| About the author: |
G. S. Gasimzade |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
In 157 (16.2 %) of 969 patients who were injured for various reasons, X-ray diagnostics was performed, in 447 (46.1 %) – CT, in 33 (3.4 %) patients – MRI. The results were subjected to comparative analysis. In total, 167 people were diagnosed with traumatic brain injury. Among patients with identified traumatic brain injuries, X-ray examination was performed in 98 (58.7 %), CT – in 162 (97.0 %), MRI – in 20 (12.0 %) patients. Combined trauma was noted in 63 (88.7 %), isolated trauma – in 8 (11.3 %) patients. Based on the results of the study in detecting head injuries as a result of road accidents, CT can be considered a more effective method due to its sensitivity (89.0 %) and specificity (98.4 %). When detecting a combined traumatic brain injury, MRI due to its specificity (100.0 %), and CT with specificity (96.7 %) and sensitivity (91.8 %) were accepted as more informative methods of examination. It was found that the reformation of CT images in axial and cranial projection allows timely and correct diagnosis of fractures and tomography of the skull bones. |
| Tags |
traumatic brain injury,combined trauma,radiation diagnostics,sensitivity,specificity |
| Bibliography |
- Grigorova IA. Aktualnye aspekty cherepno-mozgovoy travmy STATTІ > https://health-ua.com/ 30.01.2017 Nevrologіya, Psihіatrіya, Psihoterapіya». gruden 2016;4 (39): .23–24 [in Russian]
- Semenov AV. Klassifikatsiya sochetannoy cherepno-mozgovoy travmy: voprosy terminologii. Neirokhirurgiya. 2015;(4):60–63. https://doi.org/10.17650/1683-3295-2015-0-4-60-63 [in Russian]
- Chawla H, Yadav RK, Griwan MS, Malhotra R, Paliwal PK. Sensitivity and specificity of CT scan in revealing skull fracture in medico-legal head injury victims. Australas Med J. 2015 Jul 31;8(7):235–8. doi: 10.4066/AMJ.2015.2418.
- Chawla H, Malhotra R, Yadav RK, Griwan MS, Paliwal PK, Aggarwal AD. Diagnostic Utility of Conventional Radiography in Head Injury. J Clin Diagn Res. 2015 Jun;9(6):TC13–15. doi: 10.7860/JCDR/2015/13842.6133.
- Culotta PA, Crowe JE, Tran QA, Jones JY, Mehollin-Ray AR, Tran HB, et al. Performance of computed tomography of the head to evaluate for skull fractures in infants with suspected non-accidental trauma. Pediatr Radiol. 2017 Jan;47(1):74–81. doi: 10.1007/s00247-016-3707-7.
- Gaillard F, El-Feky M, Ashraf A, et al. Skull fractures. Reference article, Radiopaedia.org (Accessed on 03 Jul 2023) https://doi.org/10.53347/rID-56541
- Gerritsen H, Samim M, Peters H, Schers H, van de Laar FA. Incidence, course and risk factors of head injury: a retrospective cohort study. BMJ Open. 2018 May 31;8(5): e020364 doi: 10.1136/bmjopen-2017-020364.
- Mokolane NS, Minne C, Dehnavi A. Prevalence and pattern of basal skull fracture in head injury patients in an academic hospital. SA J Radiol. 2019 Mar 13;23(1):1677. doi: 10.4102/sajr.v23i1.1677.
- Mühlenfeld N, Thoenissen P, Verboket R, Sader R, Marzi I, Ghanaati S. Combined trauma in craniomaxillofacial and orthopedic-traumatological patients: the need for proper interdisciplinary care in trauma units. Eur J Trauma Emerg Surg. 2022 Aug;48(4):2521–2528. doi: 10.1007/s00068-020-01479-x
- Nekuda V, Krtička M, Miklošová B, Švancara J, Chovanec M. Význam rtg lebky při poraněních hlavy [Importance of Skull X-ray in Head Trauma]. Acta Chir Orthop Traumatol Cech. 2019;86(5):342–347. [in Czech]
- Parizel PM, Philips CD. Traumatic Neuroemergency: Imaging Patients with Traumatic Brain Injury—An Introduction. 2020 Feb 15. In: Hodler J, Kubik-Huch RA, von Schulthess GK, editors. Diseases of the Brain, Head and Neck, Spine 2020–2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chapter 7. Available from: https://www.ncbi.nlm.nih.gov/books/NBK554351/ doi: 10.1007/978-3-030-38490-6_7
- Phang SY, Whitehouse K, Lee L, Khalil H, McArdle P, Whitfield PC. Management of CSF leak in base of skull fractures in adults. Br J Neurosurg. 2016; 30:596–604. doi: 10.1080/02688697.2016.1229746
- Pushko OO, Lytvynenko NV. Peculiarities of neurocognitive status of patients in the acute ischemic stroke phase of different hemispheric localization. World of Medicine and Biology. 2020; 2(72):099–103 doi. 10.26724/2079-8334-2020-2-72-99-103
- Tsai YC, Rau CS, Huang JF, Chang YM, Chia KJ, Hsieh TM, et al. The Association between Skull Bone Fractures and the Mortality Outcomes of Patients with Traumatic Brain Injury. Emerg Med Int. 2022 Jun 7; 2022:1296590. doi: 10.1155/2022/1296590.
- Walle TA, Tiruneh BT, Bashah DT. Prevalence of head injury and associated factors among trauma patients visiting surgical emergency department of Gondar University Referral Hospital, Northwest Ethiopia 2016. Across-sectional study, International Journal of Africa Nursing Sciences. 2018; 9: 57–61. doi.org/10.1016/j.ijans.2018.08.002.
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| Publication of the article |
«World of Medicine and Biology» №4(86), 2023 year, 029-035 pages, index UDK 616-073.756.8, 616.714 |
| DOI |
10.26724/2079-8334-2023-4-86-29-35 |
