SUMMARY: Electrolyte abnormalities are common in patients with traumatic brain injury. Disturbances of serum sodium levels are among the most common and frequently occur in neurologically morbid patients and exacerbate their severity. Hypernatremia usually results from diabetes insipidus syndrome, whereas hyponatremia develops due to syndrome of inappropriate secretion of antidiuretic hormone (SIADH) or cerebral salt-wasting syndrome (CSWS) and contribute to the high morbidity and mortality rates observed in these patients. The aim of this study is to measure the serum levels of Na + , K + , Ca ++ , PO4 ---in head injury patients and find the range & compare the levels in severe and moderate head injury patients with mild head injury patients. METHOD: Na + , K + , Ca ++ , PO4 ---levels of patients in age group 13-60 years were estimated by ion selective electrode method. RESULTS: it was found that most common electrolyte imbalance found is hyperphosphotemia (87%) followed by hyponatremia (62.90%). In case of hyperelectrolytemia, hyperkalemia (46.6%) to be the most common electrolyte imbalance in mild type of head injury whereas in severe and moderate cases hyperphosphotemia (28.40%) is most common dyselectrolytemia. CONCLUSION: hyponatremia is the most common electrolyte disbalance among Na+, K+, Ca++, PO4---in patients of traumatic head injury which is also very dangerous and need to be correct promptly.
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