A COMPARISON OF GLASGOW COMA SCORE WITH COMPUTED TOMOGRAPHIC FINDINGS IN CASES OF TRAUMATIC BRAIN INJURY AT TERIATRY CARE HOSPITAL BIKANER

Abstract

Background: Our present study aimed at correlation of GCS score with computed tomographic findings in cases of head injury and to evaluate that GCS scoring can be used as an alternate tool in clinical management of head injuries in settings where CT scans are not available or contraindicated.

Methods: The present study was conducted in Department of Neurosurgery, Trauma center of S. P. Medical College and A.G. of Hospitals, Bikaner. The study group consisted of a total of 100 head injury patients presenting to the Trauma center and admitted in neurosurgery ward.

Results: Contusion was the most frequent finding in cases with positive CT scan findings. All (100%) subjects with severe head injury had positive CT scan findings.

Conclusions: Careful clinical selection based on GCS score before ordering CT scan can help reduce radiation exposure patients and pressure on limited resources. Studies with larger sample size would be warranted

Keywords: CT scan, head injury, Glasgow Coma Scale Score