An Analytical Study of Vascular Trauma in Traumatic Brain Injury
Journal Title: International Journal of Neurology and Neurosurgery - Year 2018, Vol 10, Issue 4
Abstract
Introduction: “Traumatic brain injury (TBI) still represents the leading cause of morbidity and mortality in individuals under the age of 45 yrs.” There is a large potential spectrum of traumatic vascular injury that may occur in isolation or in different combination. We analyze the various types of blunt cerebrovascular injury in thirty head injury patients. Blunt cerebrovascular injury (BCVI) may be overtly present in more than 1% of patients with blunt trauma.2 Aggressive screening strategies uncover injuries in up to 44% of those screened. If not appropriately diagnosed and treated in a timely manner, many such injuries are responsible for significant morbidity and mortality. Aim of the study: To analyze the various types of blunt cerebrovascular injury in head injury patients. Materials and methods: The patients admitted in the neurosurgical ward with vascular injury involving ICA, Vertebrobasilar artery and its primary branches as identified by CT brain, CT Angiogram, MRI scan, MR Angiogram or DSA either alone or in combination, were included in this study depending on the feasibility of investigation. Results: A total of 3770 head injury patients were admitted in Institute of Neurosurgery during the study period. Based on DENVER’S screening criteria about 95 patients were identified as high risk individuals for blunt cerebro vascular injury. Out of these 95 patients only 30 patients were diagnosed and confirmed to have vascular injury by CT angiogram, DSA and through post mortem. Conculsion: Our conclusions are Patients presenting with Raccoon eye (black eye), anterior skull fracture in sagital direction with CT brain findings suggestive of ischemia in the MCA/ACA territory were more likely to have supra clinoid ICA injury, Patients with Battle’s sign, petrous bone fracture in transverse axis and CT brain showing features of ischemia were more likely to have ICA injury, Patients with Battle’s sign, occipital bone fracture extending into the petrous part of temporal bone were more likely to have bilateral ICA or Vertebra basilar artery injury.
Authors and Affiliations
Shankar P
Keywords
Related Articles
- EP ID EP562945
- DOI 10.21088/ijnns.0975.0223.10418.10
- Views 82
- Downloads 0
Clinical Profile and Aetiological Analysis of Late Onset Seizure: A Study Conducted At Tertiary Care Institute
Context: The elderly are the most rapidly growing segment of the population. When compared to other age groups, the incidence and prevalence of seizures and epilepsy are higher in the elderly. Clinical manifestations and...
Valsalva's Maneuver for Removal of Intraventricular Cyst
The Valsalva’s maneuver is a time-honored technique that is commonly used at the clinical practice for the evaluation of heart murmurs, left ventricular and autonomic dysfunction. Valsalva maneuver (VM) is commonly pract...
Spontaneous Regression of Large Herniated Lumbar Disc with Remission of Symptoms
In adults and older age group, Low back pain is very common reason for seeking medical attention. Herniated lumbar disc accounts for majority of cases in them, requiring a refinement in management strategy. However, spon...
Variable Onset and Progression in Six Patients of Multiple System Atrophy
Background: Multiple system atrophy is a sporadic, progressive, neurodegenerative disease of undetermined etiology characterized clinically by extra pyramidal, pyramidal, cerebellar, and autonomic dysfunction in any comb...
Neostigmine Test: It’s Role in the Diagnosis of Ocular Myasthenia Gravis
Introduction: Ocular myasthenia gravis (OMG) is a most common focal presentation of myasthenia gravis (MG). Most of the recent studies on myasthenia gravis including both generalized and ocular myasthenia used Edrophoniu...