POST – MORTEM EXAMINATION AND CT SCAN FINDINGS OF FATAL HEAD INJURY CASES - A COMPARATIVE STUDY
Keywords:
Fatal Head Injuries, Haemorrhage, Post – Mortem examination, Computed TomographyAbstract
Background: Nowadays CT scan is done in most head injury cases. The patients who do not survive are subjected to further investigations in the form of post-mortem examination. In most cases a correlation can be shown between the reported CT scan findings and post-mortem findings. However, in few cases the lesion may be misdiagnosed or remain undiagnosed by CT scan examination. Aim : • Comparison of ante–mortem CT scan findings with post–mortem autopsy findings. To compare our present study data with other studies. Methodology: The study was conducted with 255 cases of fatal head injury registered in Post–Mortem Register and autopsied at Forensic Medicine and Toxicology department, Indira Gandhi Medical College and Research Institute, Puducherry. The details likes scalp injuries, type of skull fracture, brain injury and intracranial Haemorrhage were recorded. Evaluation was done for the cases available with CT scan findings.
References
Pathak A, Singh D, Khandelwal N, Fallacies of Routine CT scan in Identifying Lesions in head injuries. Indian Journal of Neuro-traum (ISNT)2006;3(1):37-42.
Sharma R, Murari A. A comparative evaluation of CT scan findings and post mortem examination findings in head injury. IIJFMT 2006;4(2)
Scholing M, Saltzerr TP, Fung Kon Jin PHP,Ponsen KJ , ReitsmaJB, Lameris JS, Gosling JC. The value of postmortem computed tomography as an alternative for autopsy in trauma victim. EUR Radiol 2009;19:2333- 41.
Radjou AN, Balliga DK, Pal R, Mahajan P. Injury Related Mortality Audit in a Regional Trauma Centre at Puducherry, India. J Emerg Trauma Shock 2012 Jan mar;5(1):42-8. doi: 10.4103/0974-2700.93111
Yattoo GH, Tabish SA, The profile of head injuries and traumatic brain injury deaths in Kashmir. Journal of Trauma Management & Outcomes 2008, 2:5 doi:10.1186/1752-2897-2-5. Pg1-Pg9.
Sharma BR, Harish D, Singh G, Viji K. Patterns of fatal head injury in road traffic accidents. Bahrain Medical Bulletin 2003 March;25(1):22-5.
Kakeri SR, Balagi MA, Goudar ES, Quadery SY. Pattern of injury and retained by the occupants of two wheelers during RTA. Al Ameen J med sci 2014 ; 7(2):118-24.
Yattoo GH, Tabish SA, Rangrez RA, Afzal MA, Bukhari IA, Kirmani MA. Injuries Profile of Head Trauma patients. JK-Practioner 2008;15(2):31-32.
Ahmad K, Rauniyar RK, Ansari S, Gupta MK. Spectrum of various patterns of injuries in Cranio cerebral Trauma. CT evaluation Indian J Basic App Med Res 2013 Dec;3(1):321-7.
Al-Rawi WH, Naser RF. Skull fractures in head-injured patients attending the accident and emergency department of the Teaching hospital at Kadhimiyah: a retrospective Study of 100 consecutive cases. Iraqi Journal of Medical Sciences 2006;5(1):82-94.
Charturvedi RK, Mishra A, Chaturvedi P. Pattern of Head Injuries in Fatal Road Traffic Accidents. J Evolution Med and Dental Sciences 2014;3(21):5645- 51.
Hemalatha N, Gambhir Singh O. Patterns of Cranio intra-cranial injuries in fatal head injuries in fatal head injury. J Indian Acad Forensic Med 2013 April june;15(2):106-8.
Yogesh G. “Pattern of Injuries in Fatal Road Traffic Accidents: Autopsy Based Study”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 4, January 26, 2015; Page: 321-327.
Ahmad M, Rahman FN, Chowdhury MH, Islam AKmS, Hakim MA., Post-mortem study of head injury in fatal road traffic accidents. JAFMC Bangladesh 2009 Vol 5, No 2, Dec 2009, Pg24-Pg28.
Dash SK, Raj AK. Variability in Intra-cranial haemorrhage in relation to nature of trauma to the head. J Indian Acad Forensic Med 2005;31(4):344-9.
