Variability in Intracranial hemorrhages in relation to nature of trauma to the head – A two year study

2009 
With growing population, rapid urbanization and industrialization associated with high materialistic mind of human beings, incidence of unnatural deaths increasing in geometrical progression. Out of all unnatural deaths trauma plays the major role and head is the most vulnerable part to receive injuries in different manners. Intracranial hemorrhage being one of the major entities amongst all types of intracranial lesions is not only responsible for death but also impart numerous complications in life. Though many authors highlighted deaths and complications of Intracranial hemorrhages in details still no appropriate attempt had been made to evaluate such lesions in relation to different causative agents. Very little information regarding the epidemiology of ICH in head injuries with reference to causative agents is available. In this present study it is seen that most of the victims belong to male population (78.26%) and of within 21 to 40 years (49.27%) age group, RTA was found to be the most common cause of head injuries revealing ICH (51.68%) whereas hard and blunt instrument was used to cause ICH in the most of the assault related head injuries, injury to the scalp was detected in 95% cases of EDH, fracture of the skull bone was found in 90% cases of EDH whereas SDH occurs in 56.88% of cases without any fracture to skull bone, mixed type of ICH was detected in 35.74% followed by solitary SDH in 28.01%, the commonest site of EDH is found to be at temporal region (45%) followed by Frontal (30%), whereas SDH is more common over Parietal area (48.29%) followed by Frontal (25.86%).
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