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Article Number - 352D4EB50440


Vol.6(1), pp. 1-15 , February 2015
DOI: 10.5897/MPR.2014.0125
ISSN: 2141-2596



Full Length Research Paper

Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria: A cross sectional study



Akinwunmi Olalekan Akanji
  • Akinwunmi Olalekan Akanji
  • Radiology Department, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
  • Google Scholar
Rachael Adeyanju Akinola*
  • Rachael Adeyanju Akinola*
  • Radiology Department, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
  • Google Scholar
Babajide Olawale Balogun
  • Babajide Olawale Balogun
  • Radiology Department, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
  • Google Scholar
Aliu Olabanji Akano
  • Aliu Olabanji Akano
  • Radiology Department, National Hospital, Central District Area, Garki, Abuja, Nigeria.
  • Google Scholar
Omolola Mojisola Atalabi
  • Omolola Mojisola Atalabi
  • Radiology Department, College of Medicine, University College Hospital, Ibadan, Oyo State, Nigeria.
  • Google Scholar
Michael A. N. Akinkunmi
  • Michael A. N. Akinkunmi
  • Radiology Department, BT Diagnostic Center, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
  • Google Scholar
Gbolahan O. G. Awosanya
  • Gbolahan O. G. Awosanya
  • Radiology Department, College of Medicine, Lagos State University Teaching Hospital, Ikeja, Lagos State, Nigeria.
  • Google Scholar







 Received: 29 November 2014  Accepted: 02 February 2015  Published: 28 February 2015

Copyright © 2015 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0


Trauma is the leading cause of death in all age groups, and head trauma is the cause of death in more than 50% of cases. Head injury reduces the level of physical and mental health of a community, ultimately increasing the socioeconomic burden. In our resource limited country, skull x ray was the main mode of investigating head trauma until recently when computerized tomography (CT) scans became the modality of choice in the initial work up of patients. In this study, we sought to document the various posttraumatic CT scan findings following head injury in a tertiary hospital in Lagos and determine the sociodemographic and radiological characteristics of such patients. This was a descriptive, prospective, cross-sectional study of the CT scan findings of 400 cases with acute head trauma, from June 2010 to October 2011. The mean age of the participants was 32.7±18.2 years with a male to female ratio of 2.5:1. Majority, 65.5% of the study subjects had positive CT findings while the remaining, 34.5% had normal CT findings. Road traffic accident (RTA) was found to be the most common cause of head injury, occurring in 69% cases, especially in the 21 to 30 years age group. Cerebral contusions, 35.5% and skull fractures, 34.3% were the most common lesions found while foreign body, 1.5% were the least. This study confirmed the versatility of CT scan in detecting both intracranial and extra cranial lesions in patients with head injury from RTA, which is the most common cause, while the most frequent lesion was cerebral contusion.

 

Key words: Computerized tomography scan, head trauma, Lagos.

Adeolu AA, Malomo AO, Shokunbi MT, Komolafe EO, Abiona TC (2005) Etiology of Head injuries in Southwestern Nigeria: A public health Perspective. Int. J. Epidemol. 2(2).
 
Asaleye CM, Famurewa OC, Komolafe EO, Komolafe MA, Amusa YB (2005). The pattern of computerised tomography findings in moderate and severe head injuries in Ile-Ife, Nigeria. West Afr. J. Radiol. 12:08-13.
 
Bordignon KC, Arruda WO (2002) CT scan findings in mild head trauma: a series of 2,000 patients. Arq. Neuro-Psiquiatr. 60 (2A):204-210.
Crossref
 
Chalya LP, Kanumba SE, Mabula BJ, Giiti G, Gilyoma MJ (2011). Aetiological spectrum, Injury characteristics and treatment outcome of head injury patients at Bugando Medical Centre in North-western Tanzania. Tanzania J. Health Res. 13(1):93-102.
Crossref
 
Chieregato A, Fainardi E, Morselli-Labate AM, Antonelli V, Compagnone C, Tarqa L, Kraus J, Servadei F (2005). Factors associated with neurological outcome and lesion progression in traumatic subarachnoid haemorrhage patients. Neurosurgery 56(4):671-680.
Crossref
 
Donnelly LF (2001) Neurologic system. In: Fundamentals of Paediatric Radiology, 1st edition. Philadelphia WB Saunders. pp. 223-263.
 
Emejulu JKC, Malomo O (2008). Head trauma in a newly established Neurosurgical center in Nigeria. East Cent. Afr. J. Sur. 13(1):86-94.
 
Emejulu JKC, Ekweogwu CO, Nottidge T (2009). The burden of motorcycle-related neurotrauma in South-East Nigeria. J. Clin. Med. Res. 1(1):13-17.
 
Grupta Prashant K, Krishnal A, Dwinvedi Amit N, Gupta K, Bala M, Gary G, Agarwal S (2011). CT scan findings and outcomes of head injury patients: A cross sectional study. J. Pioneering Med. Sci. 1(3):78-82.
 
Haibo Xu, Haojun Shi, Hanping Wu (2003). Normal anatomy. In: J.R. Haaga, C.F. Lanzeiri, C. Robert, Gilkeson (eds): CT and MRI of the whole body. 5th edition. Mosby Elsevier. pp. 3-48.
 
Hirsh LF (1979). Delayed traumatic intracerebral haematomas after surgical decompression. Neurosurgery 5(6):653-655.
Crossref
 
Iribhogbe PE, Osime CO (2008). Compliance with seat belt use in Benin City, Nigeria. J. Prehosp. Disaster Med. 23(1):16-19.
 
Isyaku K, Sai'du SA, Tabari AM (2006). Computed Tomography findings in head trauma in Sokoto (North West Nigeria). West Afr. J. Radiol. 13(1):08-13.
 
Jennett B (1996). Epidemiology of head injury. J. Neurol. Neurosurg. Psychiatry. 60:362-369.
Crossref
 
John MS (2008). Cranial and Intracranial Disease. Trauma, Cerebrospinal fluid disturbances, degenerative disorders and epilepsy. In: Grainger RG, Allison DJ (eds.), Diagnostic Radiology. 5th edition. Church Hill Living Stone Elsevier. pp. 1341-1354.
 
Khan MH, Ahmed I, Zia N (2007). Road traffic accidents; study of risk factors. Prof. Med. J. 14(2):323-327.
 
Klauber MR, Marshall LF, Luerssen TG (1989) Determinants of head injury mortality: Importance of the low risk patient. Neurosurgery 24:31-36.
Crossref
 
Leong KM, Vijayananthan A, Sia SF, Waran V (2008). Pneumocephalus: an uncommon finding in trauma. Med. J. Malaysia. 63(3):256-258.
Pubmed
 
Li YM, Hu SC, Fu CC (2006). Mortality from motor vehicle crash injuries in eastern Taiwan- A five year follow up study. Tzu Chi Med. J.18:23-28.
 
Maria M, Pascut M, Barsateanu F, Motoi S, Tutelca A, Visa AM, Cristian Socoliuc (2003). Computed tomography versus Magnetic resonance imaging in evaluation of head injuries. Timisoara Med. J. 53(3):234-240.
 
Mauricio C. Trauma. In: Neuro-radiology companion. 3rd edition. Lippincott Williams & Wilkins, 2006:44-58.
 
Mebrahtu-Ghebrehiwet M, Quan L, Andebirha T (2009). The profile of CT scan findings in acute head trauma in Orotta Hospital, Asmara, Eritrea. J. Eritrean Med. Assoc. 4(1):05-08.
 
Obajimi MO, Jumah KB, Brakohuapa WO, Idrisu WW (2002). Computed tomography features of head injury in Ghanaian children. Nigerian J Surg. Res. 4 (3-4):84-88.
 
Ogunseyinde AO, Obajimi MO, Ogundare SM (1999). Radiological evaluation of head trauma by computer tomography in Ibadan, Nigeria. WAJM 18 (1):33-38.
 
Ohaegbulam SC, Mezue WC, Ndubuisi CA, Erechukwu UA, Ani CO (2011). Cranial computed tomography scan findings in head trauma patients in Enugu, Nigeria. Surg. Neurol. Int. 2:182.
Crossref
 
Paolo T, Andrea R, Roberta B (2005). Accidental head trauma. In: Paediatric Neuroradiology Brain. 1st edition. Berlin, Heildeberg, Newyork, Springer, 2005:893-927.
 
Rabie JA, 0tto S, Le Roux AJ (2010). Is computed tomography of the brain necessary in patients with clinically suspected fracture and no focal neurological deficit? South Afr. J. Radiol. 14(2):28-30.
 
Scheid R, Preul C, Gruber O, Wiggins C, Yves Von Cramon D (2003). Diffuse axonal injury associated with chronic traumatic brain injury: Evidence from T2-weighted gradient-echo imaging at 3T. AJNR 24:1049-1056.
Pubmed
 
Shehu BB (2002) Practical management of head injury. Annals Af Medicine 1(1):08-17.
 
Smith DH, Meaney DF, Shull WH (2003). Diffuse axonal injury in head trauma. J. Head Trauma Rehabil. 18(4):307-316.
Crossref
 
Stacey R, Leach J (2008). Head Injury. In: Bailey & Love's Short practice of surgery. 25th Edition. Edward Arnold Publishers, 2008:299-308.
 
Stein SC, Ross SE (1992). Mild head injury: a plea for routine early CT scanning. J. Trauma 33 (1):11-13.
Crossref
 
Steudel W, Hacker H (1989). Acute intracranial pneumocephalus: Prognosis and management- a retrospective analysis of 101 cases. Neurosurg. Rev. 12 (1):125-136.
Crossref
 
Taheri MS, Hemadi H, Sajadinasab M, Sharifi G, Jalali AH, Shakiba M (2007). Computed tomography findings in patients with mild head trauma. Iran J. Radiol. 4(4):227-230.
 
Vitali AM, le Roux AA (2007). Tension Pneumocephalus as a complication of intracranial pressure monitory: A case report. Indian J. Neurotrauma 4(2):115-118.
Crossref
 
Wasenko JJ, Hochauser L (2003). Central Nervous System Trauma. In: Haaga JR, Lanzeiri CF, RC Gilkeson (eds): CT and MRI of the whole body. 5th edition. Mosby Elsevier. pp. 295-336.
 
Zimmerman RA, Bilaniuk LT, Gennareli T, Bruce D, Dolinskas C, Uzzel B (1978). Cranial computed tomography in diagnosis and management of acute head trauma. Am. J Roentgenol. 131:27-34.
Crossref
 
Zwienenberg M, Muizelar JP (1999). Severe paediatric head injury: the role of hyperaemia revisited. J. Neurotrauma 16(10):937-943.
Crossref

 


APA Akanji, A. O., Akinola*, R. A., Balogun, B. O., Akano, AO., Atalabi, O. M., Akinkunmi, M. A. N., & Awosanya, G. O. G. (2015). Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria: A cross sectional study. Medical Practice and Reviews, 6(1), 1-15.
Chicago Akinwunmi Olalekan Akanji, Rachael Adeyanju Akinola, Babajide Olawale Balogun, Aliu Olabanji Akano, Omolola Mojisola Atalabi, Michael A. N. Akinkunmi and Gbolahan O. G. Awosanya. "Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria: A cross sectional study." Medical Practice and Reviews 6, no. 1 (2015): 1-15.
MLA Akinwunmi Olalekan Akanji, et al. "Computerized tomography scan and head injury: The experience in a tertiary hospital in Nigeria: A cross sectional study." Medical Practice and Reviews 6.1 (2015): 1-15.
   
DOI 10.5897/MPR.2014.0125
URL http://academicjournals.org/journal/MPR/article-abstract/352D4EB50440

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