ASSOCIATION OF VOLUME AND TYPE OF INTRACRANIAL HEMATOMA WITH MIDLINE SHIFT IN PATIENTS WITH HEAD INJURY ON COMPUTED TOMOGRAPHY

Abstract

Background: Traumatic brain injury (TBI) is physical injury to brain tissue that temporarily or permanently impairs brain function.It happens when a sudden,external,physical assault damages brain. Objective: To find out association between volume and type of intracranial hematoma with midline shift in patients with head injury on computed Tomography. Methodology: A crosssectional analytical study was conducted at Department of Radiology, LGH Hospital. Data of 55 participants were collected, done by suitable sample method. SPSS version 21.0 was used for data analysis. The inclusion criteria was all adult patients (>15 years) with traumatic hematoma. The exclusion criteria were patients who had any history of previous brain surgery and patients who were already undergoing treatment . Association of volume and type of intracranial hematoma with midline shift in patients with head injury was measured by using Computed Tomography Machine 64 slices Toshiba edition 2002 was used. Results: Out of total number of 55 patients, 35(63.6%) were males and 20(36.4%) were females. Out of all 55 cases Mode of injury was fall in 12(21.8%) and RTA in 43(78.2%) patients, Type of hematoma out of all 55 cases 33(60.0%) patients had epidural hematoma, 1(1.8%) had intracerebral hematoma and 21(38.2%) had subdural hematoma.Side involved in 28(50.9%) patients was right and in 27(49.1%) patients was left. Locations accounted Fronto Parietal for 2 cases (3.6%), "Fronto - Temporal" for 3 cases (5.5%), "Occi - Temporal" for 2 cases (3 .6%), "Occipital" for 10 cases (18.2%), "Parietal" for 5 cases (9.1%), "Parieto - Occipital" for 2 cases (3.6%), "Parieto - Temporal" for 2 cases (3.6%), the highest frequency, 29 cases (52.7%), were observed in Temporal.Out of all 55 cases midline shift was present in 27(49.1%) and was absent in 28(50.9%) patients. Conclusion: Our study was aimed to find out association between volume and type of intracranial hematoma with midline shift in patients with head injury.Patients with traumatic brain injury were more prone to midline shift and epidural hematoma was observed in more cases. Hence the study concluded that there is association between intracranial hematoma with midline shift in patients with head injury on computed tomography.