Relationship between Etiology and Radiological Findings in Case of Moderate and Severe Head Injury Patients.

Abstract

Introduction: Traumatic brain injury (TBI) or head injury is one of the leading causes of mortality and disability in the world. The common causes of TBI are usually motor vehicle accident, fall and physical assault. Methodology: This was a prospective cohort study to find out the relationship between etiology and the radiological findings in moderate and severe head injury patients. The places of the study were the Neurosurgery department of Sylhet M A G Osmani Medical College Hospital, Sylhet Women’s Medical College Hospital (SWMCH) and King Faisal Hospital (KFH), Taif, KSA. The Sample size was 104. The study period was 3 years (July 2021 to December 2022). On the basis of radiological findings, the participants were divided into three groups or arms. The different arms were diffused traumatic brain injury (arm-1), focal traumatic brain injury (arm-2) and both (diffused and traumatic) types traumatic brain injury (arm-3). Results: Mean age was significantly higher in female (51.83%). Overall mean age was 40.28 year. Highest frequency (23%) was in the below 20-year age group followed by the 41-50-year age group (20.2%). Road traffic accident (RTA) was the commonest (63.5%) etiology followed by fall (21.2%). At the end of 1 month 68.3% of participants showed improvement. Conclusion: Post head injury disability is a huge psychological and financial burden for any nation or family. RTA contributes the major risk for the moderate and severe head injury