Pattern of intracranial trauma in fatal head injury cases at a rural institute Mazumder Aloke1, Nagrale Ninad2,*, Murkey P.N.3, Tirpude B.H.3 1Assistant Professor, Malda Medical College, Malda, West Bengal 2Assistant Professor, Chandulal Chandrakar Memorial Medical College, Kachandur, Durg (CG) 3Professor, MGIMS, Sewagram, Wardha, Maharashtra *Corresponding Author: Dr. Ninad Nagrale, Assistant Professor, Chandulal Chandrakar Memorial Medical College, Kachandur, Durg (CG)
Abstract Trauma, that carries medico legal implications in general, is a burden often responsible for the fatal outcomes of human life; and it is head injury which has major contribution to trauma, has always been a matter of concern for the medicos regarding diagnosis and treatment because of the fact that it cannot be completely evaluated until some time has elapsed after the alleged injury. The present study, conducted at an institute based on rural background, elaborates a pattern of injuries at intracranial structures, more precisely, Traumatic Brain Injury (TBI). It has been seen that, intracranially, haemorrhage is the commonest finding- as observed in 87.86% cases. Next common is oedema or swelling of the brain seen in 75.72% cases. Subarachnoid Haemorrhage is most commonly observed (87.5%) type of intracranial haemorrhage. while if considered in combination, it is combined Subdural and Subarachnoid Haemorrhage (SDH+SAH) that is most common (65.13%). At the brain matter per se, Contusions is seen at 41.61%, Lacerations in 02.89%, while combination of Contusions and Lacerations in 04.04% cases. Contusion of brain has been observed most commonly at Temporal lobe (26.19%), while as combined site most commonly Fronto-Parieto-Temporal lobes that are involved in 04.76% cases. As per the Coup- Contrecoup injuries are concerned, it is Occipito Frontal/Temporal lobes that are commonest. Top Keywords Traumatic brain injury, Haemorrhage, Cotre coup, medicolegal, head injury, intracranial. Top |