404436

Relationship between Intracranial Lesions in Blunt Head Injuries and Different Parameters: A Six-Month Prospective Study at Ain Shams University Hospitals

Article

Last updated: 01 Feb 2025

Subjects

-

Tags

Injuries

Abstract

Background: Head injuries (HIs) are a major threat to public health; they are significant risk factors for mortality in all age groups of population around the world and considered one of the major causes of road traffic accidents (RTAs) fatality. In Egypt, Policy-making to enhance community understanding of preventive and curative trauma programs is critical for reducing the impact of injuries. Aim: To assess the incidence, manner, cause, types, and outcome of blunt head injuries (BHI) in Ain Shams University Hospitals, and also, to study the correlation between the different types of intracranial lesions which were detected by computed tomography (CT) scan and these parameters. Methods and results: This study was conducted on 83 cases during a period of six months. There were 26 females and 57 males ranging from 2 years to 73 years. The most common cause was RTAs (67.5%) followed by falls (16.9%), and lastly blows (15.7%). The manner was mostly accidental and the time of inflection was mostly at night. The most common types of skull fractures were combined fractures (48.2%), followed by fissure vault (21.7%) then localized depressed fractures (14.5%), then comminuted (6%), and lastly fracture base and no fracture with the same percentage (4.8%).The most common types of intracranial lesions were combined (36.1%) followed by extradural hemorrhage (EDH) (19.3%) then brain laceration (13.3%), contusion, and subdural hemorrhage (SDH) (9.6%), intracerebral hemorrhage (ICH) (8.4%), and lastly subarachnoid hemorrhage (SAH) (3.6%). Non-survivors represented 57.8% while survivors were 42.2%. Conclusion: Certain parameters such as age, sex, time etc, may contribute to catastrophic BHI and the relationship these parameters and intracranial lesions in blunt head injuries was studied. Combined fractures were the most prevalent type. Additionally, combined intracranial lesions were the most common type and the results indicated that the majority of the admitted cases were non-survivors.

DOI

10.21608/zjfm.2025.331193.1205

Keywords

blunt head injury, road traffic accident, Intracranial lesion

Authors

First Name

Dalia

Last Name

Zaki M

MiddleName

-

Affiliation

Forensic medicine and clinical toxicology Department , Ain Shams University

Email

drdalia@med.asu.edu.eg

City

Cairo

Orcid

-

First Name

Emad

Last Name

Elsayed A

MiddleName

-

Affiliation

Forensic medicine and clinical toxicology Department , Ain Shams University

Email

-

City

-

Orcid

-

Volume

23

Article Issue

1

Related Issue

52533

Issue Date

2025-01-01

Receive Date

2024-10-25

Publish Date

2025-01-01

Page Start

47

Page End

63

Print ISSN

1687-160X

Online ISSN

2536-9849

Link

https://zjfm.journals.ekb.eg/article_404436.html

Detail API

http://journals.ekb.eg?_action=service&article_code=404436

Order

5

Type

Original Article

Type Code

402

Publication Type

Journal

Publication Title

Zagazig Journal of Forensic Medicine and Toxicology

Publication Link

https://zjfm.journals.ekb.eg/

MainTitle

Relationship between Intracranial Lesions in Blunt Head Injuries and Different Parameters: A Six-Month Prospective Study at Ain Shams University Hospitals

Details

Type

Article

Created At

01 Feb 2025