Evaluation of NCCT Head findings in acute head trauma patients

Dr Deepak Varshney; Dr Santeshwari; Dr Manish Bhagat; Dr Sumitbindal; Dr Sanchita; Dr Garima Agrawal Varshney

Volume : VII, Issue : III, March - 2018

Evaluation of NCCT Head findings in acute head trauma patients

Dr Deepak Varshney, Dr Santeshwari, Dr Manish Bhagat, Dr Sumitbindal, Dr Sanchita, Dr Garima Agrawal Varshney

Abstract :

Introduction

One of the most common causes of mortality and morbidity in most parts of the world is Head trauma. In tertiary care centre, a common cause of hospital admission is Head Trauma. Patient age is usually associated with mode of head trauma. CT head is the investigation of the choice as well as first line investigation in patients with head trauma because it takes less time and provides accurate findings.

Head trauma can be classified into primary and secondary injuries.

Epidural, subarachnoid, subdural, and intraventricularhemorrhage are included under primary extra–axial lesions; however Primary intra–axial lesions usually include intracereal contusions and hematomas, axonal sheå injuries and vascular injury.

Aim of the Study – Evaluation of NCCT Head findings in acute head trauma patientsin a tertiary care centre.

Material and methods

We have included the head trauma patients came for CT head imaging during the period of three months between 1 October 2017 and 31 December 2017 in department of Radiodiagnosis in SAIMS, Indore. This is a retrospective study.

NCCT Head scans were performed on a True 64–slice volume CT scanner (Somatom definition AS, Siemens) in a straight axial plane.

RESULTS

In our study, 150 patients underwent CT head for head trauma. The male to female ratio was 3:1. About 100 patients (~74%) out of 150 came for CT head were in age <40 years.

In 16% cases, CT was unremarkable, while 84% cases had abnormal CT findings. Many patients had more than one finding. The most common CT findings were: cereal contusions 42%, subdural hematoma 37%, extradural hematoma 11.3%.sub–arachnoid haemorrhage 21% and associatedskull fractures 63%.

CONCLUSION

CT Head is an investigation of choice as well as first line of investigation in all head trauma patients. Early and accurate diagnosis of primary lesions of head trauma is very helpful in deciding the early neurological intervention in golden hours to reduce the morbidity and mortality.