Predictors of important CT findings and neurosurgical intervention in minor head injury

• Main Author: Ab. Latip, Laili Suriani
• Format: Thesis
• Language: English
• Published: 2002
• Subjects: R5-130.5 General works
• Online Access: http://eprints.usm.my/36323/1/Dr_Laili_Suriani_Ab_Latip_-_TNM_%28NN24%29.pdf; http://eprints.usm.my/36323/

Di antara semua kecederaan kepala, kecederaan kepala nngan merupakan suatu kumpulan kecederaan kepala yang paling kerap berlaku dimana ia menyumbang sebanyak 70 - 80 % kes yang ditemui di Jabatan Kecemasan. Kecederaan kepala ringan didefinasikan sebagai seseorang yang mengalami hentakan di kepala yang mengakibatkan pengsan dan I atau hilang ingatan. Sementara itu, skala koma Glasgow pula adalah di antara 13-15. Penggunaan imbasan tomografi berkomputer ke atas semua pesakit yang mengalami kecederaan kepala ringan adalah suatu perkara yang kontroversi. Ini disebabkan peratusan keputusan penting yang di perolehi dari imbasan berkenaan adalah kecil berbanding dengan kos tinggi yang membabitkan penggunaan imbasan tomografi berkomputer. Of all patients with head injury, minor head injury represents the most common visitors of the emergency department. It contributed to about 70 - 80 o/o of all head injury cases that are seen in the Accident and Emergency department. Minor head injury is generally defined as those with history of blow to the head in which has resulted in loss of consciousness and I or amnesia with Glasgow Coma Score of 13 to 15. It is controversial whether cranial CT scan should be performed on all patients, as the yield of positive CT scan is low as opposed to its high cost. The rate of neurosurgical intervention is even lower to justify the routine use of CT scan on this patient. The use of clinical variables as a screening tool before deciding to embark on CT scan is appropriate in order to reduce the number of CT scan performed on all patients with minor head injury.