANALYSIS OF TRAUMATIC BRAIN INJURY: AND CORRELATION BETWEEN NCCT FINDINGS AND GCS ASSESSMENT

Abstract

Introduction: TBI is one of the primary causes of disability, illness, and death in people of all ages all over the world. In addition to clinical evaluation by the Glasgow Coma Score (GCS), cerebral abnormalities in these individuals can be found early by computed tomography (CT), which is still the primary study of choice in the majority of TBI cases. Aims and Objectives: The purpose of this study was to see if the Glasgow coma scale and CT findings in individuals with head trauma correlated. Material and Methods: After receiving ethical committee clearance, prospective research was undertaken for a period of one year in a tertiary care hospital in North India. The Glasgow coma score was applied to 77 TBI cases, and computed tomography was conducted on all of them, with the results recorded. IBM Corp.'s SPSS statistics for Windows, was used to analyse the data. Results: Head trauma was most prevalent in people aged 26 to 35. (27.2 percent). The average age was 40.97 14.09 years, with a standard deviation of 14.09 years. Males made up the majority of the patients (83.1 percent). Road traffic accidents were the most prevalent cause of head injuries (84.4 percent). Half of the patients evaluated (50.6 percent) had severe head damage, followed by moderate (33.7 percent) and mild (15.5 percent) brain injury, according to GCS score. Intracranial haemorrhages were observed in 55 (71.42 percent) CT images, making them the most prevalent single or multiple lesions finding. In 45 (61%) of the patients, skull fractures were discovered. Midline shift was seen in 25 instances, with 18 individuals with serious head injuries having a midline displacement of less than 5mm. Patients with a low GCS had more CT results than those with a high GCS. The mean GCS score of individuals with a single lesion (11.3 1.99) differed significantly from the mean GCS of patients with multiple lesions (8.92 2.45). Conclusions: The degree of head damages as measured by the Glasgow coma scale and CT findings in individuals with head trauma were shown to be positively correlated in our study.