Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury
<p><strong>OBJECTIVE </strong>To correlate Computed Tomography (CT) findings with Glasgow Coma Scale (GCS) in patients with acute traumatic brain injury attending in Chitwan Medical College teaching hospital Chitwan, Nepal.</p> <p><strong>MATERIALS AND METHODS <...
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| Format: | Article |
| Language: | English |
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College of Medical Sciences
2015-07-01
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| Series: | Journal of College of Medical Sciences-Nepal |
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| Online Access: | http://nepjol.info/index.php/JCMSN/article/view/12947 |
| _version_ | 1818138477490864128 |
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| author | SK Sah ND Subedi K Poudel M Mallik |
| author_facet | SK Sah ND Subedi K Poudel M Mallik |
| author_sort | SK Sah |
| collection | DOAJ |
| description | <p><strong>OBJECTIVE </strong>To correlate Computed Tomography (CT) findings with Glasgow Coma Scale (GCS) in patients with acute traumatic brain injury attending in Chitwan Medical College teaching hospital Chitwan, Nepal.</p> <p><strong>MATERIALS AND METHODS </strong>A cross-sectional study was performed among 50 patients of acute (less than24 hours) cases of craniocerebral trauma over a period of four months. The patient’s level of consciousness (GCS) was determined and a brain CT scan without contrast media was performed. A sixth generation General Electric (GE) CT scan was utilized and 5mm and 10mm sections were obtained for infratentorial and supratentorial parts respectively.</p> <p><strong>RESULT </strong>The age range of the patients was 1 to 75 years (mean age 35.6± 21.516 years) and male: female ratio was 3.1:1. The most common causes of head injury were road traffic accident (RTA) (60%), fall injury (20%), physical assault (12%) and pedestrian injuries (8%). The distribution of patients in accordance with consciousness level was found to be 54% with mild TBI (GCS score 12 to 14), 28% with moderate TBI (GCS score 11 to 8) and 18% with severe TBI (GCS score less than 7). The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan was accompanied by lower GCS.</p> <p><strong>CONCLUSION </strong>The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan were accompanied with lower GCS. Patients having single lesion had more GCS level than mixed level and mid line shift type of injury.</p><p>DOI: <a href="http://dx.doi.org/10.3126/jcmsn.v10i2.12947">http://dx.doi.org/10.3126/jcmsn.v10i2.12947</a></p> <p>Journal of College of Medical Sciences-Nepal, 2014, Vol.10(2); 4-9</p> |
| first_indexed | 2024-12-11T10:12:49Z |
| format | Article |
| id | doaj.art-efd0b47501d24e25b8228df1a4f38255 |
| institution | Directory Open Access Journal |
| issn | 2091-0657 2091-0673 |
| language | English |
| last_indexed | 2024-12-11T10:12:49Z |
| publishDate | 2015-07-01 |
| publisher | College of Medical Sciences |
| record_format | Article |
| series | Journal of College of Medical Sciences-Nepal |
| spelling | doaj.art-efd0b47501d24e25b8228df1a4f382552022-12-22T01:11:42ZengCollege of Medical SciencesJournal of College of Medical Sciences-Nepal2091-06572091-06732015-07-011024910.3126/jcmsn.v10i2.1294710146Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injurySK Sah0ND Subedi1K Poudel2M Mallik3Lecturer, Department of Radiology, Chitwan Medical College, BharaturLecturer, Dept of Forensic Medicine and Toxicology, College of Medical Sciences, BharatpurAssist. Professor, Department of Radiology, Chitwan Medical College, BharaturLecturer, Department of Radiology, Chitwan Medical College, Bharatur<p><strong>OBJECTIVE </strong>To correlate Computed Tomography (CT) findings with Glasgow Coma Scale (GCS) in patients with acute traumatic brain injury attending in Chitwan Medical College teaching hospital Chitwan, Nepal.</p> <p><strong>MATERIALS AND METHODS </strong>A cross-sectional study was performed among 50 patients of acute (less than24 hours) cases of craniocerebral trauma over a period of four months. The patient’s level of consciousness (GCS) was determined and a brain CT scan without contrast media was performed. A sixth generation General Electric (GE) CT scan was utilized and 5mm and 10mm sections were obtained for infratentorial and supratentorial parts respectively.</p> <p><strong>RESULT </strong>The age range of the patients was 1 to 75 years (mean age 35.6± 21.516 years) and male: female ratio was 3.1:1. The most common causes of head injury were road traffic accident (RTA) (60%), fall injury (20%), physical assault (12%) and pedestrian injuries (8%). The distribution of patients in accordance with consciousness level was found to be 54% with mild TBI (GCS score 12 to 14), 28% with moderate TBI (GCS score 11 to 8) and 18% with severe TBI (GCS score less than 7). The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan was accompanied by lower GCS.</p> <p><strong>CONCLUSION </strong>The presence of mixed lesions and midline shift regardless of the underlying lesion on CT scan were accompanied with lower GCS. Patients having single lesion had more GCS level than mixed level and mid line shift type of injury.</p><p>DOI: <a href="http://dx.doi.org/10.3126/jcmsn.v10i2.12947">http://dx.doi.org/10.3126/jcmsn.v10i2.12947</a></p> <p>Journal of College of Medical Sciences-Nepal, 2014, Vol.10(2); 4-9</p>http://nepjol.info/index.php/JCMSN/article/view/12947Glasgow coma scale, traumatic brain injury |
| spellingShingle | SK Sah ND Subedi K Poudel M Mallik Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury Journal of College of Medical Sciences-Nepal Glasgow coma scale, traumatic brain injury |
| title | Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury |
| title_full | Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury |
| title_fullStr | Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury |
| title_full_unstemmed | Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury |
| title_short | Correlation of Computed Tomography findings with Glasgow Coma Scale in patients with acute traumatic brain injury |
| title_sort | correlation of computed tomography findings with glasgow coma scale in patients with acute traumatic brain injury |
| topic | Glasgow coma scale, traumatic brain injury |
| url | http://nepjol.info/index.php/JCMSN/article/view/12947 |
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