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 77
- Downloads 0
Aetiological Profile of Peripheral Facial Parlysis in Rural Area
Aims: To study Aetiology of lower Motor Neuron facial paralysis in rural area. Settings and Design: Prospective cross sectional study. Methods and Material: Total 78 patients presenting with LMN type of facial paralysis...
Study of Association of Lipoprotein (A) Levels with Carotid Atherosclerosis in Young Patients with Ischemic Stroke
Context: Lipoprotein (a) is an established risk factor for coronary artery disease but its role as a risk factor for stroke is not established. Aims: To estimate the prevalence of elevated levels of lipoprotein (a) in yo...
Feasibility of Extended Conservative Approach in Management of CSF Rhinorrhea
Context: CSF rhinorrhea is a potentially devastating condition which if left untreated leads to significant morbidity and mortality so timely and appropriate intervention is needed.Aims and Objectives: To determine feasi...
Harnessing the Tremendous Power of Adult Neural Stem Cells for Neurodegenerative Diseases
In almost all neurodegenerative diseases, progressive neuronal loss is a common phenomenon. Hence neurodegenerative diseases are customarily defined by the progressive loss of neurons. Traditionally the novel treatment s...
A Retrospective Study on Cause of Death in Head Injury Patients with GCS 13 and above in Salem District
Introduction: Mlld traumatic brain injury is defined by the American Congress of Rehabilitation Medicine as involving an alteration in consciousness (amnesia or confusion), less than 30 minutes of loss of consciousness,...