CT scan Imaging – A Modality of Choice in Patients Having Head Injury

  • Dr Aruna Ramchandra Pawar MBBS, MD, Associate Professor, Department of Radiology, Shree Vasantrao Naik Government Medical College Yavatmal, Maharashtra, India
  • Dr Suhas Dadarao Alone BVSc & AH, MVSc (Medicine), Assistant Commissioner (AH), Government Vet Minipoliclinic Ghatanji Yavatma, Maharashtra, India
Keywords: CT Scan for head injury, Brain Edema, Head Injury, Subdural hematoma, Imaging in head injury

Abstract

Introduction: Today in world of growing population and increase vehicle use, trauma is the leading cause of death in children, young and adults. Head injury is the major contributor to mortality in over half of these cases. Neuroimaging is fundamental for diagnosis and management of patients with head injury. In this new era of development computed tomography has become the primary modality of choice. The main objective of this study is to assess the utility and importance of CT scan imaging in head injury patients.

Methods: This is retrospective study of one year. Out of 120 patients males were 96 and females were 24 in number.

Results: Male predominance is seen in this study. Patients up to the age of 70 years were considered. 6 cases were found up to the age of 15 years. 99 cases were found of age of 16 years to 40 years. 15 cases were found above the age of 40 years. Out of 120 cases 80 patients suffered from skull fractures. Most common lesion indentified in CT was brain contusion in 42 patients followed by epidural collection in 9 cases, subdural haematoma in 19 cases, Intracerebral haematoma in 15 cases, localised brain edema in 23 cases, diffuse brain edema 10 cases and pneumocephalus 2 cases were observed.

Conclusion: CT scan imaging is a prime important tool in the diagnosis of various pathological abnormalities in the patients suffering from head injury which is important for planning the initial life saving treatment.

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References

1. Spitz G, Downing M, McKenzie D, Ponsford J. Mortality following traumatic brain injury inpatient rehabilitation. J Neurotrauma. 2015 Feb 23. [Epub ahead of print]. [PubMed]

2. B JENNETT . Epidemiology of head injury. Arch Dis Child 1998;78:403-406 doi:10.1136/adc.78.5.403. [PubMed]

3 Quayle KS, Jaffe DM, Kuppermann N, Kaufman BA, Lee BC, Park TS, McAlister WH. Diagnostic testing for acute head injury in children: When are head CT and head radiographs indicated? Pediatrics. 1997 May;99(5):E11.

4. Haydel MJ, Preston CA, Mills TJ, Luber S, Blaudeau E, DeBlieux PM. Indications for computerized tomography in patients with minor head injury. N Engl J Med. 2000 Jul 13;343(2):100-5. [PubMed]

5. Zimmerman RA, Bilaniuk LT, Gennarelli T, Bruce D, Dolinskas C, Uzzell B. Cranial CT in diagnosis and management of acute head trauma. AJR Am J Roentgenol. 1978 Jul;131(1):27-34. [PubMed]

6. Norlund, A., Marke, L.A., Geijerstam, J.L., Ordoson, S. and Britton, M. (2006) OCTOPUS study investigators. Immediate CT scanning or admission after mild head in- jury: Cost comparison in randomized controlled trail. 469. BMJ, 333,doi:10.1136/bmj.38918.659120.4F.

7. Jean-Luc af Geijerstam, Sven Oredsson, Britton, M Medical outcome after immediate computed tomography or admission for observation in patients with mild head injury: randomised controlled trial. BMJ 2006;333:465. doi:10.1136/bmj.38918.669317.4F.

8. Traumatic Brain Injury. Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. Surveillance Summaries, June 27, 2003. MMWR 2003:52(No. SS-4) available at: http://www.cdc.gov/mmwr/PDF/ss/ss5204.pdf.

9. Ashikaga R, Araki Y, Ishida O. MRI of head injury using FLAIR.Neuroradiology. 1997;39:239–242. doi: 10.1007/s002340050401. [PubMed]

10. Gutman, MB, Moulton RJ, Sullivan I, Hotz G, Tuc- ker WS, Muller PJ. Risk factors predicting operable intracranial hematomas in head injury. Journal of Neurosurgery. 1992;77(1), 9-14. doi:10.3171/jns.1992.77.1.0009 [PubMed]

11. Dublin AB, French BN, Rennick JM. Computed tomography in head trauma. Radiology. 1977 Feb;122(2):365–369. [PubMed]

12. Cordobés F, Lobato RD, Rivas JJ, Muñoz MJ, Chillón D, Portillo JM, Lamas E. Observations on 82 patients with extradural haematoma. Comparison of results before and after the advent of computerized tomography. J Neurosurg. 1981 Feb;54(2):179-86. [PubMed]

13. Zimmerman RA, Bilaniuk LT. Computed tomoggraphic staging of traumatic epidural bleeding. Radiology. 1982 Sep;144(4):809-12. [PubMed]

14. Hammoud, DA and Wasserman, BA. Diffuse axo- nal injuries: Pathophysiology and imaging. Neuroimaging Clinics of North America. 2002;12(2):205-216. doi:10.1016/S1052-5149(02)00011-4. [PubMed]

15. Holmes, E.J., Forrest-Hay, A.C. and Rakesh, R.M. (2008) Fundamentals of CT imaging. In: Holmes, E.J., Forrest- Hay, A.C. and Misra, R.R., Eds., Interpretation of Emer- gency Head CT: A Practical Handbook, Cambridge Uni- versity Press,Cambridge, 3-9. [PubMed]

16. Mittl RL, Grossman RI, Hiehle JF, Hurst RW, Kauder DR, Gennarelli TA, Alburger GW. Prevalence of MR evidence of diffuse axonal injury in patients with mild head injury and normal head CT findings. AJNR Am J Neuroradiol. 1994 Sep;15(8):1583-9. [PubMed]

17. Gennarelli TA, Thibault LE : Biomechanics of acute subdural haematoma. J Trauma. 1982 Aug;22(8):680-6. [PubMed]

18. Rengachary SS, Szymanski DC. Subdural haematomas of arterial origin. Neurosurgery. 1981 Feb;8(2):166-72. [PubMed]

19. Koo, A.H. and La Rouge, R.L. Evaluation of head trauma by CT. Radiology. 1977;123:334-350. (1977). [PubMed]

20. Zimmerman RA, Bilaniuk LT, Gennarelli T, Bruce D, Dolinskas C, Uzzell B. Cranial computed tomography in diagnosis and manegment of acute head trauma. AJR Am J Roentgenol. 1978 Jul;131(1):27-34. [PubMed]

21. van den Heever CM1, van der Merwe DJ. Management of depressed skul fracturs : selective conservative management of nonmissle injuries. J Neurosurg. 1989 Aug;71(2):186-90. [PubMed]

22. Gruen, P. Surgical management of head trauma. Neuroimaging Clinics of North America. 2002;12(2):339-343. doi:10.1016/S1052-5149(02)00013-8. [PubMed]

23. Sosin, DM, Sniezek, JE, Thurman DJ. Incidence of mild and moderate brain injury in the United States 1991. Informa healthcare. 1996;10(1): 47-54. doi:10.1080/026990596124719. [PubMed]

24. Singh,suryapratp (2009) An unusual case of a compound depressed skull fracture. Journal of Surgery Pakistan (International), 14, 184-186.

25. Bradley WG Jr. MR appearance of hemorrhage in the brain. Radiology. 1993 Oct;189(1):15-26.
CITATION
DOI: 10.17511/ijmrr.2015.i2.032
Published: 2015-03-31
How to Cite
1.
Pawar AR, Dadarao Alone S. CT scan Imaging – A Modality of Choice in Patients Having Head Injury. Int J Med Res Rev [Internet]. 2015Mar.31 [cited 2024Jul.3];3(2):180-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/207
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Original Article