A Study on Pattern of Intracranial Injuries in Cases of Fatal Head Injury.

Abstract

Head injuries are the most common cause of death in trauma patients throughout the world. These injuries occur due to many causes most common of them being road traffic accidents, followed by fall, assault, etc. The dissection technique of scalp, skull and dura was in accordance with the procedures suggested by Gresham GA and Turner AF and the brain dissection as suggested by Ludwig J. Among the 42 cases, highest number of cases was between the age of 51-60 years with 12 cases (28.6%) and the lowest < 20 years with 4 cases (9.5%). The highest number of cases were seen among the upper middle class with 19(45.2%). There were 30 (71.4%) cases of road traffic accidents and the remaining 12 (28.6%) were case of fall (fall from height, fall of objects etc). Among the cases with skull fracture 23.8% (10) had linear fractures, 11.9% (5) had comminuted fracture, 2.4% (1) had diastatic fracture and others (61.9%) had no fractures. Among the cases with skull fracture 23.8% (10) had linear fractures, 11.9% (5) had comminuted fracture, 2.4% (1) had diastatic fracture and others (61.9%) had no fractures. Subdural hemorrhage was the commonest (n=34) intracranial injury observed. Highest number of fractures were present in the middle cranial fossa (n=16) among them 11 was linear fractures and 5 were comminuted fractures.