Head injury with concurrent cervical spine injury

Kiboi, Julius G.; Omar, Ahmednasir; Omar, Mohamed Ali

doi:10.4314/aas.v16i1.3

Cited by 3 publications

(8 citation statements)

References 15 publications

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“…In a retrospective study of 358 patients, the percentage of males to females was 4.3:1, and the age ranged from 5 to 60 years [30]. Also, 63% of the patient population presented with loss of consciousness, while aphasia and quadriplegia were present in 9% and 27% of the patients, respectively.…”

Section: Cervical Injuriesmentioning

confidence: 99%

“…Also, 63% of the patient population presented with loss of consciousness, while aphasia and quadriplegia were present in 9% and 27% of the patients, respectively. Other symptoms were gait disturbance, bleeding from the ear, urinary, and fecal incontinence [30].…”

Section: Cervical Injuriesmentioning

confidence: 99%

“…Based on the indication for surgery, patients can be broadly grouped as surgical and non-surgical patients. Associated injuries in head-injured patients requiring surgical management include traumatic injuries to the maxillofacial region; chest injuries such as hemothorax, rib fractures; injuries to the cervical region such as cervical fractures, transection of the cervical spinalcord and penetrating intra-abdominal injuries [25,30,34,35].…”

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

“…Patients who have cervical injuries can be managed with skull traction and either hard or soft neck collar, as indicated [30]. Those with mild injuries are symptomatically managed, observed, and subsequently discharged.…”

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

“…Those with mild injuries are symptomatically managed, observed, and subsequently discharged. Also, rising evidence suggests that progesterone has neuroprotective effects in patients with both traumatic brain injury and cervical injury [30].…”

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

See 4 more Smart Citations

Patterns of Associated Injuries in Patients with Mild/Moderate Head Injuries

Odeyemi

Offorbuike

Eniayekan

et al. 2020

EUR J BASIC MED SCI

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Traumatic Brain Injuries (TBI) or head injuries are injuries or trauma to the scalp and or brain caused by an outside force, usually a violent blow or collision to the head by accident or deliberate attack. It can also be called be craniocerebral trauma. TBI are examples of acquired, non-degenerative assault to the brain from an external mechanical force, causing impairment of brain functions, with or without alteration to the mental state or consciousness of the victim. This paper provides a synopsis of the epidemiology and patterns of associated injuries in mild and moderate head injuries in literature. Mild and moderate head injuries were selected because they are by far commoner than severe head injuries and the outcomes are widely varied than severe head injuries. Traumatic brain injury is a global and public health problem, which in the coming years, might be the leading cause of death in Africa. High incidence is found among the adolescent and the adult age group and gender-wise, it is common among the males of the same age group. Likewise, the provision of an ambulance system and standard healthcare facilities to manage 18 patients with a traumatic brain injury can not be overemphasized.

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Section: Cervical Injuriesmentioning

confidence: 99%

Section: Cervical Injuriesmentioning

confidence: 99%

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

Section: Treatment and Rehabilitation Servicesmentioning

confidence: 99%

See 3 more Smart Citations

Patterns of Associated Injuries in Patients with Mild/Moderate Head Injuries

Odeyemi

Offorbuike

Eniayekan

et al. 2020

EUR J BASIC MED SCI

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Computed Tomographic Scan for Head Injury Patients: Any Justification for Adapting Routine Cranio-Cervical Examination Irrespective of Clinical Severity?

Muhammad,

Saleh,

Adamu

et al. 2024

J West Afr Coll Surg

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Background and Objective: This study aimed to assess the prevalence of concomitant cervical spine and head injury at our University Teaching Hospital in Nigeria and attempted to justify examining patients’ head and cervical spine using computed tomography (CT) scan at presentation irrespective of the head injury severity by clinical assessment using Glasgow Coma Scale (GCS). Patients and Methods: All eligible patients, 1–80 years of age who presented with head injuries in the accident and emergency (A&E) unit during the study period, were included if they satisfied the inclusion criteria. Post-resuscitation GCS was assessed clinically, and head and cervical spine injury (CSI) were observed radiologically on cranio-cervical CT scan for all patients. The presence of cervical spine fractures, subluxation or dislocation was considered a confirmation of CSI. Results: There were 143 patients with head injuries studied; 90.2% of them were males. The mean age of the patients was 28.87 ± 15.93 years. The most common cause of injury was road traffic accidents in 110 (76.90%). The prevalence of CSI was 11.2%. Majority of the patients with CSI in this study (56.25%) had a mild head injury, 25% had a moderate head injury, and 18.75% had a severe head injury. The lower cervical spine was the most frequently injured segment in this study, involving 10 patients. Multi-level cervical vertebral body fractures of C3 to C6 were the most common form of CSI in this segment. Conclusion: The prevalence of concomitant cervical spine and head injury was significant in this study. This was confirmed among study subjects with a clinical diagnosis of mild-to-moderate head injury as compared with moderate-to-severe head injury. Therefore, all patients who sustained a head injury irrespective of severity are required to have a complete and rapid evaluation of the cervical spine.

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Informasi Diagnostik Gambaran Radiograf Cervical Hasil Multiplanar Reconstruction Ct-Scan Kepala

Nurcahyo

Devina

Sulistiyadi

et al. 2021

jri

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ABSTRACT Introduction : Data at Kenyatta National Hospital (KNH) from 2012 to 2016 recorded that there were 1,432 patients with a head injury diagnosis. Of the patients diagnosed with moderate or severe head injury, 11 (3.07%) patients had head and neck injuries. The clinical pathway in the diagnosis of head injury, CT-Scan of the brain (preferably with the inclusion of the cervical vertebrae) is now the rule in assessing traumatic brain injury. At the Radiology Installation of the Salatiga City Hospital, a head CT scan with a head injury diagnosis used a scan of the area from cervical 7 to the vertex, then cervical radiographs were made using MPR. Methods : This study uses a qualitative method with a case study approach. Data collection was carried out in March 2020 by direct observation, in-depth interviews, and documentation studies.Results : Patients diagnosed with CKS and CKB were shown cervical MPR. This MPR image has no superposition, which usually shows cervical 1 and 2 superposition with the mandible even at an angle, and in the lateral projection, cervical 7 superposition with the shoulder. The disadvantage is that the radiation dose received by the patient increases, but on radiological examination there is a justification principle, namely even though using a CT-Scan with greater radiation, the benefits obtained are also greater. In addition, burst fractures can be seen on cervical radiographs from MPR. There are fractures in trauma victims that are not fully demonstrated on radiographs at cervical 1 to cervical 2, cervical 6 to 7 cervical levels, and most involve the transverse process because the patient is uncooperative. Helical CT scanning can depict significant fractures that cannot be demonstrated on conventional radiographs and should be added to the initial screening for suspected cervical trauma.Conclusion : The cervical MPR image aims to obtain four cervical projections, namely AP, lateral, right oblique, and left oblique without conventional projections with the aim of minimizing movement in patients who are at risk of aggravating spinal cord injury. Diagnostic information from MPR results is to obtain structural visualization. specific, determine the extent of the lesion, localize the lesion and bone fragments. However, the radiation dose received is greater than conventional radiographic examinations.

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Head injury with concurrent cervical spine injury

Cited by 3 publications

References 15 publications

Patterns of Associated Injuries in Patients with Mild/Moderate Head Injuries

Patterns of Associated Injuries in Patients with Mild/Moderate Head Injuries

Computed Tomographic Scan for Head Injury Patients: Any Justification for Adapting Routine Cranio-Cervical Examination Irrespective of Clinical Severity?

Informasi Diagnostik Gambaran Radiograf Cervical Hasil Multiplanar Reconstruction Ct-Scan Kepala

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