The relationship of computer tomography results with the Glasgow coma scale in patients with acute traumatic brain injury

Abstract

The results of computed tomography in patients with acute traumatic brain injury and the relationship between computer tomography scan results and the level of Glasgow coma scale are presented. The computer tomography scans in 90 individuals with traumatic brain injury were studied. The average age of patients studied was 31,56±2,09 years, 88,9% of which were men and 11,1% - women. The severity of traumatic brain injury was assessed using the Glasgow coma scale. Computed tomography was carried out according to standard methods in the normal mode without contrasting. The main reasons for traumatic brain injury were traffic accidents (60%), falling down (32,2%), sport trauma (6,7%) and criminal trauma (1,1%). Mild traumatic brain injury was diagnosed in 43,3% of cases with the average score on the Glasgow coma scale - 13,14±0,84. The average degree of head injury is noted in 44,4% of cases, the average score is 9,2±1,28 and severe head injury in 12,2% of cases, the average score is 6,36±1,27 mm. Mixed lesions have lower indices on Glasgow coma scale (9,78±1,65) than solitary lesions (12,89±1,24). Mixed lesions combined with fractures have the lowest value on the Glasgow coma scale (6,42±1,03). It is shown that computed tomography is a widely available, fast and effective diagnostic technique that allows to accurately determine the location of a lesion in acute craniocerebral trauma. Early and timely diagnosis using computed tomography is essential for further treatment tactics and predicting the result.

Keywords

craniocerebral injury / road traffic accident / computed tomography / Glasgow coma scale / concussions / bruises / fractures / X-ray examination of skull / neurological status

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