Morphological Patterns of Traumatic Head Injury in Medicolegal Autopsies at Muhimbili National Hospital, Dar ESSalaam Tanzania
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Date
2022-06
Journal Title
Journal ISSN
Volume Title
Publisher
Society for Health Care & Research Development
Abstract
Introduction: Head injury is predicted to surpass many diseases as a major cause of death and disability by the year 2020. There is a limited documentations on morphological patterns of traumatic Head Injury and its prevalence specifically in Medical legal Autopsy in Tanzania population. The aim of this study was to determine the morphological patterns of Traumatic Head Injury (TBI) in Medical legal autopsies seen at Muhimbili National Hospital (MNH). Subjects and Methods : This was a hospital based cross -sectional study conducted at MNH mortuary. The postmortem examination was performed under Virchow method on 170 cases of TBI in which morphological patterns of TBI was recorded. Proportional of TBI frequencies on various morphological patterns in medical legal autopsies were recorded. Association between cause of death and etiology of TBI were established by Fisher - exact test.Results:The proportion of TBI among the medico - legal autopsy at MNH was 38.5%. All cases of TBI had scalp abrasion, and the majority had linear fra cture 67(39.3%) and the commonest the parietal bone was commonly affected 85(55.6%). In closed TBI, majority had subarachnoid hemorrhage130 (84.9%). All cases of T BI had brain edema, with one coincidental finding of metastatic adenocarcinoma. A total of 42 cases of TBI had brain herniation, 51 brain laceration and 52, had brain contusion. The association between etiology of injury, wearing helmets among motor cycle user and cause of death was statistically significance (p<0.05). Conclusion:The higher pro portion of TBI among medicolegal autopsies at MNH reflects the burden of head injury in our settings.
Description
Keywords
Traumatic Head Injury, Medicolegal autopsy, Morphological patterns
Citation
Ottoman Oscar, Mwakigonja Amos R, Rambau Peter F. . Morphological Patterns of Traumatic Head Injury in Medicolegal Autopsies at Muhimbili National Hospital, Dar ESSalaam Tanzania. Academia Anatomica International. 2022 Jun; 8(1): 6-11