Ct- scan be made compulsory in cases of rta: need of the hour

Author: 
Dheeraj Abhaykumar B., Sandeep Kumar Giri., Rupjyoti Medhi and Vijay Pal Khanagwal

Extradural haemorrhage (EDH) is one of the commonest findings in cases of cerebral lesion. Most of the cases of EDH occurs in cases of trauma like road traffic accidents, fall from height, physical assault etc. Traumatic brain injury is a common cause of death and disability and one of the most critical health and social problems. It is one of the life-threatening conditions and requires both basic and advanced level skills to manage and thus reach a better outcome. Various treatment protocols, both in conservative and surgical aspects, have been formulated to save a patient's life with EDH. Advanced technologies, better management protocols and better facilities have led to a decrease in the mortality rates of these patients. However, diagnosis of EDH remains the crucial and outcome deciding factor in these cases. Computed Tomography (CT) scan is considered one of the essential diagnostic modalities in this scenario and holds an important position in deciding the patient's prognosis. EDH usually is stable. However, in some cases, the patient presents without symptoms for many days, along with negative CT scan findings for EDH. Thus, this type of case requires subsequent CT scans and continuous monitoring to detect the delayed progression. In this case report, we depict a post-mortem finding of delayed EDH, highlighting the importance of subsequent CT scans in trauma patients who present with negative findings in the initial period after trauma.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2021.25316.5052
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