ROLE OF COMPUTED TOMOGRAPHY SCANS IN PATIENTS FOLLOWING HEAD TRAUMA

Dr. Kevin A. Patel; Dr. Rasika R. Mhatre; Dr. Priti Kapoor

Volume : VII, Issue : I, January - 2018

ROLE OF COMPUTED TOMOGRAPHY SCANS IN PATIENTS FOLLOWING HEAD TRAUMA

Dr. Kevin A. Patel, Dr. Rasika R. Mhatre, Dr. Priti Kapoor

Abstract :

Introduction:

Head injuries or craniocereal trauma is one of the leading causes of deaths in trauma setups with varied etiologies like RTA (Road traffic accidents), assaults, fall etc. CT remains essential for detecting lesions that require immediate neurosurgical intervention as well as those that require in–hospital observation and medical management.

Objectives: To evaluate the role of CT in diagnosing different type of lesions following head trauma.

Methods: Study of 100 patients presenting with head trauma to MGM hospital, Kamothe, Navi Mumbai was done with ct scan during july 2016 to dec 2016.

Results: In the present study contusions were noted in 53 patients. These contusions were commonly seen in the temporal region 31, followed by frontal 26, parietal 21, occipital 5, cerebellar 4 and other regions. Other lesions which were seen on CT scan are, Fractures 51, Cereal edema 45, Mass effect 26, Subdural hematoma 20, Extradural hematoma 19, Intracereal hematoma 17, Subarachnoid hemorrhage 12, Intraventricular hemorrhage 10 and Pneumocephalus 06.

Discussion: The major advantages of CT scan lies in the fact that, the treatable lesions can be diagnosed early and treated accordingly, before it causes secondary lesions like mass effect, ain herniations etc. These secondary lesions can cause significant morbidity and mortality.

Conclusion: Computed Tomography was found to be more sensitive in detecting basal skull fracture which was not detected on routine plain X–ray skull. Contusions were the most common lesions resulting from cranio– cereal trauma.