AIM: Traumatic Brain Injury (TBI) is one of the leading causes for morbidity, mortality and economic loss. The impact is much worse in developing countries like Pakistan. The objective of our study was to highlight the etiological pattern and distribution of TBI in Pakistan. MATERIAL AND METHODS: From July 2009 to June 2011, 1378 patients presenting to our Accident and Emergency Department with head injury were included in the study. Patients underwent detailed clinical and radiological evaluation as per trauma protocol. RESULTS: The most commonly affected age group was 21 to 30 years (34.1%) with male to female ratio of 3.3:1. Injuries were predominantly caused by road traffic accident (62.6%), followed by fall (31.7%) and assault (5.5%). Amongst those with RTA less than 1% of the patients were wearing proper safety equipment. The most common CT scan finding was brain contusion (14.1%); others included traumatic sub-arachnoid hemorrhage (7.1%), subdural hematoma (7.6%), extra-dural hematoma (5.8%) and depressed skull fracture (4.6%). CONCLUSION: Motorbike accidents are a major cause of severe traumatic brain injury. Although this can be minimized by wearing proper helmets, its use is limited. Moreover, there is an imperative need to implement proper referral system amongst hospitals citywide in order to minimize the consequences of secondary brain injury.
AIM: Traumatic Brain Injury (TBI) is one of the leading causes for morbidity, mortality and economic loss. The impact is much worse in developing countries like Pakistan. The objective of our study was to highlight the etiological pattern and distribution of TBI in Pakistan. MATERIAL AND METHODS: From July 2009 to June 2011, 1378 patients presenting to our Accident and Emergency Department with head injury were included in the study. Patients underwent detailed clinical and radiological evaluation as per trauma protocol. RESULTS: The most commonly affected age group was 21 to 30 years (34.1%) with male to female ratio of 3.3:1. Injuries were predominantly caused by road traffic accident (62.6%), followed by fall (31.7%) and assault (5.5%). Amongst those with RTA less than 1% of the patients were wearing proper safety equipment. The most common CT scan finding was brain contusion (14.1%); others included traumatic sub-arachnoid hemorrhage (7.1%), subdural hematoma (7.6%), extra-dural hematoma (5.8%) and depressed skull fracture (4.6%). CONCLUSION: Motorbike accidents are a major cause of severe traumatic brain injury. Although this can be minimized by wearing proper helmets, its use is limited. Moreover, there is an imperative need to implement proper referral system amongst hospitals citywide in order to minimize the consequences of secondary brain injury.
Authors: Kodanda Ram; Kadali VaraPrasad; Murali K Krishna; Nithya Kannan; Venkataraman Sundar; Mathew Joseph; Virendar D Sinha; Dhaval Shukla; Gopalakrishnan Gururaj; Raj K Narayan; Jogi V Pattisapu; Monica S Vavilala Journal: World Neurosurg X Date: 2019-02-13
Authors: Robson Luis Amorim; Louise Makarem Oliveira; Luis Marcelo Malbouisson; Marcia Mitie Nagumo; Marcela Simoes; Leandro Miranda; Edson Bor-Seng-Shu; Andre Beer-Furlan; Almir Ferreira De Andrade; Andres M Rubiano; Manoel Jacobsen Teixeira; Angelos G Kolias; Wellingson Silva Paiva Journal: Front Neurol Date: 2020-01-24 Impact factor: 4.003