Original Research Paper
Epidemiological Spectrum Of Gastro-intestinal Malignancies In North-western India.
Pranav Mohan Singhal, Pinakin Patel, Kamal Kishor Lakhera, Suresh Singh, Agil Babu, Raj Govind Sharma, Bhoopendra Singh Gora, Naina Kumar Agarwal
Traumatic brain injury (TBI) is the leading cause of death and disability in children. Data regarding mode of traumatic brain injury and severity which is vital for prognostication and epidemiology is limited. The aim of this study is to correlate findings in neuro-imaging with mode of injury and to study the outcome in relation to mode of injury. It is a prospective observational study in children between 1month to 18years of age who presented to the emergency department with head injury . 131 children out of a total of 5435 children seen in the emergency department over 6months presented with head injury. 51 children warranted neuroimaging and were included in the study . CT brain was abnormal in 40% (n=20) of a total of 51 patients. 11 (22%) children who fell from a height and 9 (18%) who sustained road traffic accident had CT evidence of intracranial bleed . 57%(N=29) with significant mode of injury had normal CT cervical spine and 55%(n=18) did not have skull fracture . CT brain was normal in 60% (n=31) . About 13 % with fall at ground level, 15% with fall from a height had minimal disability. In this study we conclude that fall from a height is a serious cause of head injury with abnormalities in neuroimaging and mode of injury with abnormalties in neuroimaging do not correlate with the outcome.
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