POST TRAUMATIC NEURO PSYCHATRIC CHANGES IN DIFFUSE AXONAL INJURY

DR.BIBHUTI BHUSAN DAS; DR.A. MATHIYASH ARTHUR

Volume : IX, Issue : I, January - 2020

POST TRAUMATIC NEURO PSYCHATRIC CHANGES IN DIFFUSE AXONAL INJURY

Dr. Bibhuti Bhusan Das, Dr. A. Mathiyash Arthur

Abstract :

INTRODUCTION: To study post traumatic neuropsychiatric changes in all patients admitted in a peripheral tertiary care center with head injury, GCS in between 8 to 13 and subsequently improved to GCS 14 to 15. MATERIALS AND METHODS: This is a retrospective study, having a group of patients of age group 14 to 50 years of age, admitted and treated from August 2018 to July 2019, all patients having Glasgow Coma Score of 8 to 13 at the time of admission. Total number of patients 45. INCLUSION CRITERIA: • Patients age group in between 14 years to 50 years. • GCS in between 8 to 13 at the time of admission. • CT scan ain having normal study. EXCLUSION CRITERIA: • Patients below the age of 14 years and above 50 years • Patients having other visceral and skeletal injuries. • Patients having GCS less than 7 and 14 to 15. • Patients having previous history of psychiatric disorders. • Patients having previous head injury. • Patients unwilling to be included in study group. RESULTS: Diffuse axonal injury patients having GCS 8 to 13 at the time of admission, after treatment and having GCS 14 to 15 and significant neuropsychiatric changes. Also the result is dependent on the mode of head injury, age group of patients, time of arrival to hospital. Some factors got improved and some factors got worsened. CONCLUSION: Although the patients with diffuse axonal injury admitted with GCS 8 to 13 and discharged with GCS 14 to 15, there are significant neuropsychiatric changes at the time of discharge which are required to be considered for rehabilitation. FUNDING: No Funding were received by any one of the presenters for this study.