Role of CT scan in the management of head injury patients at tertiary health care centre
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 12
Abstract
Background: Neuroimaging is fundamental to the diagnosis and management of patients with traumatic brain injury. Cranial computed tomography (CT) has been established as an accurate diagnostic modality in neuroradiology. Aim: To evaluate the role of CT in patients sustaining head injury and to emphasize its importance in the management of the patients with head injury. Material and Methods: A total number of 150 patients within 48 hours presenting with head injury were included in the study. Clinical evaluation of the patients was done on presentation and patient was assigned a Glasgow Coma Score (GCS). CT was obtained in all these patients. Results: Abnormal scans were present in 100% of patients with a GCS score of 3-8, 96.55% in patients with a GCS score of 9–12 and 35.78% of patients with a GCS score of 13–15.CT scan should be mandatory in patients with GCS score of 13 and 14.Patients with GCS score of 15 with normal mental status and no neurological deficit should be treated by observations alone. Conclusion: The good correlation of CT findings with clinical manifestations and GCS justify the use of CT in head trauma.
Authors and Affiliations
Paramananda Taye, Dhurba B Gohain
Keywords
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