DOI: 10.36347/sjams.2019.v07i03.031

Pages: 1018-1023

Background: Cranio-cerebral trauma is one of the most common and grave forms of neurologic disease. Computed Tomography (CT) has been a major breakthrough in imaging of traumatized patient and offers the potential improvement in speed and diagnosis of injuries. Aims: To assess the utility of CT in the diagnosis, management and prognosis of patients with cranio-cerebral trauma. Settings and Design: An observational descriptive study was conducted at tertiary care teaching hospital of medical college of western Maharashtra.Methods and Material: 600 patients with acute head injury were taken up for CT scanning, have been studied and analysed for evaluating the frequency of various lesions. Statistical Methods: Results analysed with mean, frequency & proportion. Results: Male to female ratio was 4:1. Oedema (29%) & Fracture (21%) were the most commonly encountered lesions while contusion (19%) was next to them. Patients with GCS scores <8 showed 80.7% mortality while scores between 13-15 showed only 2.5% mortality. SDH & ICH had poor prognosis (55% & 53% mortality) as compared to EDH (17% mortality). Prognosis was poor when midline shift was more than 5 mm (90% deaths). Conclusions: CT imaging modality should be considered as the investigation of first choice in cases of acute head injury & useful in management of acute head trauma cases and lead to change in management of significant number of patients.