Computed Tomography Findings of Traumatic Brain Injury and its Assessment in a Teaching Hospital
DOI:
https://doi.org/10.36552/pjns.v28i2.979Abstract
The objective of the study was to evaluate the frequency and findings of traumatic brain injury on computed tomography in Tertiary Care Teaching Hospital, Mardan Medical Complex.
Materials & Methods: A prospective cross-sectional study from March 2023 to February 2024 was done in Mardan Medical Complex (MMC), Mardan. Non-probability convenience sampling technique was used with a sample size of 680. Data collection was done from the Radiology and Emergency departments with consent taken. Data descriptive statistical analysis was done through SPSS version 22.
Results: A total of 680 patients were scanned including 471(69.26%) males and 209(30.74%) females. The frequency (389) (57.20%) of traumatic brain injury was high in age group 1-19 and least (60) (8.82%) in age group >60. CT brain scan findings revealed 397(58.39%) normal and 283(41.62%) abnormal patients. In abnormal patients, the most common findings on CT were intra-axial hemorrhage 117(41.36%). The most common mode of injury was RTA 326(47.94%) followed by HOF 212(31.18%).
Conclusion: The study showed that in traumatic brain injury, the majority of the subjects were male as compared to female and the most common mode of injury was road traffic accidents followed by falls from height. The findings of intra-axial hemorrhage were the highest in all traumatic brain injuries
References
Kajoak S, Osman H, Ayad CE, Musa A, Yousef M, Faizo NL, Malik BA. Study of Traumatic Head Injuries Using Computed Tomography. International Journal of Biomedicine. 2021;11(1):82-6. http://dx.doi.org/10.21103/Article11(1)_OA14
Ahmad I, Raza Mh, Abdullah A, Saeed S. Intracranial CT Scan Findings in the Patients of Head Injury: An Early Experience at Dera Ghazi Khan Teaching Hospital. Pakistan Journal of Neurological Surgery. 2020;24(3):248-52.
DOI: https://doi.org/10.36552/pjns.v24i3.468
Cusimano MD, Zanetti K, Sheridan C. Letters to the Editor: Severe traumatic brain injury. Journal of Neurosurgery. 2013;119(3):822-3.
DOI: https://doi.org/10.3171/2012.11.JNS121419
Maas AI, Stocchetti N, Bullock R. Moderate and
severe traumatic brain injury in adults. The Lancet Neurology. 2008;7(8):728-41.
DOI: https://doi.org/10.1016/S1474-4422(08)70164-9
Yattoo GH, Tabish A. The profile of head injuries and traumatic brain injury deaths in Kashmir. Journal of trauma management & outcomes. 2008;2:1-9.
Doi: https://doi.org/10.1186/1752-2897-2-5
Hans P, Mehrotra A, Kumar P, Agarwal M, Kumar L, Parakh P, Tyagi S. Role of Computerized Tomography as Prime Imaging Modality in the Evaluation of Traumatic Brain Injury. Int J AdvInteg Med Sci. 2017;2(1):17-23. Doi: 10.5005/jp-journals-10050-10067
Khatun MM, Akter MS, Parvin SS, Reza MT. Traumatic Brain Injury and Its Findings on Computed Tomography; A Tertiary Care Hospital Experience. Journal of Radiology and Clinical Imaging. 2023;6(2):123-6.
Doi: 10.26502/jrci.2809079
Mehta RA, Bambhaniya AB. Profile of Fatal Head Injuries in and Around Jamnagar Region. Indian Journal of Forensic Medicine and Pathology. 2018;11(3):187. DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.11318.7
Gupta PK, Krishna A, Dwivedi AN, Gupta K, Madhu B, Gouri G, Shivani A. CT scan findings and outcomes of head injury patients: A cross sectional study. Journal of Pioneering Medical Sciences. 2011;1(3):78. https://jpmsonline.com/article/jpms-volume-1-issue-3-pages78-82-oa/
Sosin DM, Sniezek JE, Waxweiler RJ. Trends in death associated with traumatic brain injury, 1979 through 1992: success and failure. Jama. 1995;273(22):1778-80. Doi: 10.1001/jama.1995.03520460060036
Kong MH, Jang SY, Kim JH, Kang DS, Song KY. The usefulness of brain magnetic resonance imaging with mild head injury and the negative findings of brain computed tomography. Journal of Korean Neurosurgical Society. 2013;54(2):100.
Doi: 10.3340/jkns.2013.54.2.100
Merino-deVillasante J, Taveras JM. Computerized tomography (CT) in acute head trauma. American Journal of Roentgenology. 1976;126(4):765-78. https://doi.org/10.2214/ajr.126.4.765
Lee B, Newberg A. Neuroimaging in traumatic brain imaging. NeuroRx. 2005;2(2):372-83.
https://doi.org/10.1602/neurorx.2.2.372
Norlund A, Marké LÅ, af Geijerstam JL, Oredsson S, Britton M. Immediate computed tomography or admission for observation after mild head injury: cost comparison in randomised controlled trial. BMJ. 2006;333(7566):469.
Doi: https://doi.org/10.1136/bmj.38918.659120.4F
Ashaleye CM, Famurewa OC, Komolafe EO, Komolafe MA, Amusa YB. The pattern of computerised tomographic findings in moderate and severe head injuries in Ile-Ife, Nigeria. West Afr J Radiol. 2005;12:8-13.
DOI: 10.4314/wajr.v12i1.34199
Zimmerman RA, Bilaniuk LT, Gennarelli T, Bruce D, Dolinskas C, Uzzell B. Cranial computed tomography in diagnosis and management of acute head trauma. American Journal of Roentgenology. 1978;131(1):27-34. DOI: 10.2214/ajr.131.1.27
Bharti P, Nagar AM, Umesh T. Pattern of trauma in western Uttar Pradesh. Neurology India. 1993;41:49-50. https://journals.lww.com/neur/abstract/1993/41010/epileptic_nystagmus_from_a_parietal_lesion.15.aspxAdd DOI here
Sano K, Nakamura N. [Head injury in children]. Nihon Ishikai Zasshi. 1967;57(3):477-87. Japanese. PMID: 6068892. PMID: 6068892.
https://pubmed.ncbi.nlm.nih.gov/6068892/
DOI Not Available
Akanji OA, Akinola RA, Balogun BO, Akano AO, Atalabi OM, Akinkunmi MA, et al. Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria. Acad J. 2015;6(1):1–15. https://doi.org/10.5897/MPR.2014.0125
Jeret JS, Mandell M, Anziska B, Lipitz M, Vilceus AP, Ware JA, Zesiewicz TA. Clinical predictors of
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Ghazan Khan, Mewat Shah, Khurram Saleem, Yasmeen, Shifa A. Khan, Muhammad RizwanThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
