International Journal of Health and Clinical Research

Yazarlar: Momin Abdul Jaleel, Ritesh Rakesh Bhalla, Balaji Varaprasad, Shighakolli Ramesh

Konular:-

Anahtar Kelimeler:Cranial nerve,Head injuries,Glasgow Coma Scale (GCS)

Özet: Introduction: The incidence of cranial nerve injuries in craniocerebral trauma varies between 5-23 percent in various literature and can occur by sudden acceleration/deceleration, brain stem injury or injury to the skull base. Aims: To evaluate the involvement of cranial nerves in mild and moderate head injuries and to find out clinicoradiological correlation. Materials and methods: The present prospective observational and descriptive study was done at Kamineni hospitals, L.B. Nagar, Hyderabad on 950 patients to evaluate the involvement of cranial nerves in mild and moderate head injuries and to assess the clinicoradiological correlation. Results: Cranial nerve injuries were seen in 134 cases, but cumulative number of cranial nerve palsies was 248. However, out of 134 cases radiological correlation was seen in only 114 cases. Significant association was found between involvement of cranial nerve and clinical and radiological findings (p<0.05). Cranial nerve VI was involved in most of the cases (42), followed by cranial nerve III (41), cranial nerve VII (41). Cranial nerve I was involved in 23 cases, II and IV in 28 cases each, V in 20 cases, cranial nerve VIII in 16 cases, IX and X in 4 cases each. Conclusion: Meticulous clinical and radiological examination, documentation and follow-up are essential to detect cranial nerve injuries mild and moderate head injuries

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