Objective: To assess the spectrum of computerized tomography (CT) findings in craniocerebral trauma by clinico-radiological evaluation.

Methods: This was a cross sectional study. After taking informed consent, the detailed clinical history was taken (including age, sex, date of injury, mode of injury and duration of LOC). General and systemic examination including detailed CNS examination (which included GCS score, higher mental function status, cranial nerve examination, motor and sensory function, meningeal signs) was done as per structured Performa. The patients presented with head injury referred for computed tomography of the head. After initial resuscitation, severity of the cranio-cerebral injury was graded with the help of "Glasgow Coma Scale" (GCS).

Results: About one third of patients were >50 years of age (33%). Majority of patients were males (76%). RTA was the most common mode of injury (56%). The commonest type of fractures associated with head injury were linear fractures (73%). Death was reported among 25 (25.0%) patients. Skull fracture were the commonest of all lesions accounting for 63.0% followed by contusions of brain (44.0%).Midline shift, contusion, Extradural Hematoma, Intra Cerebral Hematoma were significantly (p<0.05) associated with mortality.Patients with GCS score of <8 had a mortality of 54.5%. .There was significant (p<0.001) association of GCS with mortality.

Conclusion: Head injury higher among patients above 30 years of age. RTA was found to be most common cause of head injury in this study. Skull fracture was the commonest of all lesions accounting for 63.0% followed by contusions of brain (44.0%).

Keywords: Head injury, Road traffic accidents, Mortality, subdural hematoma, extradural hematoma, subarachnoid haemorrhage, intracerebral hematoma.

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Dr Pradeep Bansal

Associate Professor, Department of Radiodiagnosis, Subharti Medical College, Swami Vivekanand Subharti University, Meerut (U.P)