COMPARATIVE STUDY BETWEEN CT SCAN AND AUTOPSY FINDINGS IN TRAUMATIC BRAIN INJURY WITH SPECIAL REFERENCE TO DAI
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 13
Abstract
BACKGROUND Traumatic brain injury (TBI), a significant public health problem, is a leading cause of disability and mortality in all regions of the globe despite advancement in prevention and treatments. Diffuse Axonal Injury (DAI) is ‘stealth’ pathology of TBI. Although found throughout the white matter, it comprises primarily microscopic damage, rendering it almost invisible to current imaging techniques. METHODS A prospective study of all consecutive patients who presented with antecedent event of head injury to M.K.C.G Medical College Hospital Berhampur, was conducted from July 2016 to June 2018. Patients were subjected to CT head scan with bone window and autopsy at the Department of Forensic Medicine, with special reference to DAI. RESULTS Out of 15 cases in DBI group, only 2 cases (13.33%) had fissure fracture on vault. In the DBI group out of 15 cases, focal lesions in Corpus Callosum (CC) were found in 9 cases (60%) on gross examination and 2 cases (13.33%) had gross focal lesions in brain stem adjacent to superior cerebellar peduncle (SCP). SAH was seen in 8 cases (53%). Brain swelling was seen in 5 cases (33.33%). CT scan was found to be normal in all the cases in the DBI group. CONCLUSION The current study revealed that in case of patients suspected of DAI, CT is not the investigation of choice. MRI of the brain should be obtained on an elective basis when the patient is clinically stable because no effective treatment of DAI is currently available. The final outcome of the patient depends on the presence or absence of diffuse axonal injury.
Authors and Affiliations
Sushanta Kumar Das, Saket Saurabh, Niranjan Sahoo, Sanjeeb Kumar Pradhan, Pranab Kumar Prusty, Rakesh Nayak
Keywords
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- EP ID EP615872
- DOI 10.18410/jebmh/2019/220
- Views 87
- Downloads 0
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