A Single centre study of role of repeat CT scans in the treatment of traumatic brain injury
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 10, Issue 2
Abstract
Background: Traditionally, nonoperative management of Traumatic brain injury patients with an intracranial hemorrhage (ICH) has consisted of observation and a routine repeat head CT (HCT) study at 24–48 hours after admission to assess for any ICH evolvement. Aims and Objectives: to study role of repeat CT scans in the treatment of traumatic brain injury. Methodology:This was a cross-sectional study carried out in the patients admitted with traumatic brain injury at tertiary neurosurgery centre during the one year period i.e. January 2017 to January 2018. In the one year period there were 66 patients with traumatic brain injury were admittedThe findings were noted in excel sheet and analyzed by excel software for windows 10.Results: The majority of the patients were in the age group of 40-50were 27.27%, followed by 30-40were 22.73%, 20-30were 19.70%, 50-60were 16.67%, 60-70were 13.64%.The majority of the patients were Male were 57.58% and Female were 42.42% .The majority of the patients were havingContusionin 37.88%, followed byEDHwere 16.67%, SAHwere 13.64%,Subdural hematoma-10.61%,Intra cerebral hematomawere 10.61%, Pneumocephalus were 6.06%,Fracture depressed/elevated were 4.55%. The majority of the patients showed changes in CT after repeat scan were within 0-3 hrs. were 73%, followed by3-6 hrswere 68%,6-9 hrswere 43%,9-12 hrs were 20%. The most common findings on repeat CT scanwere No changein 43% , followed by Increase of haematoma/contusionin 39% and requiredsurgical intervention in 5; Increase edema/mass effect seen in 11%and for that required surgical intervention in 3; Appearance of new lesionsseen in 9%and required surgical intervention in 2; Decreasein size seen in 7%and over all the 15.15% of patients required surgical intervention in repeat CT scanConclusion:As most of the patients with minor head Injury showed no change inrepeat CT scan and out of the all routine patients who undergo repeat CT only 15.15 % required surgical intervention so the decision of repeat CT should whenever there is very clinical suspicion of increase in size of lesion or whenever surgical intervention needed .
Authors and Affiliations
Fattepurkar Sudhir
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- EP ID EP613894
- DOI 10.26611/1061024
- Views 192
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