Volume : VII, Issue : IX, September - 2017

TREATMENT STRATEGY & OUTCOME IN BASIFRONTAL CONTUSION– ANALYSIS OF 76 CASES

Satya Bhusan Senapati, Deepak Das

Abstract :

 Background:Cereal contusions involving the inferior frontal lobes (Basifrontal region) are important from the management point of view as sudden deterioration can occur in such patients at any point of time during the course of treatment.

Objective:The purpose of this study is to assess the outcome in patients with basifrontal contusions & compare the conservative vs. surgical treatment in patients presenting with smaller contusions and moderate Glasgow coma scalescore(GCS).

Material & methods:The clinical course of 76 head injury patients in whom CT had shown basifrontal contusion admitted between June 2011–May 2013 to our hospital, were retrospectively analyzed.

Results: Early intervention was done in nineteen patients of which 10 patients having contusion volume >50cm3 and 9 patients having contusion volume > 35cm3< 50cm3 with GCS score of 6–8. Twenty–eight patients (nine patients with unilateral lesion & nineteen patients with bilateral lesions) were seen having increase in contusion volume & were undergone delayed surgical intervention after 48 hours. Fourteen patients died of which three deaths were observed in post op period & all of them were undergone delayed operation after repeat CT scan. Seven patients died due to rapid deterioration within 24 hours of admission having GCS 13 to 15 with contusion volume 20cm3 – 35cm 3. Four patients died after 7 days with GCS 9–13 who were conservatively managed with contusion volume < 20 cm3. Both sudden & delayed deterioration complicated the clinical course of this disease with both increased mortality & morbidity in bilateral lesions.

Conclusion:The management of a patient with basifrontal contusion is more difficult than a patient with contusions of other area of ain & intracranial hematomas as the basifrontal region is a silent area of ain and the quantum of injury, features of raised intracranial pressure are not clinically evident. 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Satya Bhusan Senapati, Deepak Das, TREATMENT STRATEGY & OUTCOME IN BASIFRONTAL CONTUSION– ANALYSIS OF 76 CASES, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-9 | September-2017


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