CORRELATION OF COMPUTED TOMOGRAPHY IMAGING FINDINGS WITH GLASGOW COMA SCALE AMONG ADULT PATIENTS WITH HEAD INJURY IN SOKOTO, NORTH WESTERN NIGERIA
BACKGROUND: Head injury is trauma to the head with or without injury to the brain. The incidence is on the increase due to the rapid growth in infrastructure, politics and interpersonal violence. The incidence of head injury is higher among young adults who constitute the most active and productive in any society.
AIM AND OBJECTIVES: The aim of this study is to determine the computed tomographic findings as well as the correlation between CT findings with the severity of the head injury using GCS.
MATERIAL AND METHODS: This was a prospective cross sectional study on 231 adult patients who had CT scan of the head following trauma from August 2014 to August 2015. A GE 4 slices Bright speed spiral CT machine was used for the study.
RESULTS: Road traffic accident accounted for 90% of the causes of head injury in this study and the most affected age group was 21-30 years with an overall mean age and SD of 38.12 ± 13.58 years. Midline shift of ≥ 5mm showed statistically significant relationship with severity of head injury, P < 0.001. There was positive correlation between CT findings with severity of head injury using GCS.
CONCLUSION: Road traffic accident plays a major role as cause of head injury in our society.GCS and CT scan are useful in the evaluation of head injured patients.