Title: Clinical Picture and Management of Head Injury- A Prospective Study
Authors: Prof. Dr Braja Mohan Mishra, Prof. Dr S.K. Mahapatra, Dr Paresh Rajan
DOI: https://dx.doi.org/10.18535/jmscr/v5i12.97
Abstract
CT scan is an indispensable diagnostic modality and GCS as a clinically vital entity in evaluating the head injured patients and predicting their outcome. CT and GCS are also found complimentary to each other. CT most reliably demonstrates trauma related intracranial lesions and thus aid in prompt and effective management. GCS is a relevant prerequisite for further evaluation by CT and in a developing nation like India with highest incidence of head injury affecting people of all economic groups, it can cut short necessity of CT, particularly in the mild injury group as assessed by Glasgow coma scale.
References
- Bulut M, Koksal O, Dogan S, et al. Tau protein as a serum marker of brain damage in mild traumatic brain injury Adv. Thes 2006; 23 (01):12-22.
- Burton A. A key traumatic brain injury initiative in India. Lancet Neurol 2016; 15 (10) : 1011-1012.
- Geneva : WHO (2002) Projections of mortality and burden of disease to 2030: Death by income group 12/01/06.
- Guru Raj G. Epidemiology of traumatic brain injuries, Indian scenario. Neurol Res. 2002; 24:24-8.
- Verma PK, Tewari K.N. epidemiology of road traffic injuries in Delhi. Result of a survey: Regional Health forum WHO South East Asia Region 2004;8:1-10.
- Early detection of consciousness in patients with acute several traumatic brain injury Edlar BL, Chatelle C, Spences CA, Chu CJ, Bodies YG, O’ connor KL, Hirschberg RE, Hochberg LR, Giacino JT, Rosenthal ES, WU O. Brain : a journal of neurology 2017 September 1; 140 (9) 2399-2414.
- Waxman K, Sundine MJ, young RF. Is early prediction of outcome in severe head injury possible? Arch surg. 1995; 126:1237-42.
- Traumatic brain injury severity, Neuropathophysiology, and clinical outcome. Insights from multimodal Neuro imaging. IrimiaA, Goh SM, Wade AC, Patel K, Vespa PM, Van horn JD. Frontiers in Neurology 2017;8:530.
- Dawes RM, Faust D, Meehl RE: Clinical versus acturial judgment. Science 243:1668-74, 1989.
- Teasdale G, Jennet B. Assessment of coma and impaired consciousness. Lancet 2:81-84, 1974.