A Comprehensive Study on Post Traumatic Temporal Contusion in Adults
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 3
Abstract
Introduction: The brain undergoes various types of strain during injury. The strain may be in the form of compression, tensile strain or shear strain. More than one type of mechanics and more than one type of strain are involved in most head injuries. Aim: To study the epidemiology, clinical features, radiological findings, management and outcome of traumatic temporal contusion in brain injury. Methods: Patients admitted in the head injury ward and diagnosed as having temporal lobe contusion were included. 106 patients were enrolled for this study. Results: The overall mortality is 18.9% in traumatic temporal contusion. This study shows that 62.2% of the patients survived and 30.8% of the patients expired with surgical management. Seizure, abnormal pupillary response to light, oculocephalic reflex abnormality and the status of the basal cistern, midline shift and volume of the lesion are the significant factors, in this study. Conclusion: Patients with a head injury in motor vehicle accidents, presenting with seizure, abnormal pupillary response to light, abnormal oculocephalic reflex, and bradycardia must have intensive neurosurgical care. Temporal contusion quickly contributes to mortality because of its adjacent location to the brain stem.
Authors and Affiliations
R Renganathan, P John Paul, Heber Anandan
Keywords
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