Findings of Cerebral CT-scan in Car Accident Patients

ABSTRACT Trauma is the most common reason of death in 1-44 years olds. In patients with multiple rtrauma, the head is the most common involved part . Car accident is the most common cause of head injury in adults. The importance of computed tomography (CT) in diagnosis of brain trauma is well estabilished and CT of the brain is a choice method. A descriptive study was carried out in 880 patient with car accident injuries admitted in Poorsina Hospital in Rasht. Data was collected prospectivly during 6 months in 2000. CT scan was performed on 3rd generation sct 3000TR, indication of CT scan was basis on clinical assessment and Glasgow Coma Score (GCS). In this study we evaluated computed tomograms of traumatic patients, of 880 patients 630 case (70%) have normal brain CT scan and 250 case (30%) have positive finding that of these 250 patients, 25 case (20.7%) had brain contusion, 50 case (20%) epidural hematoma, 62 case (24%) subdural hematoma, 90 case (36%) sub arachnoid hemorrhage, 76 case (30.4%) brain edema. Skull fraeture was detected in 249 patient (20.7%). An overall male to female ratio was (3.2:1), with peak at age of 25 years. Our findings was similar to those of other large studies in : dominacy male to female ratio, age group (most patient are Adolescent and young Adult), Location of Brain Lesion and fracture type. This study shows men are not only more likely to recieve head trauma, but also more to recieve sever head injuries.