CT scan Positive Finding Pattern of Head Injury at the University of Gondar Hospital; North West Ethiopia

Authors

  • Zerubabel Tegegne Desita University of Gondar
  • Wossen Mulugeta University of Gondar

DOI:

https://doi.org/10.18034/mjmbr.v1i2.377

Keywords:

CT scan, CT positive findings, Head injury, Intracranial injury, Skull fracture

Abstract

Background: Head injuries rank high among morbidities due to trauma. Computerized tomography is an important modality in the investigation of these cases. However, there is no literature on the importance of computerized tomography in the diagnosis of head injury in Ethiopia. This study therefore is aimed to document the computerized tomographic features of patients with head injury managed at the University of Gondar Teaching Hospital. Materials and Methods: A cross sectional study involving 96 patients with head injury who had CT scan of the head in the UOG hospital over a 12-month period. Results: Most of the patients were male (74%).  Majority (58%) were in the age range of 20 to 40 years with a mean age of 31yrs. The most common abnormal findings were skull fracture (52%) and intracerebral hemorrhage and contusions (51%). It is followed by subdural hemorrhage (33%) soft tissue swelling 32% and epidural hemorrhage 10%. Conclusion:  Skull fracture and intra cerebral hemorrhage were the most common abnormal findings. This study has demonstrated the importance of CT scan in the evaluation of head injury by giving visibility of intracranial post traumatic injuries in a high proportion of patients which would be difficult to reach in to diagnosis clinically or using skull radiography alone. This obviously will have a significant role in improving patient management. Taking this in to account expansion of CT scan service for moderate to severe head injury patients is recommended in Ethiopia. 

 

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Author Biographies

  • Zerubabel Tegegne Desita, University of Gondar

    Assistant Professor of Radiology, University of Gondar, ETHIOPIA

  • Wossen Mulugeta, University of Gondar

    Assistant Professor of Ophthalmology, University of Gondar, ETHIOPIA

References

Adeyekun AA, Obi-Egbedi-Ejakpovi EB. Computerized topographic patterns in patients with head injury at the university of Benin teaching hospital. Niger J Clin Pract. 2013 Jan-Mar; 16(Adeyekun, 2013):19-22.

Bruce Lee* and Andrew Newberg†. Neuroimaging in Traumatic Brain Imaging NeuroRx. 2005 April; 2(Shoar and Saadat): 372–383. PMCID: PMC1064998 DOI: https://doi.org/10.1602/neurorx.2.2.372

Ghebrat K. Pattern of surgical admissions in Gondar Teaching Hospital, Ethiopia. East Afr Med J. 1997 Dec; 74(12):812-5

Gupta Prashant K1, Krishna Atul2, Dwivedi Amit N1, Gupta Kumkum3, Bala Madhu2 , Garg Gouri1 , Agarwal Shivani1. CT scan Findings and Outcomes of Head Injury Patients: A Cross Sectional Study. Available in www.jpmsonline.com/issue/Volume 1, Issue 3 (October-December, 2011)

Hagos Biluts, Abebe Bekele, Berhanu Kottiso, Fikre Enqueselassie, Tadios Munie. In-patient surgical mortality in Tikur Anbessa hospital: a five-year review. Ethiopian Medical Journal 2009 Vol. 47 No. 2 pp. 135-142

J Trauma. Manolakaki D, Velmahos GC, Spaniolas K, de Moya M, Alam HB. Early magnetic resonance imaging is unnecessary in patients with traumatic brain injury. Available from www.ncbi.nlm.nih.gov/pumed. 2009 Apr. DOI: https://doi.org/10.1097/TA.0b013e31819adba2

James M. Provenzale. Imaging of Traumatic Brain Injury: A Review of the Recent Medical Literature. AJR, January 2010, Volume 194, Number 1 DOI: https://doi.org/10.2214/AJR.09.3687

Khalid Khanzada Peshawar. Pattern of head injury in patients admitted to Neurosurgery Dept. Govt. PGMI/Lady Reading Hospital. KJMS July-December, 2011, Vol. 3, No. 2 -79.

Mark S. Pearce,1 Jane A. Salotti,1 Nicola L. CT Scans in Young People in Great Britain, Radiology Research and Practice. Volume 2012 (2012), Article ID 594278. DOI: https://doi.org/10.1155/2012/594278

Mensur Osman, Yigzaw Kebede, Sissay Anberbir. Magnitude and pattern of injuries in north Gondar administrative zone, northwest Ethiopia. Ethiop Med J. 2003 Jul ;41 (Gupta etal, 2011):213-20 15227886 Cit:2

Mohammad Z, Shameem R, Munawwar H, V.K. Srivastava. A Study of the Pattern of Head Injury in District Aligarh. U.P. India. JIAFM, 2005: 27 (Shoar and Saadat). ISSN 0971-0973103

R C Tasker. Skull x rays, CT scans, and making a decision in head injury. Arch Dis Child 2005; 90:774-775 doi:10.1136/adc.2004.067546 DOI: https://doi.org/10.1136/adc.2004.067546

Ricki Lewis. CT Scans for Head Injury More Likely for White Children. Available from www.medscap.com, 2012 Aug 08.

Saeed Shoar and Soheil Saadat. Sina Trauma Research Center Tehran University of Medical Sciences Iran .CT Scanning in Minor Head Injury. Available in www.intechopen.com

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Published

2014-12-31

Issue

Vol. 1 No. 2 (2014): July - December Issue

Section

Peer-reviewed Article

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How to Cite

Desita, Z. T. ., & Mulugeta, W. . (2014). CT scan Positive Finding Pattern of Head Injury at the University of Gondar Hospital; North West Ethiopia . Malaysian Journal of Medical and Biological Research, 1(2), 65-72. https://doi.org/10.18034/mjmbr.v1i2.377
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