Serial CT Scan following Traumatic Brain Injury: Its Significance and Analysis
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 5
Abstract
Introduction: CT plays a key role in accurate diagnosis and important diagnostic tool in the management of traumatic brain injury. Materials and methods: Present study was under taken in the Department of Surgery Gandhi Medical College and Hamidia Hospital, Bhopal in the duration of July 2015 to July 2016. Total 105 patients (M: 80, 76.1% and F: 25; 23.80%) with traumatic head injury were admitted and managed and were include in this study. They were followed by serial CT scan and analyzed. Results: Commonest cause of brain injury was road traffic accidents (75 cases 70%). Altered sensorium was the most common symptom in 88 cases (88.0%), followed by vomiting in 49 cases (75.38%). Contusions were the most common radiological findings in 80.95% (85 cases) followed by extradural haematoma in 18.46% and pneumocephalus in 16.92%. Out of these the most common location for contusion was frontal (14 cases), followed by parietal (12 cases) and then bilateral contusions in 10 cases. Repeat scan showed increase in volume of contusion in 29 cases (44.61%), no change in 26 cases (40.0%) and decrease in 10 cases. The increase was mainly due to edema in 18 cases (27.69%) and due to actual increase in contusion in only 11 cases. Only 4 cases needed operative intervention. Conclusions: Sequential serial CT scan results in the management changes and has role in the management even in the patients without any clinical deterioration in early stages.
Authors and Affiliations
ID Chaurasia, Anshul Siroliya, Manish Parihar
Keywords
Related Articles
- EP ID EP414179
- DOI -
- Views 153
- Downloads 0
ECG and X-ray findings in pericardial effusion in adult hypothyroid patients
Introduction: Pericardial effusions can be caused by multiple disease states, including any process that results in pericarditis or myocarditis. The inflammatory reaction in these disease states can result in fluid accum...
Role of lipids, ionized calcium, and alkaline phosphatase in progress of pregnancy induced hypertension - A prospective study in Kolkata
Background: Pregnancy induced hypertension may complicate to preeclampsia and eclampsia. The pathophysiology of the former is still confusing, many authors suggested different opinions, and indicated different parameters...
A comparative study of ethacridine lactate with vaginal misoprostol versus vaginal misoprostol alone for mid trimester abortion
Introduction: Mid-trimester termination of pregnancy is one of the most controversial areas of gynaecological practice. It has moral, emotional, social and technical issues. There is continuous need for termination of pr...
An observational study to compare the effect of pregabalin with pregabalin and dexamethasone for post operative analgesia in orthopedic surgeries under spinal anesthesia
Background: Post-operative pain is a troublesome problem after orthopedic surgeries. Pregabalin acts as a synthetic analog of the neurotransmitter gamma-aminobutyric acid (GABA) with analgesic, anticonvulsant, and anxiol...
Comparative study of epidural fentanyl and epidural fentanyl with magnesium sulphate for post-operative analgesia in patients undergoing lower limb surgeries
Background: Control of post-operative pain is a major concern for the patients and also for the treating physicians. Various analgesic agents such as opioids, nonopioids through various routes such as oral, intravenous,...