Abstract

“A COMPARATIVE STUDY OF FINDINGS OF ANTEMORTEM CT SCAN AND POST MORTEM EXAMINATION OF HEAD INJURY CASES IN JODHPUR REGION – DEMOGRAPHIC PROFILE AND MANNER OF INJURY”

Dr. Udai Singh, Dr. Binaca Gandhi, Dr. Gurusharan Koodi, *Dr. Shalender Kumar, Dr. P. C. Vyas

Abstract

Introduction - Head injury is a significant public health problem worldwide and is predicted to surpass many diseases as a major cause of death. Data indicates that majority of traumatic brain injury cases (60%) are as a result of road traffic accident, followed by falls (20-30%), and violence (10%). Worldwide, traumatic brain injury (TBI) is the single largest cause of death and disability following injury. Computerized tomography (CT) is the primary screening modality of investigations in head trauma victims. Studies are needed to know the precision and accuracy of a CT Scan, which can be achieved only by comparing a CT Scan with post-mortem re-evaluation. Aim of the study – The aim of this study was to make a comparison in findings of antemortem CT Scan and post mortem examination of Head injury cases with their epidemiological parameters. Materials and Methods - All fatal cases of head injury subjected for post-mortem examination where antemortem CT scan reports were available taken up for study. Post mortem examination of each case was carried out as per the standard process and the various type of injury to the scalp, skull bone, haemorrahge and injury to the brain was recorded and photographed and the respective CT scan report was collected. Further a comparative evaluation of post mortem finding of the head injury with antemortem CT scan report was analysed. Epidemiological data viz. age, gender, occupation, date and time of incident were collected from police, patient, their relatives, and Bed Head Tickets (BHT) of the deceased. Result - Out of 100 cases maximum case 37 (37.00%) were from 21-30 year age group and minimum case 2 (2.00%) were from 0-10 year age group. The study shows victim are mainly males. The most interesting causative factor which was came across during the study was the Road Traffic Accidents (90%) followed by assault (6.00%) and rest 4.00% fall from height. Disparity in CT scan findings and autopsy was observed in all cases. Conclusion - Out of 100 cases, maximum case (37.00%) were from 21-30 year age group, minimum case (2.00%) were from 0-10 year age group, 88.00% were male and 12% were female. The most common causative factor was the Road Traffic Accidents (90.00%) and least common was fall from height (4.00%). Out of total 88 male cases 80 cases were traffic accident, out of total 12 female cases 10 cases were traffic accident.

Keywords: Head injury; CT Scan; Autopsy; Haemorrhage; Traffic accidents.