Bonthu Anuradha1, Kusuma Latha Pasam2, Kaki Radha Rani3, Bomidi Sudha Rani4, Karri Sambasiva Rao5
To evaluate and asses the role of CT in localising the injury to the particular intracranial compartment in patients with craniocerebral trauma. To evaluate the value of early CT imaging, which helps in patient prognosis. To correlate CT findings with Glasgow coma scale and clinical findings there by guide the neurosurgeon for the surgical planning.
MATERIALS AND METHODS
The study was conducted at Department of Radiology, Government General Hospital, Kakinada, from September 2012 to September 2014 over a period of two years. The study includes evaluation of 300 cases of craniocerebral trauma. All age groups were included.
A higher incidence noted in males and age group of 20-29 years and moderate Glasgow coma scale in majority of cases. Most common presenting symptom being loss of consciousness followed by vomiting. The commonest finding on CT being subdural haematoma followed by intraparenchymal haematoma. Skull fractures noted in 74% of cases. All the patients with moderate Glasgow coma scale showed intracranial bleeds. Out of 300 patients, normal CT findings in 159 patients that is 53% and abnormal CT findings in 141 patients that is 47%.
Incidence of road traffic accidents was more in male population with peak age incidence in between 20-30 years. Subdural haematoma was most common form of intracerebral bleed. Glasgow coma scale combined with relevant presenting complaints can be used as an indication for CT scan in order to avoid unnecessary CT scans.