The profile of CT scan findings in acute head trauma in Orotta Hospital, Asmara, Eritrea

Abstract

Background: There are variations in outcomes of radiological investigations of head injuries in different studies from different countries. The use of investigation modalities are influenced by socioeconomic and cost effectiveness of the tests. Objective and methods: The purpose of the present five months observational study was to describe the profile of cranial computed tomography (CT) scan findings of 110 cases of acute head trauma in Orotta Hospital. Results: The mean age of the entire series was 32.5 years with SD of 20.9 years. The overall male to female ratio was 3:1. The commonest causes of head injury were falls (36.4%), car accident (29.0%), stone injuries (15%), and bicycle accident (9%). Abnormal CT findings were seen in 60 cases (54.5 %) and normal CT in 50 (45.5%). The most common CT findings were: intra cerebral hematoma 22 (20. %), cerebral contusion or laceration 18 (16.4%), skull fractures 16 (6%), and scalp swelling 3 (2.7%). Conclusion: The high prevalence of head trauma related CT findings justify the use of CT in acute head trauma in Eritrea. However; it should be done only when clinically indicated in order to reduce cost and avoid unnecessary irradiation.