ABSTRACT

Our aim is to interpret brain tomographies of the patients who had a head trauma and to compare with the literature.

Cranial tomographies of 800 patients who had a history of head trauma were interpreted retrospectively.

There were 800 patients as 460 females (55%) and 340 males (45%). The etiology of trauma were fall in 544 patients (68.0%) physical attacks in 104 patients (13.0%), traffic accidents in 120 patients (15%) and other accidents at home, at work or outside in 32 patients (4%). In 68 traffic accidents patients were out of the vehicle (56.6%), in 52 traffic accidents patients were in the vehicle (43.4%). There were hematoma under the scalp in 132 cases (16.5%), cranial bone fractures in 28 cases (3.5%), subdural hematoma in 14 cases (1.75%), subarachnoid hemorrhages in 11 patients (1.375%), intraparanchimal hematoma in 8 cases (1.0%) and other pathologies in 11 cases (1.375%). There weren’t any pathologies secondary to trauma in 596 patients (74,5%).

Although CT indication in mild head traumas is controversial due to risk of radiation exposure, cranial CT is still the first diagnostic method due to feasibility and reliability to avoid missing an intracranial damage that would result an potential neurological deficit even death.

Keywords: Head trauma, computerised tomography