An Epidemiological Retrospective Study of Fatal Head Injury Related to Road Traffic Accident Victims in Medicolegal Autopsies in and around Madurai City

2016 ◽  
Vol 10 (2) ◽  
pp. 235
Author(s):  
T Selvaraj ◽  
S Sadasivam
Keyword(s):  
Retrospective Study ◽  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic

Cerebral Aqueduct Stenosis Presenting after Head Injury

1975 ◽  
Vol 61 (1) ◽  
pp. 41-43
Author(s):  
W. M. Edmondstone
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Cerebral Aqueduct ◽  
Aqueduct Stenosis ◽  
Accident Investigation ◽  
Neurological Disturbance

AbstractA case is demonstrated of a man presenting with neurological disturbance dating from a head injury sustained in a road traffic accident. Investigation revealed a cerebral aqueduct stenosis which was successfully treated at operation.

scholarly journals Management of jaw fractures in oral surgery in public and private practice: a retrospective study from 2006 to 2017

2019 ◽  
Vol 26 (1) ◽  
pp. 3
Author(s):  
Corentin Buron ◽  
Christian Mounier ◽  
Carine Guiavarc'h ◽  
Cédric Lansonneur ◽  
Matthieu Conan ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Public Hospital ◽  
Road Traffic ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Jaw Fractures ◽  
The Mean

Introduction: To date, no epidemiological studies on jaw fracture have examined its characteristics according to hospital status (public vs private). The aim of this study was to examine their differences in terms of patient- and injury-related variables. Methods: A retrospective study was conducted using patients' medical records in 2 types of hospital located in the northern area of Brittany (France). All patients hospitalized for jaw fracture between 2006 and 2017 were eligible. Comparisons between centres according to age, gender, anatomic location of fracture, mechanism of injury, and length of stay were undertaken using χ2, Fisher exact test, t-test, and Cochrane-Armitage trend test. Results: A total of 142 patients were included: 45.1% in the public and 54.9% in the private hospitals. Of them, 84.5% were men and the mean age was 32.0. Main causes of fractures were assault (56.3%), fall (30.3%) and road traffic accident (10%). A small number of patients had polytrauma (4.2%). The mean duration of stay was less than 2 days. Compared to patients who were admitted in private hospital, those who were likely to be admitted in public hospital were those: who had a jaw fracture in context of road traffic accident (18.8% vs 2.6%), with polytrauma (9.4% vs 0.0%) and maxilla fracture (9.4% vs 1.3%), and who had a longer stay (2.2 vs 1.1 days). Conclusion: This study showed that differences observed in characteristics of jaw fractures between public and private hospitals may be due to recruitment process: more severely affected patients are likely to be admitted in the public hospital.

Epidemiology of Blindness From Facial Trauma: A Multi-Centre Nigerian Study

2021 ◽  
pp. 194338752110609
Author(s):  
Bamidele A. Famurewa ◽  
Fadekemi Olufunmilayo Oginni ◽  
Bolajoko A. Adewara ◽  
Benjamin Fomete ◽  
Chukwudi Aniagor ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Tissue Injury ◽  
Soft Tissue Injury ◽  
Facial Trauma ◽  
Globe Rupture ◽  
Tertiary Hospitals ◽  
Mechanism Of Trauma

Study Design This is a multi-centre retrospective study. Objective To determine the prevalence of blindness and pattern of facial trauma associated with blindness among Nigerians. Methods A multi-centre retrospective study of all patients with facial trauma resulting in blindness, that were co-managed by maxillofacial surgeons and ophthalmologists in 4 Nigerian public tertiary hospitals between January 2010 and December 2019 was undertaken. Data was analysed by IBM SPSS Statistics (version 21.0 for windows, IBM© Inc, Chicago, IL). Results Of 2070 patients who presented with major facial injuries during the study period, 61 eyes of 56 (2.7%) patients were blind. Blindness was bilateral and unilateral in 5 (8.9%) and 51 (92.1%) patients, respectively. The mean age (SD) at presentation was 36.2 (16.6) years, and 47 (83.9%) of these patients were males. Road traffic accident (n = 27; 48%) was the commonest mechanism of facial trauma, the cheek (n = 18; 40.9%) was the commonest site of associated soft tissue injury and zygomatic complex fracture (n = 19; 24.1%) was the commonest related fracture. Globe rupture (n = 34; 55.7%) was the leading cause of blindness. Enucleation (n = 7; 13.2%) and evisceration (n = 22; 41.5%) were performed on 29 eyes of which 12 (41.4%) patients had ocular prosthesis post-operatively. Conclusion Blindness was recorded in 2.7% of Nigerians with facial trauma. The commonest mechanism of trauma and cause of blindness in at least one eye were road traffic accident and globe rupture, respectively. Eye removal surgery was necessary in about half of the blind eyes.

scholarly journals The Exploratory Burr Hole: Indication and Results at One Departmental Hospital of Benin

ISRN Surgery ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Holden O. Fatigba ◽  
Alexandre S. Allodé ◽  
Kofi-M. Savi de Tové ◽  
Emile D. Mensah ◽  
Adrien M. Hodonou ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Retrospective Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Selection Criteria ◽  
Road Traffic ◽  
Burr Hole ◽  
Neurological Deficits ◽  
Motor Deficit ◽  
Unilateral Mydriasis

Objective. The aim of this study was to describe the indications and results of exploratory burr hole performed at the Departmental Teaching Hospital of Borgou (Benin). Methods. It was a retrospective study performed from January 2008 to February 2011. It concerned patients with a closed traumatic brain injury (TBI) in which an exploratory burr hole was performed. The selection criteria were unilateral mydriasis associated with neurological deficits on the opposite side or the occurrence of a decreased consciousness associated with the appearance of a motor deficit after a lucid interval. Results. Amongst the 74 patients operated, 23 (31%) underwent an exploratory burr hole for which the average age was 24.8 ± 17.3 years. Sex ratio male/female was 3.6. TBI was due to road traffic accident (56.5%), a fall (26.1%), and an assault (17.4%). It was severe (47.8%), moderate (39.1%), and mild (13.1%). Mydriasis was observed in 69.6% of cases as well as neurological deficit in all patients. A lesion was observed in 15 (65.2%) cases. Conclusion. The exploratory burr hole seemed as an old practice, still no longer performed in full practice in Benin, and is a diagnosis and therapeutic approach. Better technical conditions would allow more relevant therapeutic options.

scholarly journals Clinical Patterns and Computed Tomography Findings in Patients with Cranio-Cerebral Trauma in Tertiary Hospital in Eastern Nepal

2019 ◽  
Vol 17 (01) ◽  
pp. 56-60
Author(s):  
Kapil Adhikari ◽  
Mukesh Kumar Gupta ◽  
Ashok Raj Pant ◽  
Raj Kumar Rauniyar
Keyword(s):  
Computed Tomography ◽  
Head Injury ◽  
Glasgow Coma Scale ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Common Finding ◽  
Common Mode ◽  
Coma Scale ◽  
Cerebral Trauma

Background: Head injury is a common problem encountered in emergency department. Among various neurological diseases, cranio-cerebral trauma ranks high in order of frequency and gravity. In acute setting, computed tomography is modality of choice because of its high accuracy in detecting intracranial lesions. The study was done to analyze computed tomography findings in cerebral trauma in regards to sociodemographic characteristics and find out associations of Computed tomography findings with mechanism of injury and clinical manifestations.Methods: The study was carried in Department of Radiology, BPKIHS, over a period of one year from Aug. 2015 to Aug. 2016. 450 patients were included in our study and findings noted on structured pro forma. Analysis was done using SPSS version 20 applying simple descriptive statistical methods.Results: Among 450 patients, 220 patients (48.9%) had various cranio-cerebral injuries. Most were in age group of 20-29 years (49.5%) and most common mode was road traffic accident (44.6%).Most patients presented with altered sensorium (39.2%) and Glasgow Coma Scale score of ?13 (70.9%). Scalp lesion was the most common finding (24%) followed by bone fractures (19.8 %). Patients with road traffic accident (59.7%) and fall from height (46.7%) had more positive computed tomography findings than from physical assault (28.2%). Glasgow Coma Scale showed significant statistical association with computed tomography findings (p<0.001). Conclusions: Road traffic accident is the most common mode of head injury in young adults patients presenting in our hospital. Glasgow Coma Scale can be considered as an important clinical marker for predicting positive computed tomography findings. Also computed tomography is an important initial investigation to evaluate the various craniocerebral injury in trauma patients.Keywords: Computed tomography; Cranio-cerebral trauma; road traffic accident.

Anosmia and isolated ACTH deficiency following a road traffic accident

1990 ◽  
Vol 73 (3) ◽  
pp. 453-454 ◽  
Author(s):  
J. E. Scoble ◽  
C. W. H. Havard
Keyword(s):  
Head Injury ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Adrenocorticotropic Hormone ◽  
Road Traffic ◽  
Content Type ◽  
Isolated Acth Deficiency ◽  
Acth Deficiency ◽  
Pituitary Dysfunction ◽  
Fine Print

✓ A 42-year-old man suffered a head injury in a road traffic accident and subsequently developed anosmia and isolated adrenocorticotropic hormone (ACTH) deficiency. There was no other evidence of pituitary dysfunction. No previous case of isolated ACTH deficiency following head injury has been reported.

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