Role of CT(Computed Tomography) in Head Injury

Khadka, Bibek; Deka, Prabin Kumar; Karki, A.

doi:10.3126/jmmihs.v2i0.15796

Cited by 9 publications

(8 citation statements)

References 10 publications

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“…RTA were the most common cause of injury which contributed to (60.56%) of the total. Similar result was also present in study done by Broker at al, Kumar et al, Khadka et al and Agrawal et al 2,4,5,9 RTA (78.57%) and falls (16.07%) were common mechanism of head injury in this study.…”

Section: Resultssupporting

confidence: 92%

Risk factor assessment and outcome analysis in elderly (≥60 years) patients of severe head injury

et al. 2020

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Background: Incidence of head injuries is rising all over the world. Only few studies have been performed regarding severe head injury in elderly people. We aimed to study the epidemiology, mode of injury, management, co-morbidity, associated injuries which affects the outcomes. Severe head injury is unconsciousness >6 hours and GCS 3-8. In India 6.63% of the total population above 60 years is considered elderly. Falls are the major contributor to TBI in elderly but in India RTA is still the main contributor. Outcomes of TBI, both in terms of mortality and function, are significantly worse in the elderly.Methods: Objective of this study was to find the risk factors affecting the outcome in severe head injury. This was a prospective study and carried on 56 patient in Department of surgery of M. L. N. Medical College, Prayagraj from September 2018 to September 2019.Results: Male were most commonly affected but the gender had no significant prognostic effect on outcome. RTA were the most common cause of head injury. GCS at admission was directly related to outcome. Bilateral non-reactive pupils had poor outcome. Type of hematoma and midline shift had also affected the outcome. Operated cases had better outcome than non-operated cases. Any associated injury with TBI had worsened the outcome in patient. Any co-morbid condition associated with brain injury had slower recovery and worsen the outcome. Overall mortality in this series was 64.28% and unfavourable outcome was 76.79%.Conclusions: Severe head injury in elderly people had worst outcome.

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Section: Resultssupporting

confidence: 92%

Risk factor assessment and outcome analysis in elderly (≥60 years) patients of severe head injury

et al. 2020

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“…In several literatures the terms "head injury (HI) and traumatic brain injury (TBI)" have being used interchangeably [1][2][3]. However, there are basis to disagree or vary in opinion.…”

Section: Introductionmentioning

confidence: 99%

“…gunshot fragment). Also been widely available and cheaper than Magnetic Resonance Imaging (MRI) [3,5]. Been the fourth largest tertiary hospital in Ghana, TTH provides varying medical services including radiological CT scan examination.…”

Section: Introductionmentioning

confidence: 99%

Computed Tomography Findings of Traumatic Brain Injury in Patients with Head Trauma Presenting at the Tamale Teaching Hospital, Ghana

Asare¹,

Abdulai²,

Akorli³

et al. 2019

J Radiol Clin Imaging

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The purpose of this study is to report computed tomography (CT) findings of traumatic brain injury (TBI) in patients who underwent head CT at the Tamale Teaching Hospital (TTH) due to head trauma. Material and methods:A retrospective review of 53 head trauma CT reports covering a two year period in the TTH. Variables extracted to form basis of data included patient gender and age, aetiology of injury, and findings of radiologists. Data was processed and analysed with the Statistical Package for the Social Sciences (SPSS), and results presented mainly in tables.Results: Of the 53 head trauma patients, male composed 77.4% and female 22.6%. Patients in the age range of 21-40 years were the most affected, and least affected were those between 41-50 years. Falls, assault and road traffic accident (RTA) all together caused less traumas than trauma of unspecified aetiologies. Various TBIs were observed in twenty one (21) patients with some features being more prevalent than others. Noteworthy, the prevalence of normal brain finding was alarming, being reported in 32 patients. Conclusion:This research concur that CT is an important imaging modality in diagnosing TBI. Our data affirms that intracranial haemorrhage, brain contusion, brain atrophy, and infarct were the most reported imaging features of TBI at the TTH. There was male and productive age population (21-40 years) preponderance of head trauma.Unspecified source was the highest cause of head traumas followed by RTA.

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“…This incidental information can range from lifesaving to insignificant, with many findings being indeterminate, particularly when a test was not targeted to detect that finding. Incidental findings can lead to increased patient stress, additional diagnostic testing and increased costs, whether or not the incidental finding is ultimately clinically important [4,5] .…”

Section: Introductionmentioning

confidence: 99%

Incidental intracranial findings in computed tomography of head injury cases

Jamwal¹,

Hm²,

Udayakumar³

et al. 2021

Int. J. Radiol. Diagn. Imaging

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Background: Cranial computed tomography scan is a routinely performed investigation in the evaluation of head injury cases. These scans detect the pathologies caused by the trauma as well as many unexpected incidental findings, the frequency of which are not known. Present study was conducted with the objectives to evaluate the patients with head injury using computed tomography and to determine the prevalence and significance of incidental findings on cranial scans. Material and Methods: This prospective study was conducted in Bangalore medical college and research institute from January 2018 to June 2019. A total of 600 consecutive patients of all age groups with history of head trauma undergoing cranial scans were included in this study. Computed tomographic scans of the brain are obtained from the vertex to foramen magnum level. Two series of axial data sets are obtained, one using soft tissue and another with bone-reconstruction algorithms. Collected data was entered in excel sheets and simple descriptive statistics were used to describe in the form of frequency tables and graphs. Results: The detected incidental findings were divided into two categories based on the plan of management. The mean patient age was 40+/-15.3 years, and male to female ratio was 2: 1. Incidental finding were identified in 28.5% of study sample which were mostly benign and non-critical. Arachnoid cysts (8%), megacisterna magna (5.8%) and calcified granulomas (8.8%) are the commonly noted incidental findings in category 1 and neuroparenhcymal atrophy (7.1%), infarcts (8.7%) and brain tumors (2%) are the commonly identified pathologies in category 2. Conclusion:The incidentally detected findings are both critical and noncritical pathologies. Although most of them are benign, it is important to mention about the findings in the report for counseling and management of the condition and to prevent further complications in future.

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Role of CT(Computed Tomography) in Head Injury

Cited by 9 publications

References 10 publications

Risk factor assessment and outcome analysis in elderly (≥60 years) patients of severe head injury

Risk factor assessment and outcome analysis in elderly (≥60 years) patients of severe head injury

Computed Tomography Findings of Traumatic Brain Injury in Patients with Head Trauma Presenting at the Tamale Teaching Hospital, Ghana

Incidental intracranial findings in computed tomography of head injury cases

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