INTRODUCTION
– Traumatic brain injury (TBI) is a major public health problem worldwide and is usually complicated by increased intracranial pressure (ICP). Its management aims to prevent the occurrence of or to reduce an already raised ICP. Thus, timely detection of an elevated ICP is of an utmost importance since, undetected and unmanaged, it can be fatal.
– The severity of a TBI can be determined clinically by the Glasgow Coma Scale or via neuro-imaging modalities. When indicated, CT brain is the first line imaging study performed in an acute TBI context and allows for assessment of structural damage and detection of hematomas. The Rotterdam CT Score (RCTS) is a classification system of TBI based on some CT findings and predicts the outcome of TBI patients.
– The optic nerve sheath diameter (ONSD) measurement by imaging modalities, such as US or CT, has been considered as an alternative to the invasive ICP monitoring methods and it can predict as well the outcome in TBI.
AIM OF THE WORK
This study aims to correlate between the Glasgow Coma Score, the CT ONSD and the Rotterdam CT score in TBI patients.