Authors : Ram Avtar Malav, Uma Shankar Shukla, Mukesh Nagar
DOI : 10.18231/j.ijn.2019.017
Volume : 5
Issue : 3
Year : 2019
Page No : 117-121
Introduction: Traumatic brain injuries represent 12% global burden of disease and main cause of death
among 1-40 year old. Though some studies have described about traumatic brain injuries in India, very
limited information is available from central part of India
Aims and objectives: To evaluate the incidence, Mode, severity, 128 Slice Computed tomography scan
findings, and clinical outcome of head injuries at central part of India (Haroti area of Rajasthan and Malwa
area of Madhya Pradesh).
Materials and Methods: For the study 800 patient’s of Traumatic head injuries that admitted between
April 2018-march 2019 in Jhalawar medical College Jhalawar Rajasthan India were included. Their
medical records were reviewed and data on epidemiology, clinical characteristics, and outcomes analysed.
Results: Among 800 patient’s of head injuries, median age was 28 year (range 1-90 years)
Road traffic accident (60%) was most common mode of injuries followed by accidental fall from height
(25%). Cerebral contusion (16%) was most common finding on 128 slice Computed tomography scan
followed by acute subdural hematoma (11%) and skull bones fracture (10%). Good recovery (independent
for day to day activities) was seen in 70%, mild disability was seen in 27%, severe disability in 3% and
persistent vegetative state seen in 1% patient’s.
Conclusion: Road traffic accident are the most common cause of traumatic head injuries in central part
of India and mainly occurs in young productive age groups. At least 10% mortality or severe disability
occurred in Traumatic head injury patients. Knowledge about epidemiology, etiology, clinical outcome are
extremely helpful for further policy making, research and health management at national level in developing
countries. Higher incidence of Post traumatic seizures occurred in severe head injuries (12.5%) followed by Moderate
(2%) and least (1%) in mild head injuries patient’s.
Keywords: Head injury, Brain injury road traffic accident, Post traumatic seizures, Glasgow comma score