Diffuse Axonal Injury: An institute Experience
Journal Title: International Journal of Neurology and Neurosurgery - Year 2019, Vol 11, Issue 2
Abstract
Introduction: Traumatic Brain Injuries are among the leading cause of mortality and morbidity world over. They are the leading cause of death among the younger age groups accounting for several indirect social and economic problems. This becomes more important in developing nations like India. Methodology: 30 pediatric and 30 adult patients that were admitted and diagnosed to have Diffuse axonal Injury were included in our study. The duration of the study was 6 months between June and November 2018 in the Institute of Neurosurgery, Madras Medical College. Discussion: Diffuse axonal injury is caused from widespread tearing of axons and small vessels by shearing forces and is defined as prolonged post-traumatic coma over 6 hours following injury without demonstrable mass lesion. Results: Of the 21 patients with Grade 1 DAI, all 21 had favorable outcome as defined by GOS 4 or 5. 13 of the 20 in Grade 2 DAI had favourable outcomes while only 5 of the 19 with Grade 3 DAI had favourable outcomes. Conclusion: In our study we were able to find out that while there was a statisticaly significant correlation between grade of DAI and the outcome (p=0.002), there was no statistically significant correlation between gender and the outcomes (p=0.3).
Authors and Affiliations
Swarnarekha Narayanan
Keywords
Related Articles
- EP ID EP654084
- DOI 10.21088/ijnns.0975.0223.11219.5
- Views 86
- Downloads 0
Multifocal Non Contagious and Contagious Spinal Tuberculosis in a Immunocompetent Patient
Spinal tuberculosis, also known as Pott’s disease is a common extrapulmonary manifestation of tuberculosis. It commonly involves the dorsal spine as paradiscal lesion with destruction of intervening disc with subligament...
Anatomical Landmarks for Safe Surgeries in Petroclival Region of Skull Base by Intradural Anterior Petrosectomy Via Transylvian-Transtentorial Route: A Cadaveric Study
Objectives: The Petroclival lesions are difficult to excise surgically because of their location. Anterior petrosectomy by an extradural subtemporal route is the standard procedure for removal of Petroclival meningiomas...
Complex Unilateral Orbital Dysplasia with Plexiform Neurofibroma, Presented as Unilateral Pulsating Proptosis: Staged Surgery and our Learning
Presence of sphenoid wing dysplasia fulfills one of the diagnostic criterias of neurofibromatosis type 1 (NF1). This defect of the skull base can manifests as pulsating proptosis. Associated calvarial defects, especially...
Case of Bilateral MCA Infarct following Basal Ganglia Hemorrhage: A Rare Coincidence Case Report
Bilateral MCA (Middle Cerebral Artery) infarct following basal ganglia hemorrhage is a rare entity. We report a 52 year old lady with history of altered sensorium and weakness in right side of body for one day with past...
Bilateral Cerebello-Pontine Angle Arachnoid Cyst in a Newborn with Facial and Auditory Nerve Paresis
Background: Arachnoid cysts (AC) are benign, congenital, non-neoplastic, extra axial, intra-arachnoid lesions filled with cerebrospinal fluid (CSF). Only 10% of arachnoid cysts occur in Cerebello-Pontine Angle (CPA). Bil...