Sensitivity and specificity of CT scan in revealing skull fracture in medico-legal head injury victims

Chawla, Hitesh; Yadav, Rohtas K; Griwan, Mahavir Singh; Malhotra, Ranjana; Paliwal, Pramod

doi:10.4066/amj.2015.2418

Cited by 24 publications

(22 citation statements)

References 10 publications

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“…Every year in India, about 2 million people are injured with about 1 million deaths due to head injury. About 60% of the total cases are due to road traffi c accidents, followed by falls, and violence 1,5 . We report a case of elderly female, injured by accidental fall at home, who suffered small bilateral facial abrasions.…”

Section: Discussionmentioning

confidence: 99%

“…We report a case of elderly female, injured by accidental fall at home, who suffered small bilateral facial abrasions. CT scan is the primary screening modality of investigations in head/ face trauma victims 1,6 . The merits of CT for evaluation of head injury are its sensitivity for demonstrating bone injuries apart from acute hemorrhage, mass effect, ventricular confi guration and size 1,7 .…”

Section: Discussionmentioning

confidence: 99%

“…CT scan is the primary screening modality of investigations in head/ face trauma victims 1,6 . The merits of CT for evaluation of head injury are its sensitivity for demonstrating bone injuries apart from acute hemorrhage, mass effect, ventricular confi guration and size 1,7 . The three dimensional computed tomography reconstruction is increasingly becoming a valuable tool in maxillofacial trauma 2 .…”

Section: Discussionmentioning

confidence: 99%

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Le Fort type 3 fracture or not?

Aleksić¹,

Živković²,

Samardzic³

et al. 2016

Mat Med

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Axial non-contrast CT scan is the standard technique in patients with head and/or face injury. The three dimensional CT imaging reconstruction is becoming a gold standard in trauma of maxillofacial region enabling a clear perception of fracture lines and resulting displacement of fracture fragments. Le Fort fractures are fractures of the midface. In Le Fort type 3 fracture the craniofacial disjunction is present. A 91-yearold female had a mild facial trauma as a result of accidental fall. Axial CT scan showed artifacts, but three dimensional CT imaging reconstruction showed typical Le Fort type 3 fracture. Since clinical and 3D CT reconstruction finding were in complete contradiction, we repeated CT scan, which showed normal finding. This case is shows that in an era of incredible progress of neuroradiology, clinical examination still remains the best diagnostic tool.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Le Fort type 3 fracture or not?

Aleksić¹,

Živković²,

Samardzic³

et al. 2016

Mat Med

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“…The radiological imaging techniques are relied upon for inferring the nature of injury in all medico-legal injury either presence or absence of skull fracture simple or grievous. 3 CT scanning is as effective as conventional radiographs in depicting linear, comminuted, and depressed skull fractures.…”

Section: Introductionmentioning

confidence: 99%

Spectrum of Skull Fractures in Traumatic Brain Injury

Kumar¹

2016

jebmh

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BACKGROUND Traumatic brain injury (TBI) is a considerable cause of morbidity and mortality in India and around the world. Head injury provides one of the major contributions to death and better practical understanding of intracranial injuries is essential to the forensic expert. The cross sectional CT imaging makes the radiologic contribution to forensic autopsy more valuable and may improve accuracy of forensic investigation. To this reason we retrospectively evaluated the patterns of skull fractures on CT scan imaging of deceased patients. METHODSThis cross sectional analysis was conducted in the department of forensic medicine Career institute of Medical Sciences, Lucknow over a period of two years 2013-2015. In this study, we reviewed images of all the deceased patients (died in our hospital) who underwent CT scanning at index admission for head injury. Demographic details and mode of injury was recorded from available data. Age was presented using mean and standard deviation, gender, mode of injury and type of skull fractures were presented as numbers and percentages. RESULTSLinear skull fractures were 172 out of which RTA due to unknown was 99 followed by fall of unknown reason was 32, RTA fall from two wheeler was 32. The cause of death in all these cases was due to head injury associated with fracture of skull or intracranial hemorrhages or brain injury. CONCLUSIONMajority of fatal head injuries are due to road traffic accidents (RTA) especially in younger and middle age, followed by fall from height. The common skull fracture type was linear (fissured) skull fractures followed by depressed fractures. Retrospective CT evaluated has reinforced reporting medico legal of these cases. KEYWORDSTraumatic brain injury (TBI), Road Traffic Accidents (RTA), Linear skull fractures, CT Scan. HOW TO CITE THIS ARTICLE:Singh BK. Spectrum of skull fractures in traumatic brain injury (TBI) -A cross sectional study.

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“…Чувствительность КТ при политравме с доминирующей ЧМТ составляет 95,2%, специфичность -95,8%, диагностическая точность метода -95,6%. При диагностике переломов костей черепа чувствительность КТ 85,4%, специфичность 100%, а диагностическая точность 90% [6].…”

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