Diagnostic Accuracy of CT Scan in Diagnosing Skull Fracture Following Road Traffic Accident in Lahore City, Pakistan

Abstract

Background: Road traffic accidents contribute impressively to the load of indisposing and loss of life and all through the earth in any case all together in developing countries Like Pakistan. Bike related accidents are and have been genuine reason behind dreariness and loss of life in those of useful age in Pakistan. X-ray can be used to identify a wide range of fractures such as compression fractures, Stress fractures & others etc. The aim of this study was to diagnose accuracy of CT scan on skull fracture and to find the Diagnostic accuracy of CT scan for Head injury and skull fracture due to any accident which can leads to death.

Method: By using convenient sampling technique the retrospective analysis of cross sectional study was done. Computed Tomography 256 slice, skull computed tomography CT films radiology reports, CT images, case notes and X-ray images were used. Sample size of 215 patients both male and female, who underwent skull CT scan on account of road traffic accident were recruited..

Results: The 215 patients were taken to study the diagnostic accuracy of CT 86.04% male, 13.9% female were examined. The mean age was 38.29. The frequency of linear fracture is 32.09% Depressed fracture is 27.90% Basilar fracture is 22%, Diastatic fracture is 14% detected. Only 2% was not detected.  185 patient (86.04%) were male while 30(13.95%) were female with ratio of 18:3 \ 6:7| age limit 22 to 55.patient  presented for CT after 1week of injury the findings on CT scan included 06 patients with normal findings, other 97 % were associated with skull fracture.

Conclusion: The CT findings were more clearly in detail detection than x ray findings. CT has shown further analysis in detail of x ray findings.

Keywords: Computed Tomography, X-Rays, Diagnosis, Skull Fracture, Brain injuries