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of Neurosurgery, Lady Reading Hospital, Peshawar with traumatic brain injury,
and recognize its etiology, clinical and presentation and outcome.
Methodology: This observational study was conducted in the Department of
Neurosurgery, Lady Reading Hospital, Peshawar from 1st September 2013 to
31st August 2014. Patients of all ages, both sexes and having brain injury secondary
to trauma were included. Patients having other associated injuries along
with TBI and minor head injuries treated without admission were excluded from
the study. Different variables including age, gender, mechanism & type of injury
and surgical outcome of patients were obtained. Data were analyzed by SPSS
version 17 and was expressed by charts and tables.
Results: Out of 1338 patients, 827 (65%) were males and 466 (35%) were females.
Age ranged from 1-80 years with a mean age of 40 ±9.65 years. Road
traffic accidents (RTA) as a cause of injury was present in 45% of cases. Subarachnoid
hemorrhage was found in 24% cases on the CT Brain. Surgical treatment
was carried out in 50% of the patients. Mortality was 15%.
Conclusion: Patients withTBI frequently present to LRH. It was most common
in young to middle aged people and leading cause was RTA. Sub-arachnoid
hemorrhage was the commonest CT scan finding followed by depressed skull
fracture. Most of these patients have mild type of head injury and are managed
conservatively with good Glasgow coma scale on discharge.
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