Anatomical and tomographic characterization associated with clinical risk factors of patients with cranioencephalic trauma
Keywords:
brain trauma injury, risk factors, computerized axial tomography, Secondary Health Care.Abstract
Introduction: The cranioencephalic trauma is the mechanical aggression in consequence of which exists certainty or lesion suspicion in the brain and encephalic tissue.
Objective: To characterize the patients with cranioencephalic trauma from the anatomical and tomographic points of view, associated with clinical risk factors.
Method: A serial cases descriptive investigation was carried out on patients assisted in the Imaging Service of Saturnino Lora Teaching Clinical Surgical Provincial Hospital, Santiago de Cuba province, from January, 2021 to the same month in 2022. The study population was composed of 889 patients with cranioencephalic trauma, to whom a computerized axial tomography was carried out.
Results: There was a prevalence of the male sex (76.3 %), migraine (46.8 %), followed by several symptoms and signs (13.4 %), motor deficiency (11.5 %) and anisocoria (11.4 %). Brain contusion was the lesion that prevailed, being more frequent in the temporal, frontal and temporoparietal lobes, in that order. The type V focal lesion turned out to be that of more incidence.
Conclusions: This study provides an anatomical and tomographic characterization of patients with cranioencephalic trauma in connection with clinical risk factors. The findings obtained are of great relevance in the clinical context given the high incidence and mortality associated with this condition.
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