Background:Extradural haematoma refers to an extra-axial accumulation of blood between the dural lining of brain and the inner table of skull. Acute EDH may expand rapidly and it is a neurosurgical emergency requiring prompt surgical evacuation. Methods:This research article is based on diagnosis and management of acute EDH in the neurosurgery department of SP medical college and associated group of hospitals,Bikaner in the 6 years duration from 2014 to 2020.It comprises of the evaluation of 235 cases of acute EDH who underwent surgical evacuation of the haematoma. Results:Following surgical treatment,83.83% of the acute EDH patients had a favourable outcome in our study group. Conclusion:CT scan is the most reliable diagnostic modality for EDH.Timely intervention can be life saving in this potentially life threatening emergency.There is excellent functional outcome after surgical evacuation when the EDH is rapidly detected and evacuated.

Background: Worldwide, traumatic brain injury (TBI) is the single largest cause of death and disability following injury. Most TBI’s are due to road side accidents. According to WHO data, by the year 2020, head trauma will be third largest killer in the developing world. Methods: The present study was conducted in Department of Neurosurgery, Trauma center of S. P. Medical College and A.G. of Hospitals, Bikaner. The study group consisted of a total of 100 head injury patients presenting to the Trauma center and admitted in neurosurgery ward. Results: The incidence of injury with respect to the time of occurrence in a day has shown a maximum number of incidents occur between 6.00 pm and 12.00 midnight (40.00%), followed by 12 noon to 6 pm having (28.00%). Conclusion: The lack of awareness among the pedestrians and disregard for traffic rules by the motorists were important reasons for most of the accidents. Keywords: Neurosurgery, Trauma, Injury

We describe a case of an occult fronto temporo parietal meningoencephalocele discovered in a 45 days old infant baby. The most common cause for meningoenphalocele is trauma by any means during birth or during development. But here in our case there is lack of such significant history of trauma and so the possible cause of the lesion may be congenital defect only. Preoperative Clinical, CT and MR images are presented. Lesion was removed surgically with satisfactory post operative recovery. Cite this article as: Sodhi D, Chaudhari KV, Gupta S, Raval R, Shaikh AA, Kapoor A. A case of occult fronto temporo parietal meningoencephalocele in an infant. Int J Med and Dent Sci 2015; 4(2):883-885.

Background: Our present study aimed at correlation of GCS score with computed tomographic findings in cases of head injury and to evaluate that GCS scoring can be used as an alternate tool in clinical management of head injuries in settings where CT scans are not available or contraindicated. Methods: The present study was conducted in Department of Neurosurgery, Trauma center of S. P. Medical College and A.G. of Hospitals, Bikaner. The study group consisted of a total of 100 head injury patients presenting to the Trauma center and admitted in neurosurgery ward. Results: Contusion was the most frequent finding in cases with positive CT scan findings. All (100%) subjects with severe head injury had positive CT scan findings. Conclusions: Careful clinical selection based on GCS score before ordering CT scan can help reduce radiation exposure patients and pressure on limited resources. Studies with larger sample size would be warranted Keywords: CT scan, head injury, Glasgow Coma Scale Score