Prognostication in Traumatic Brain Injury- A Prospective Study of 100 Patients in Tertiary Care Hospital in Rural Area.

Simple item page
dc.contributor.authorRohilla, Devanshuen_US
dc.contributor.authorTyagi, Sandeepen_US
dc.contributor.authorSingh, Sohanen_US
dc.contributor.authorNarula, Harneeten_US
dc.contributor.authorBansal, Tanuen_US
dc.contributor.authorYadav, Narenderen_US
dc.contributor.authorGarg, Shankeyen_US
dc.contributor.authorJain, Amiten_US
dc.date.accessioned2020-11-18T10:18:51Z
dc.date.available2020-11-18T10:18:51Z
dc.date.issued2020-02
dc.description.abstractTraumatic brain injury is a major health issue responsible for considerable mortality and morbidity worldwide especially in subjects under the age of 40 yrs. It is important to assess and grade the TBI as soon as possible to guide management and decrease the comorbidities. Various guidelines have been issued by the neurosurgical societies to immediately assess and intervene when ever required. In this study, we have tried to assess the role of basal cisternal effacement in the management and prognosis of RTA patients, and hence tried to simplify the prognostication process and improve the patient management.METHODS100 subjects were studied who were having history of traumatic head injury. NCCT was done for all the patients using 128 slice Multidetector CT- Ingenuity (Philips Medical Systems, USA). Other parameters like pupillary reaction, GCS at the time of presentation, midline shift and associated fractures and bleed were assessed. All the patients were followed up till the time of discharge. The data so obtained was analysed.RESULTSParameters like age, pupillary reflex, GCS at presentation, associated intracranial bleed, associated cranial vault fractures and presence or absence of midline shift correlated well with the final outcome with p value consistently <0.05. We analysed that the degree of obliteration of perimesencephalic cistern was a good prognostic marker in traumatic head injury patients. 36% of patients had favourable outcome out of which none of the patients had obliterated perimesencephalic cistern or interpeduncular cisterns. 64% patients had unfavourable outcome out of which 60% and 48% had obliterated or partially obliterated perimesencephalic cisterns and interpeduncular cisterns respectively, and only 4% and 16% had normal perimesencephalic cisterns and interpeduncular cisterns respectively.CONCLUSIONSIt is important to investigate, grade and prognosticate traumatic head injury patients at the earliest. Our study and various other studies prove that various clinical predictors including age, Glasgow coma scale, and pupil reactivity correlate with outcome of patient. Presence of midline shift, intraventricular haemorrhage, and obliteration of cisterns in patients of traumatic brain injury also correlate with the outcome and can be used; thus, making the prognostication process much easier. These findings can be used on the first day of admission itself.en_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.affiliationsDepartment of Radiodiagnosis, MMIMS&R, Mullana, Ambala, Haryana, India.en_US
dc.identifier.citationRohilla Devanshu, Tyagi Sandeep, Singh Sohan, Narula Harneet, Bansal Tanu, Yadav Narender, Garg Shankey, Jain Amit. Prognostication in Traumatic Brain Injury- A Prospective Study of 100 Patients in Tertiary Care Hospital in Rural Area.. Journal of Evolution of Medical and Dental Sciences. 2020 Feb; 9(7): 413-417en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/215367
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber7en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/94en_US
dc.subjectTraumatic Head Injuryen_US
dc.subjectBasal Cisternsen_US
dc.subjectPerimesencephalic Cistern Effacementen_US
dc.subjectPrognosis.en_US
dc.titlePrognostication in Traumatic Brain Injury- A Prospective Study of 100 Patients in Tertiary Care Hospital in Rural Area.en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
jemds2020v9n7p413.pdf
Size:
725.76 KB
Format:
Adobe Portable Document Format
Download
Collections
Journal of Evolution of Medical and Dental Sciences