Abstract
Introduction: CT is the single primary modality in the evaluation of patients with acute head injuries. With these, a study was taken to find various clinico radiological patterns of head injuries and to correlate the CT features with clinical operative findings. Materials and Methods: This was a cross-sectional study carried in patients of head injury. The patients with a head injury, craniofacial trauma who underwent CT scanning were included in the study. Patients on the ventilator and with Glasgow coma scale <6 were excluded. Patients were scanned using dual Slice CT, Siemens somatom Emotion duo. A P-value of less than 0.05 was considered statistically significant. Results: Total 223 patients were included, 76.2% were males and 73.5% were abnormal scans. Among all intracranial traumatic lesions (ITL) the incidence of multiple ITLs were the most common (35%) and the death rate was 12.6%. Temporal bone fractures (15.2%) were the highest. Conclusion: It was concluded that 21 – 40 years is the typical age group for head injuries, common among male and the incidence of mortality rate is more > 61 years. MICTLs are the most frequent type of hematomas.
Highlights
Computed Tomography (CT) is the single primary modality in the evaluation of patients with acute head injuries
The incidence of Traumatic brain injury (TBI) is increasing as traffic increases, besides other confounding factors such as industrialization, falls and ballistic trauma
An earlier study by Asaleye CM et al, [11] in patients with moderate to severe head injury showed that 87% of patients had abnormal CT findings
Summary
Traumatic brain injury (TBI) is a prevalent and potentially devastating problem. In a rapidly developing country such as India, urbanisation and industrialization is the important cause for increased road transportation this leads to head injuries due to road traffic accidents [1]. CT is the single most and primary modality in the evaluation of patients with acute head injuries [3,4]. Conventional CT is more available, cost-effective, requires shorter imaging time and easy to perform on patients on ventilator support, in traction, or agitated is the initial imaging modality of choice during the first 24 h after the injury [5,6,7]. Not all head trauma patients require neuroimaging. This study attempts to determine the utility of CT in the diagnosis, management and prognosis of patients with cerebral trauma. All patients were followed up for a period of examination to final outcome during the hospital stay after a head injury to detect any re-bleed, increased/decreased volume of hematoma and postsurgical follow up to identify residual hematoma.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
