Brain CT Scan Study of Mentally Retarded Individuals with Comorbid Psychiatric Disorder

2014 ◽  
Vol 5 (1) ◽  
pp. 117
Author(s):  
Amit Bhattacharya ◽  
Somsubhra Chatterjee ◽  
Subir Bhattacharya ◽  
Rajarshi Chakraborty ◽  
Amitava Dan ◽  
...  
2021 ◽  
pp. 102220
Author(s):  
Khaled Z. Alawneh ◽  
Liqaa A. Raffee ◽  
Ahmad A. Oqlat ◽  
Ammar A. Oglat ◽  
Majdi Al Qawasmeh ◽  
...  

2017 ◽  
Vol 5 (3) ◽  
pp. 319-323 ◽  
Author(s):  
Babak Masoumi ◽  
Farhad Heydari ◽  
Hamidreza Hatamabadi ◽  
Reza Azizkhani ◽  
Zahra Yoosefian ◽  
...  

BACKGROUND: In emergency medicine for determining the intracranial injury (ICI) in children with head trauma, usually brain CT scan is performed. Since brain CT scan, especially in children, has some disadvantages, it is better to find a procedure which could help to choose only the children with real head trauma injury for brain CT scan.AIMS: The aim of this study is to find such procedure. This study was descriptive, analytic and non-interventional.METHODS: We reviewed the archived files of children with head trauma injuries referred to the emergency department of Imam Hossein Hospital within two years. Patient’s CT scan findings and head trauma risk factors were evaluated in this study.RESULTS: Out of 368 patients, 326 patients had normal brain CT scan. 28 of them showed symptoms of ICI consisting intraventricular haemorrhage (IVH), contusion, subarachnoid haemorrhage (SAH), subdural haemorrhage (SDH), epidural hematoma (EDH), and pneumocephalus. Twenty-seven patients showed skull FX, which 14 of them had an Isolated fracture, and 13 of them also showed symptoms of ICI. Since patients with isolated FX usually discharge quickly from Emergency Department; their data did not include in results of the study. The patients have been divided into two groups: 1- ICI, 2- without ICI. RR (relative risk), CI (Confidence interval) and sensitivity, positive predictive value (PPV), negative predictive value (NPV) and association of these risk factors with ICI were assessed with the Chi-2 test. In the end to determine the indications of CT scan, the presence of one of these five risk factors is important including abnormal mental status, clinical symptoms of skull FX, history of vomiting, craniofacial soft tissue injury (including subgaleal hematomas or laceration) and headache.CONCLUSIONS: For all other patients without these risk factors, observation and Follow Up can be used which has more advantages and less cost.


2008 ◽  
Vol 40 (Supplement) ◽  
pp. S68
Author(s):  
Norimitsu Kinoshita ◽  
Tatsuo Sakai ◽  
Fuminori Katsukawa ◽  
Junichiro Okada ◽  
Miki Kato ◽  
...  

2007 ◽  
Vol 109 (5) ◽  
pp. 399-405 ◽  
Author(s):  
Masih Saboori ◽  
Jalal Ahmadi ◽  
Zahra Farajzadegan

2019 ◽  
Vol 7 (3) ◽  
pp. 269-277
Author(s):  
Roghieh Molaei-Langroudi ◽  
Ahmad Alizadeh ◽  
Ehsan Kazemnejad-Leili ◽  
Vahid Monsef-Kasmaie ◽  
Seyed-Younes Moshirian

2020 ◽  
Vol 5 (1) ◽  
pp. e000453
Author(s):  
Kasamon Aramvanitch ◽  
Chaiyaporn Yuksen ◽  
Chetsadakon Jenpanitpong ◽  
Promphet Nuanprom ◽  
Yuranan Phootothum ◽  
...  

BackgroundPatients with mild traumatic brain injury (TBI) will receive a brain CT scan based on risk of injury. A previous study established a scoring system for patients with mild TBI that assigned <3 points for the low-risk group, 3–6 points for the moderate-risk group, and ≥6 points for the high-risk group. The purpose of this study was to evaluate the external validity of mild TBI risk scores for predicting intracranial hemorrhage in patients with mild TBI who had been transferred to receive a brain CT scan at the 10 nationwide CT scan–capable facilities in Thailand.MethodsThe study was a retrospective cross-sectional review of patients with mild TBI who received a brain CT scan in 10 nationwide hospitals of Thailand. Risk factors were observed and points calculated for predicting mild TBI scores based on patient records. Injured patients were divided into two groups: CT scans indicating normal and abnormal brain images. After this, the accuracy of mild TBI score for predicting the presence of intracranial hemorrhage was investigated.ResultsThe study included a total of 999 patients, comprising 461 (46.15%) patients with abnormal brain CT scans indicating intracranial hemorrhage and 538 (53.85%) indicating no intracranial hemorrhage. In the low-risk group (mild TBI risk score <3), moderate-risk group (mild TBI risk score 3–6), and high-risk group (mild TBI risk score >6), the likelihood ratio positive of brain CT scans were 0.41, 3.53, and 77.3, respectively.DiscussionMild TBI risk score may assist healthcare providers to select patients with mild TBI for brain CT scan referral, particularly in hospitals without CT scan facilities. In such cases, based on the proposed scoring system, immediate transfer of moderate-risk and high-risk patients with mild TBI to a CT scan–capable facility is necessary.


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