Surgical Outcome of Traumatic Brain Injury: A Retrospective Experience of 2 Months at Lahore General Hospital Lahore

  • SHOQAIB MAHMOOD Department of Neurosurgery, Lahore General Hospital Lahore/PINS/PGMI, Lahore
  • RANA ZUBAIR MAHMOOD Department of Neurosurgery, Lahore General Hospital Lahore/PINS/PGMI, Lahore
  • SIKANDAR ALI Department of Neurosurgery, Lahore General Hospital Lahore/PINS/PGMI, Lahore
  • IMRAN MIRZA Department of Neurosurgery, Lahore General Hospital Lahore/PINS/PGMI, Lahore
Keywords: Traumatic Brain Injury

Abstract

Introduction: Traumatic head injury is a common cause of death in the young population. It is important public health care problem in Pakistan and equally pandemic in developing countries. By knowing prognostic factors, proper management, and avoiding the cause, and also by public awareness we can decrease mortality and morbidity.
Material and Methods: A retrospective study conducted in the Neurosurgery department of Lahore general hospital Lahore, from 1st Nov. 2018 to 31st Dec. 2018 and data collected from 30 patients. All patients were of traumatic head injury after that they suffer from ICH/SDH/EDH. All patients who had brain death or suffer from poly-trauma were excluded from research. Prognosis was assessed from GCS, age, CT scan findings. Patients having GCS less than 4 were considered having poor prognosis. Serial imaging were taken to see the progression of the disease.
Results: Out of 30 patients, 5 patients are female and 25 patients are males. Mean age of patients is 34 years. Age group 30 – 45 have maximum numbers of patients. RTA is a major cause of mortality in our study, particularly for those patients having low GCS i.e., 4. In this study nearly 66.7% patients had post traumatic fits. 46.7% patients had skull fractures. 16.7% patients had EDH 33.3% patients had SDH and 50% patients had contusion/DAI/TSAH.
Conclusion: Prognosis in the severe head injury is determined by the age, mode of the injury, CT findings, resuscitation, and GCS.

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Published
2019-03-22
Section
Original Article