Shaista Nayyar, Asif Niaz, Ahmed Ahson Khan.
Patterns of Intracranial Bleed on CT scan in Road Traffic Accident patients reporting to a Tertiary Care Hospital of Southern Punjab.
Pak J Med Health Sci Jan ;12(2):481-4.

Background: Road traffic accidents (RTAs) are on a rapid increase in the developing countries like Pakistan . One of the most common but potentially lethal resulting traumas is head injury . There is need to further look in to the prevalence and description of such injuries on neuroimaging so that an effective national health plan can be formulated. Aim: To assess the frequency of different computed tomographic patterns of intracranial haemorrhage following RTAs . Methods: A cross sectional observational study was carried from July 2016 to Jun 2017 at Southern Punjab tertiary hospital . All consecutive patients with head trauma referred specifically for cranial CT scan were included in the study. The radiological findings were assessed and documented for analysis. Results: A total number of 4029 head trauma patients underwent CT scanning secondary to RTAs. The male to female ratio was 4.2:1 and the mean age was 27+-16. The commonest mode of injury was motor bike accidents. The commonest CT appearance of intracranial haemorrhage was haemorrhagic contusions (13.4 % ). other CT appearances were subdural haematoma (8.2%), epidural haematoma (8%) and traumatic subarachnoid haemorrhage (6.8%). Conclusion: The study has demonstrated thathemorrhagic contusion evaluated by CT scan was the most frequent type of intracranial hemorrhage in patients of RTA. With the alarming increase in thenumber of RTAs, CT scan should be promptly requested in patients of head trauma for identification of lesions that are amenable to surgical treatment.

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