Uduma Felix U, Okere Philip Chinedu N, Ekpene Ubong U, Nottidge Timothy E
Department of Radiology, Faculty of Clinical Sciences, University of Uyo, Uyo, Nigeria.
Department of Radiation Medicine, Faculty of Medical Sciences, University of Nigeria, Enugu, Nigeria.
Niger Med J. 2020 Sep-Oct;61(5):252-256. doi: 10.4103/nmj.NMJ_10_20. Epub 2020 Oct 13.
Computed tomography (CT) remains the gold standard in imaging evaluations of traumatic brain injury (TBI). TBI on its own has become a major concern in developing countries with its untoward effects.
The objective was to appraise the craniocerebral computed tomograms of patients who had TBIs.
A retrospective study of patients who underwent craniocerebral CT on account of head injury in the University of Uyo Teaching Hospital, Uyo, Nigeria, from November 13, 2013 to May 31, 2019 was done. The duration was regardless of the disjointed periods of service interruption. Patients' demographic and CT features were evaluated with application of simple analysis of data.
Two hundred and thirty-two patients were evaluated with minimum and maximum ages of 6 months and 78 years, respectively. Males were predominant with a ratio of 2.74: 1. Most affected age ranges were 30-39 years (23.27%) and 20-29 (22.84%). Normal brain CT was seen in 44 patients (18.97%). The most frequent lesion in patients with abnormal CT was intracranial hemorrhages ( = 188, 81.03%). Here, extra-axial hemorrhages ( = 100, 53.19%) supersede intracerebral hemorrhages ( = 88, 46.81%). Half of the intracerebral hemorrhages were multiple. Calvarial fractures were seen in 34.48% ( = 80) of patients. The most common localization was the facial bones ( = 24, 30.00%), whereas the least site was the occipital bone ( = 4, 5.00%). Fifteen percent of the patients had multiple fractures which also included base of the skull.
TBIs commonly occur among young active males. The most frequent lesion is intracranial hemorrhages with extra-axial bias.
计算机断层扫描（CT）仍是创伤性脑损伤（TBI）影像学评估的金标准。TBI本身因其不良影响已成为发展中国家的一个主要关注点。
目的是评估患有TBI患者的颅脑计算机断层扫描图像。
对2013年11月13日至2019年5月31日在尼日利亚乌约大学教学医院因头部受伤接受颅脑CT检查的患者进行回顾性研究。研究时长不计服务中断的间断期。通过简单的数据分析法对患者的人口统计学特征和CT特征进行评估。
共评估了232例患者，年龄最小6个月，最大78岁。男性占主导，男女比例为2.74:1。受影响最严重的年龄范围是30 - 39岁（23.27%）和20 - 29岁（22.84%）。44例患者（18.97%）脑CT正常。CT异常患者中最常见的病变是颅内出血（n = 188，81.03%）。其中，脑外出血（n = 100，53.19%）多于脑内出血（n = 88，46.81%）。一半的脑内出血为多发性。34.48%（n = 80）的患者有颅骨骨折。最常见的骨折部位是面骨（n = 24，30.00%），而最少见的部位是枕骨（n = 4，5.00%）。15%的患者有多发性骨折，其中还包括颅底骨折。
TBI常见于年轻活跃男性。最常见的病变是颅内出血，且以脑外出血为主。
