ETIOLOGY, CLINICAL PRESENTATION AND OUTCOME OF TRAUMATIC BRAIN INJURY PATIENTS PRESENTING TO A TEACHING HOSPITAL OF KHYBER PAKHTUNKHWA

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Naseer Hassan
Mumtaz Ali
Naeem Ul Haq
Farooq Azam
Sajjid Khan
Zahid Khan
Sajjad Ahmad

Abstract

Objectives: To determine the frequency of patients presenting to Department
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.

Article Details

How to Cite
1.
Hassan N, Ali M, Haq NU, Azam F, Khan S, Khan Z, Ahmad S. ETIOLOGY, CLINICAL PRESENTATION AND OUTCOME OF TRAUMATIC BRAIN INJURY PATIENTS PRESENTING TO A TEACHING HOSPITAL OF KHYBER PAKHTUNKHWA. J Postgrad Med Inst [Internet]. 2017 Dec. 9 [cited 2022 Aug. 9];31(4). Available from: https://jpmi.org.pk/index.php/jpmi/article/view/2154
Section
Original Article
Author Biography

Naseer Hassan

JUNIOR REGISTRAR,

MEDICAL TEACHING INSTITUTE,

LADY READING HOSPITAL,

PESHAWAR

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