Frequency of Differential Diagnosis on CT Following a Traumatic Brain Injury

Amna Babar, Rida Zulfiqar, Rana Muhammad Athar shams

Abstract

Background:

Traumatic brain injury is the vigilant insult of brain after a collisional trauma that leads to series of
pathophysiological events. Traumatic brain injury is an exceeding chemical process that leads towards a wide variety
of brain pathologies. There are multiple brain pathologies that are triggered by trauma and can easily be visualized
on the computed tomography. And there are wide spectra of clinical manifestation that is associated with each and
every pathology that manifests after brain trauma such as dementia, vomiting, headache, gait disturbances and
sensory and visual disturbance. And the Glasgow comma score interprets the severity of the disease in the mild,
moderate and severe category. The CT features of the skull fracture, epidural hemorrhage, subdural hemorrhage,
subarachnoid hemorrhage and intraventricular hemorrhage can be described normally by the compression of
normal cortical tissue and compression of mid line structure and raised intracranial pressure.

OBJECTIVE: To derive the frequency of differential diagnosis of different pathologies on computed tomography
after a traumatic brain injury.

MATERIAL AND METHODS: A total 195 subjects were considered for this retro prospective analytical study. All the
patients who were admitted with the history of brain trauma and had computed tomography scan as the 1st line of
investigation after the clinical diagnosis were considered prime for this study

RESULTS: According to our descriptive observational research study we have concluded that. there were
multiple age groups in which different number cases that were frequent in different age group such as
from age 15-24 we had 9 cases, 25 -34 we had 8 cases ,35-44 we had 5 cases ,45-54 we had 6 cases ,55-65
we had 2 cases. According to our research the most frequent cases of TBI pathology was associated with
intraventricular hemorrhage with 11 cases followed by subdural hemorrhage with 9 cases, followed by
epidural hemorrhage with 6 cases and the least number of cases was associated with skull fracture and
hydrocephalus