BACKGROUND Pelvic fractures are rare injuries (3-8%) as compared with fractures in other body regions. Often the result of high-energy trauma in young individuals and low-energy injury in older people, pelvic ring fractures are associated with considerable morbidity, high mortality rates and significant cost to the society. MATERIALS AND METHODS This study was a retrospective descriptive study analysis of data of trauma patients with pelvic fractures admitted in the Emergency Room (ER). The diagnosis of a fracture was based on the history, signs and symptoms, visual finding, manual examination and OPG radiographs. Exact determination of site and pattern of bony injury was determined by correlating it radiographically using three dimensional CT scan. RESULTS We conducted this study on 130 patients who presented to the emergency department and diagnosed radiologically to have some type of pelvic fracture. Out of 130 patients, 37.7% were males and 62.3% were females. Majority of fractures were seen in the elderly age group of > 75 years (50.8%). CONCLUSION Pelvic fractures are often the result of high-energy trauma in young individuals and low-energy injury in older people. Often associated with injuries at other multiple sites increasing morbidity and mortality.
Introduction: Several lesions may affect trigeminal nerve from the nucleus to peripheral branches causing facial pain, called trigeminal Neuralgia (TN). Neurovascular compression (NVC) of the trigeminal nerve is the primary cause of TN, usually occurring at the root entry zone but is known to occur in both symptomatic and asymptomatic nerves. Aim: To evaluate trigeminal neurovascular loops (NVLs) clinico- radiologically and to know the association between the shortest distance of loop as well as the severity of compression with clinical symptoms. Materials and Methods: This is a Retrospective cohort study conducted in March 2020 after collecting data from January 2017 to January 2020 in a tertiary care center of Eastern India. All the patients, detected with trigeminal NVLs by Magnetic Resonance (MR) imaging were evaluated clinically (from records) & radiologically and an association is drawn between the distance of the loop, the severity of compression with symptoms. Data were analyzed using Statistical Package for Social Sciences (SPSS) statistical software version 24.0. Result: Among 103 cases studied, the symptomatic and asymptomatic loops were 76 & 27. In symptomatic group, males and females were 48 (63%) and 28 (36.8%) respectively with mean age of 56 years with male:female ratio in symptomatic group of 76 cases was 1.7:1. Left-sided presentation and pain in the maxillary area were found in 39 (51.3%) and 33 (43.4%) cases. Sharp/electric current like/ lancinating pain was present in 72 (94.7%) case. Triggering factors and spontaneous onset pain were presentations in 70 (92%) and 76 (100%) cases. Magnetic Resonance Imaging (MRI) showed NVLs with a just contact to the nerve in all asymptomatic (27/27,100%) and most symptomatic cases (57/76, 75%). The superior cerebellar artery was found to be the most common vessel involved (59/76, 77.6%). Proximal and bilateral NVLs were found in 62 (82.89%) and 27 (35.9%) cases of symptomatic nerves. Severe NVC was only present in symptomatic nerves in 19 (25%) cases. Conclusion: Typical clinical features of trigeminal neuralgia include male preponderance, lancinating pain on maxillary area of left face. Compression by NVLs are most common cause of TN, among which Superior cerebellar artery is most common culprit vessel. Severe neurovascular compressions are more symptomatic. All neurovascular compressions are not always symptomatic.
Introduction: Cerebral amyloid angiopathy (CAA) is a cause for approximately 10-20% of spontaneous intracerebral haemorrhage in elderly population. Susceptibility weighted imaging (SW1) is a new imaging method is clinically useful for evaluating the presence of chronic blood products in the brain, especially clinically silent microbleeds associated with cerebral amyloid angiopathy. Aim of this study was to determine the advantages of Susceptibility weighted imaging (SW1) over conventional gradient echo (GRE) technique in a probable diagnosis of Cerebral amyloid angiopathy. Material and Methods: All patients more than 55 yrs presented with neurological signs and symptoms referred for neuroimaging, were subjected to image with MRI using T1W, T2W, FLAIR. AXIAL 2D MERGE, Diffusion weighted imaging (DWI) including apparent diffusion coefficient (ADC) and Susceptibility weighted imaging (SWI). Those cases having multiple macro and micro haemorrhages involving cortical and sub cortical region detected by either gradient or SWI included in the study. Results: Sudden onset of neurological deficit was the most common symptom which accounted for 37% of cases. Cortical and sub cortical regions are most commonly involved sites. On comparison between gradient and SWI, 11 cases having micro hemorrgages detected only by SWI and absent in gradient. Conclusion: GE-T2* MR imaging is currently the " standard" for identifying microhemorrhages and diagnosing cerebral amyloid angiopathy based on number and distribution of micro haemorrhages. SW1 identified many more microhemorrhages than conventional T2* weighted GE magnitude technique and may lead to earlier diagnosis of patients with CAA.
Introduction: Quadriplegia due to spinal cord injury is a devastating consequence of trauma to the cervical spine, involving numerous functional, psychosocial, and economic ramifications. Identification of unstable CSI is therefore an essential aspect of the trauma evaluation in preventing subsequent neurological damage. We retrospectively analysed the cases presented with cervical spine injury. In this study, we evaluated the frequency and risk factors for different types of cervical spine injury. Material and Methods: We retrospectively analysed the data of trauma patients admitted in the emergency room (ER) of S.C.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.