2005, Number 2
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Rev Mex Neuroci 2005; 6 (2)
Tomographical abnormalities in the mild cranioencephalic trauma
Varela HA, Pardo CG, Medrano GR, Rivero GC
Language: Spanish
References: 17
Page: 120-123
PDF size: 74.58 Kb.
ABSTRACT
Objectives: CT scan of the head constitutes the most important investigation in patients with cranialtrauma. This paper aims at presenting the abnormalities found in this exam in patients with mild cranial trauma.
Methods: A descriptive study was carried out of all the patients admitted to the Neurosurgery or Traumatology services with mild cranioencephalic trauma and in those in whom a CT scan of the head was performed, we excluded patients who had died from serious extracranial traumatic lesions or those who did not undergo this exam. The sample was made up of 79 patients that were interviewed starting from the clinical records. The variables were processed by means of distribution of frequencies and hypothesis proportion tests.
Results: CT scans were abnormal in 75.98% of the cases being more frequent in patients with initial Glasgow of 13 points fallowed by those with 15 points.
Conclusions: The use of the CT scan of the head in the algorithm of management of patients with mild head trauma demonstrates the important frequency of cranial and encephalic morphological abnormalities, despite high Glasgow scores.
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