Medico-Legal Update

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Pattern of Head Injuries in Road Traffic Accidents in Imphal


Affiliations
1 Department of Forensic Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya - 793018, India
2 Department of Forensic Medicine, Regional Institute of Medical Sciences (RIMS), Imphal, India
     

   Subscribe/Renew Journal


This study was conducted at the mortuary of the Regional Institute of Medical Sciences during the period of September 2007 to August 2009 on 126 victims of road traffic accidents, who had sustained head injuries. It was observed that majority of the cases were in the age group of 21-30 years (28.57%) with the male: female ratio of 2:1. Pedestrians (38.89%) were the commonest victims and trucks were the frequent offending vehicles. Fissured fracture was observed in 54.72% followed by comminuted fracture in 33.96%. Temporal bone was the most frequent bone (33.96%) to be fractured. 43.42% of the victims had intracranial haemorrhage, of which 47.19% had subdural with subarachnoid haemorrhage. 77.5% had laceration of the brain and 31.25% had contre coup lesions. 38.10% died on the spot while another 38.10% died within 6 hours. The study highlights the need for implementation of stricter traffic rules and provision of emergency trauma services at the site of accidents.

Keywords

Road Traffic Accident, Head Injury, Pattern, Fracture, Intracranial Haemorrhage
Subscription Login to verify subscription
User
Notifications
Font Size


  • National Crime Reports Bureau (NCRB), Annual Report on Road Accidents. 2010.

  • Dhillon S, Kapila P and Sekhon HS. Pattern of injuries in road traffic accidents in Shimla hills. JPAFMAT. 2007; 7(2): 50 – 53.

  • Sharma BR, Harish D, Singh G and Vij K. Patterns of Fatal Head Injury in Road Traffic Accidents. Bahrain Med Bull. 2003; 25(1):22-25.

  • Tirpude BH, Naik RS, Anjankar AJ and Khajuria BK. A study of the pattern of cranio – cerebral injuries in road traffic accidents. JIAFM. 1998; 20 (1): 9 –12.

  • Menon A and Nagesh KR. Pattern of fatal head injuries due to vehicular accidents in Manipal. JIAFM. 2005; 27(1): 19 – 22.

  • Pathak A, Deania NL and Verma R. Profile of Road Traffic Accidents and head injury in Jaipur (Rajasthan). JIAFM. 2009; 30(1): 6-9.

  • Gupta S, Deb PK, Moitra R and Chhetri D. Demographic study of fatal cranio cerebral road traffic injuries in North Bengal region. JIAFM. 2007; 29(1): 25 – 27.

  • Tandle RM and Keoliya. Patterns of head injuries in fatal road traffic accidents in a rural district of Maharasthra-autopsy based study. JIAFM. 2011; 33(3):228-231.

  • Gupta A, Dikshit PC, Rani M and Setia P. A study of injuries of Circle of willis in cases of fatal road traffic accidents. Jounal of Forensic Medicine and Toxicology. 2003; 20(2): 37 – 39.

  • Reddy KSN. The essentials of forensic medicine and toxicology. 29th edition. Hyderabad: K. Saguna Devi; 2010. P.219

  • Kumar A, Lalwani S, Agrawal D, Rautji R and Dogra TD. Fatal Road Traffic Accidents and their relationship with head injuries: An epidemiological survey of five years. Indian Journal of Neurotrauma. 2008; 5 (2): 63-67.

  • Ahmad M, Rahman FN, Chowdhury MH, Islam AKMS, Hakim MA. Postmortem study of head injury in fatal road traffic accidents. JAFMC Bangladesh. Dec 2009;5(2):24-28

  • Singh H and Dhattarwal SK. Pattern and distribution of injuries in fatal road traffic accidents in Rohtak (Haryana), JIAFM; 26 (1): 20 – 23, 2004.

  • Kual A, Sinha U S, Pathak YK, Singh A, Kapoor AK, Sharma S and Singh S. Fatal road traffic accidents, study of distribution, nature and type of injury. JIAFM. 2005; 27(2): 71 – 76.

  • Marshall LF. “Head injury: Recent past, present, and future”. Neurosurgery Sept. 2000; 47 (3): 546–561.


Abstract Views: 701

PDF Views: 2




  • Pattern of Head Injuries in Road Traffic Accidents in Imphal

Abstract Views: 701  |  PDF Views: 2

Authors

Daunipaia Slong
Department of Forensic Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya - 793018, India
Meera Devi
Department of Forensic Medicine, Regional Institute of Medical Sciences (RIMS), Imphal, India

Abstract


This study was conducted at the mortuary of the Regional Institute of Medical Sciences during the period of September 2007 to August 2009 on 126 victims of road traffic accidents, who had sustained head injuries. It was observed that majority of the cases were in the age group of 21-30 years (28.57%) with the male: female ratio of 2:1. Pedestrians (38.89%) were the commonest victims and trucks were the frequent offending vehicles. Fissured fracture was observed in 54.72% followed by comminuted fracture in 33.96%. Temporal bone was the most frequent bone (33.96%) to be fractured. 43.42% of the victims had intracranial haemorrhage, of which 47.19% had subdural with subarachnoid haemorrhage. 77.5% had laceration of the brain and 31.25% had contre coup lesions. 38.10% died on the spot while another 38.10% died within 6 hours. The study highlights the need for implementation of stricter traffic rules and provision of emergency trauma services at the site of accidents.

Keywords


Road Traffic Accident, Head Injury, Pattern, Fracture, Intracranial Haemorrhage

References