Diversity in imaging findings of head injury patients: Our experience in a tertiary level hospital

Authors

  • Prakash Kayastha Department of Radiology and Imaging, Grande International Hospital, Kathmandu, Nepal; Department of Radiology and Imaging, Maharajgunj Medical Campus, Institute of Medicine, TUTH, Kathmandu, Nepal
  • Nirmal Prasad Neupane Department of Radiology and Imaging, Grande International Hospital, Kathmandu, Nepal
  • Sharma Poudel Department of Radiology and Imaging, Grande International Hospital, Kathmandu, Nepal; Department of Radiology and Imaging, Maharajgunj Medical Campus, Institute of Medicine, TUTH, Kathmandu,Nepal
  • Rupendra Bahadur Adhikari Department of Neurosurgery, Grande International Hospital, Kathmandu, Nepal
  • Chakra Raj Pandey Department of Orhopaedics, Grande International Hospital, Kathmandu, Nepal

Keywords:

Head injury, skull fracture, epidural hematoma, subdural hematoma, pneumocephalus, cerebral contusion

Abstract

Background

Head injury is a major cause of mortality and morbidity worldwide. It can occur in isolation or in association with multisystem injuries. Proper and prompt imaging evaluation in head trauma can help in the triage and management of the patients.

Material & methods

A hospital-based study using a non-interventional study design was employed. A total of 219 patients with head trauma who underwent CT were evaluated for various possible injuries using different window settings and algorithms. Data was entered in a predesigned proforma, and analysis was done using IBM SPSS version 20.

Results

The most common age group involved in head trauma was 20 to 40 years of age. Male patients were more frequently involved than female patients. Most common finding associated with the head trauma was calvarial fracture followed by cerebral hematoma/ contusions. Diffuse axonal injury and intraventricular hemorrhage were the least common findings in patients with head trauma.

Conclusions

Road traffic accidents are the leading cause of head trauma in our part of the world. They commonly involve young males exposed to the vulnerable environment. Proper road safety measures, if undertaken cautiously, can help prevent significant mortality and morbidity associated with these kind of injuries.

Key words: Head injury, skull fracture, epidural hematoma, subdural hematoma, pneumocephalus, cerebral contusion

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Published

2020-12-28

How to Cite

Kayastha, P., Neupane, N. P., Poudel, S., Adhikari, R. B., & Pandey, C. R. (2020). Diversity in imaging findings of head injury patients: Our experience in a tertiary level hospital. Grande Medical Journal, 2(1), 1-4. Retrieved from http://thegmj.com/index.php/1/article/view/27