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Bains, Vikram
- Descriptive Study of Skull Fracture and its Associated Features at Tertiary Care Hospital, Northern India
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Authors
Affiliations
1 Department of Forensic Medicine, Chintpurni Medical College and Hospital, Pathankot, Punjab, IN
2 Department of Forensic Medicine, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, IN
3 Department of Forensic Medicine, Government Medical College and Hospital, Sector-32, Chandigarh, IN
4 Department of General Surgery, Government Medical College and Hospital, Sector-32, Chandigarh, IN
5 Department of Radio-diagnosis, Government Medical College and Hospital, Sector-32, Chandigarh, IN
1 Department of Forensic Medicine, Chintpurni Medical College and Hospital, Pathankot, Punjab, IN
2 Department of Forensic Medicine, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, IN
3 Department of Forensic Medicine, Government Medical College and Hospital, Sector-32, Chandigarh, IN
4 Department of General Surgery, Government Medical College and Hospital, Sector-32, Chandigarh, IN
5 Department of Radio-diagnosis, Government Medical College and Hospital, Sector-32, Chandigarh, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 107-110Abstract
Head injury is a morbid state and commonly results during the road traffic accident. Identification of studied pattern helps to understand the potential fatal head injury. Objective: to describe the nature and pattern of skull fractures among deceased due to injury at tertiary care hospital of North India. Study design: descriptive Study. Method and Procedures: Autopsy. Results: Head injury with skull fracture found to be associated with road traffic accident (92.8%) among total 87 deceased. The base skull fracture was common (44.0%), followed by base and vault (31.0%). The ratio of unilateral to bilateral involvement of skull vault in fracture was 2.40:1. Intracranial hemorrhage was the most frequent associated with the fracture. Conclusion: Most of the cases of head injury is due to vehicular accidents and proved to be fatal for life, the safety measures, for both the drivers and the passengers of the respective vehicles should be addressed.Keywords
Head Injury, Skull Fracture, Hemorrhage
References
- Available at http://www.ninds.nih.gov/ disorders/tbi/tbi.htm (accessed on 12.2.2012)
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- Dhillon S, Kapilla P, Sekhon HS (2007) Pattern of injuries present in road traffic accident in shimla hills. Journal of Punjab Academy of Forensic Medicine and Toxicology 7(2): 7-10
- Yavuz MS, Asirdizer M, Cetin G, Gunay Balci Y, Altinkok M (2003) The correlation between skull fractures and intracranial lesions due to traffic accidents. Am J Forensic Med Pathol 24(4):339- 45.
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- Depreitere B, Van Lierde C, Maene S, Plets C, Vander Sloten J, Van Audekercke R (2004) Bicyclerelated head injury: a study of 86 cases. Accid Anal Prev 36(4):561-7.
- Aggarwal SS, Sheikh Llyias, Kumar L (2005) Cranio-cerebral trauma deaths a postmortem study on 0 to 15 age group. Journal of Indian Academy of forensic Medicine 27(3); 45-49.
- Zafar E M, Johan R S, M Husain (2005) A Study of pattern of head injury in district Aligarh U.P. India. Journal of Indian Academy of forensic Medicine 27(2); 44-48.
- Potapov AA, Gavrilov AG, Kravchuk AD, Likhterman LB, Kornienko VN, Arutiunov NV et al. (2004) Basilar skull fractures: clinical and prognostic aspects. Zh Vopr Neirokhir Im N N Burdenko 3: 17-23.
- Wysocki J (2005) Cadaveric Dissections Based on Observations of Injuries to the Temporal Bone Structures following Head Trauma. Skull Base. 15(2): 99–106.
- Yavuz MS, Asirdizer M, Cetin G, Gunay Balci Y, Altinkok M (2003) The correlation between skull fractures and intracranial lesions due to traffic accidents. Am J Forensic Med Pathol 24(4): 339-345.
- Menon A, Nagesh KR (2005) Pattern of fatal head injuries due to vehicular accident in manipal. Journal of Indian Academy of forensic Medicine 27(1); 34-40.
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- Pattern of Injuries among Deceased Reported at Hospitals in Chandigarh, India
Abstract Views :369 |
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Authors
Affiliations
1 Department of Forensic Medicine, Chintpurni Medical College and Hospital, Pathankot, Punjab, IN
2 Department of Forensic Medicine, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, IN
3 Department of Forensic Medicine, Government Medical College and Hospital, Sector-32, Chandigarh, IN
4 Department of General Surgery, Government Medical College and Hospital, Sector-32, Chandigarh, IN
5 Department of Radiodiagnosis, Government Medical College and Hospital, Sector-32, Chandigarh, IN
1 Department of Forensic Medicine, Chintpurni Medical College and Hospital, Pathankot, Punjab, IN
2 Department of Forensic Medicine, Santosh Medical College and Hospital, Ghaziabad, Uttar Pradesh, IN
3 Department of Forensic Medicine, Government Medical College and Hospital, Sector-32, Chandigarh, IN
4 Department of General Surgery, Government Medical College and Hospital, Sector-32, Chandigarh, IN
5 Department of Radiodiagnosis, Government Medical College and Hospital, Sector-32, Chandigarh, IN
Source
Indian Journal of Forensic Medicine & Toxicology, Vol 7, No 2 (2013), Pagination: 193-196Abstract
Brain tissue injury and the intracranial hemorrhage due to skull fracture are the known conditions among accident victims that potentially threaten the human life. Location and type of injury/ hemorrhage for brain determines the state of health or death.Objective: To study the type and pattern of skull fracture, intracranial hemorrhage and brain tissue injury among accident deceased at hospitals, Chandigarh, India.
Study design: Hospital based cross-sectional study.
Method and Procedures: Post-mortem of the deceased. Results: Road traffic injury (RTI) was observed among 78 of total 87 studied deceased. Head injury with skull fracture found to be associated with road traffic accident (92.8%) among total 87 deceased. Linear fracture involving frontal and parietal bone of skull was common (36.7%). Intracranial hemorrhage (Subdural; 43.1%: Extradural; 31.9%: Subarachnoid; 19.4%: Intacerebral; 5.6%), contusion and edema were commonly associated observations.
Conclusion: Intracranial hemorrhage is most common associated finding and possible reason for death among deceased due to head injury, being RTI is most common cause for head injury.
Keywords
Road Traffic Injury, Skull Fracture, HemorrhageReferences
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- Dhillon S, Kapilla P, Sekhon HS. Pattern of injuries present in road traffic accident in shimla hills. Journal of Punjab Academy of Forensic Medicine and Toxicology 2007;7(2): 7-10
- Yavuz MS, Asirdizer M, Cetin G, Gunay Balci Y, Altinkok M. The correlation between skull fractures and intracranial lesions due to traffic accidents. Am J Forensic Med Pathol 2003 Dec; 24(4):339-45.
- Chandra J, Dogra TD, Dikshit PC. Pattern of Cranio-Intracranial injuries in Fatal Vehicular Accidents in Delhi, 1966-76. Med Sc. Law 1979;19(3):186-94.
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- Aggarwal SS, Llyias S, Kumar L. Cranio cerebral truma deaths a postmortem study on 0 to 15 age group. J Indian Acad Forensic Med 2005;27(3):45-9.
- Zafar EM, Johan RS, Husain M. A Study of pattern of head injury in district Aligarh U.P. India. J Indian Acad Forensic Med 2005;27(2):44-8.
- Wysocki J. Cadaveric Dissections Based on Observations of Injuries to the Temporal Bone Structures following Head Trauma. Skull Base 2005;15(2):99-106.
- Potapov AA, Gavrilov AG, Kravchuk AD, Likhterman LB, Kornienko VN, Arutiunov NV et al. Basilar skull fractures: clinical and prognostic aspects. Zh Vopr Neirokhir Im N N Burdenko 2004;3:17-23.
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- Depreitere B, Van Lierde C, Maene S, Plets C, Vander Sloten J, Van Audekercke R, Van der Perre G, Goffin J. Bicycle-related head injury: a study of 86 cases. Accid Anal Prev 2004;36(4):561-7.