Head Injury - A Case Profile Study from Eastern Region of Nepal

Bhandari, Rabin; Mahato, IP; Paudel, M; Giri, Rajani

doi:10.3126/hren.v8i2.4422

Cited by 3 publications

(4 citation statements)

References 4 publications

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“…Our findings were thus keeping with the above mentioned literature. Loss of consciousness and vomiting were the most common clinical presentation in patients with head injury which was similar to the study done by Bhandari et al [8] and Agrawal et al [9].…”

Section: Discussionsupporting

confidence: 88%

Role of CT(Computed Tomography) in Head Injury

Khadka

Deka

Karki

2016

J. Manmohan Memorial Inst. Health. Sci.

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Background: Head injury is considered as a major health problem that is a frequent cause of death and disability and makes considerable demands on health services. CT remains essential for detecting lesions that require immediate neurosurgical intervention as well as those that require in-hospital observation and medical management. Objectives:To evaluate the computed tomography findings in patients sustaining head injury and to emphasize the importance of computed tomography scan in head injury. Methodology:The study was conducted for the period of one year .It comprised a total number of eighty patients presenting to the emergency room(ER) with head injury and were evaluated by CT scan of head using siemens somatom dual slice spiral CT machine.Results: the study showed overall male to female ratio as 2.6:1. Head injury was most common in 31-50years of age group. Road traffic accidents (RTA) was the commonest mode of injury seen in 65% of patients.Loss of consciousness followed by vomiting and seizures were the common clinical presentations in head trauma patients respectively.According to Glasgow coma scale( GCS) , most of the patients (68.8%)sustained mild head injury( GCS13-15) . Most common abnormal CT findings were skull fractures 39(48.8%), extradural hematoma 31 ( 38.8%), subdural hematoma 21(26.2%) ,contusions 21(26.2%) , subarachnoid hemorrhage14 ( 17.5%) and pneumocephalous 13 (16.2%) respectively. Linear skull fracture was the commonest among all other skull fractures.Patients sustaining severe head injury were mostly due to RTA (77%). The highest mortality was seen in patients with severe head injury (GCS 3-8). 5% also had cervical spine injury. Conclusion:CT is the most comprehensive diagnostic modality for accurate localization of the site of injury in craniocerebral trauma. The early and timely diagnosis of the precise lesion by CT not only had the substantial impact over instituting appropriate treatment and timely surgical intervention but also helped in predicting the ultimate outcome.

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Section: Discussionsupporting

confidence: 88%

Role of CT(Computed Tomography) in Head Injury

Khadka

Deka

Karki

2016

J. Manmohan Memorial Inst. Health. Sci.

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“…Findings of our study with regard to gender distribution and age group were on par with findings of Bhandari et al who reported the incidence of men as 82% their study. 6 In the present study, the incidence of RTA was lesser in >50 years age group as reported by other studies. Fall from the height was second most common cause in our study, more common in females than males than RTI.…”

Section: Discussionsupporting

confidence: 82%

“…The advantage of GCS is it comprises a set of very simple and easy to perform physical examinations. Based on GCS scoring system, head injuries are categorised as Mild (with score 13-15), moderate (8)(9)(10)(11)(12)(13) and severe (3)(4)(5)(6)(7)(8). The ability to predict patient outcome after TBI has an important role in clinical practice and research.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of Glasgow Coma Score with Computed Tomographic Findings in Cases of Traumatic Brain Injury – A Two Year Experience at a Tertiary care Hospital

Godavarthi¹,

Manam²,

Baru³

et al. 2018

IJCMSR

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“…Neurosurgery facility was already in function on eastern part of Nepal at Biratnagar and Dharan. 1 egneuro Volume 01, 2019…”

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confidence: 99%

Review of Neurosurgical services at B&C Hospital in last 3 years

Thapa

2019

Eastern Green Neurosurg.

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Neurosurgery was started in Far-Eastern Nepal as Department of Neurosurgery at B&C Hospital in early 2015. Prof.Dr. Basant Pant played a key role to establish and give astounding start with all technical supports possible. Dr. Chandra P Limbu and I joined the institute at the beginning from ANIAS. Since last one year the department is led by Dr. Pankaj Raj Nepal, who is one of the finest trainee of Prof. Upendra P. Devkota. The set up of the operating theatre is allowing us to do almost all types of neurosurgical procedures. In last three years there were 336 head injuries cases among which acute subdural hematoma was the commonest one. There were 48 cases of cervical spine injuries cases admitted over this duration. Hemorrhagic stroke requiring surgical procedure were 46 followed by 11 cases of malignant MCA infarction. Tumors were of different types and were 83 cases during this period. Aneurysms were 46 in number who underwent clipping.

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Head Injury - A Case Profile Study from Eastern Region of Nepal

Cited by 3 publications

References 4 publications

Role of CT(Computed Tomography) in Head Injury

Role of CT(Computed Tomography) in Head Injury

A Comparison of Glasgow Coma Score with Computed Tomographic Findings in Cases of Traumatic Brain Injury – A Two Year Experience at a Tertiary care Hospital

Review of Neurosurgical services at B&C Hospital in last 3 years

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