Frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran

Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional s...

Full description

Saved in:
Bibliographic Details
Published in:Journal of forensic and legal medicine 2014-11, Vol.28, p.36-38
Main Authors: Aghakhani, Kamran, Heidari, Mansoure, Yousefinejad, Vahid, Okazi, Arash
Format: Article
Language:English
Subjects:
Adult
Age Factors
Autopsies
Brain damage
Brain Injuries - epidemiology
Brain injury
Cadaver
Craniocerebral Trauma - epidemiology
Cross-Sectional Studies
Female
Forensic hematology
Glasgow Coma Scale
Head trauma
Hemorrhage
Human remains
Humans
Intracranial hemorrhage
Intracranial Hemorrhage, Traumatic - epidemiology
Iran - epidemiology
Male
Middle Aged
Pathology
Scalp - injuries
Scalp injury
Sex Factors
Skull Fractures - epidemiology
Trauma care
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Abstract Traumatic brain injury is a major cause of morbidity, disability and mortality in patients with head injury. The aim of this study was to elucidate the frequency of intracranial injury in cadavers with head trauma with and without scalp injury in Tehran. In this analytical cross-sectional study, we investigated 187 cadavers who died due to head trauma in motor vehicle accident or after falling in Tehran from November 2013 to February 2014. Age, sex, mechanism of trauma, scalp injury, sub-scalp bruising, skull fracture, hemorrhage including subdural hemorrhage (SDH), epidural hemorrhage (EDH), subarachnoid hemorrhage (SAH) and contusion were recorded from examination and autopsy. One hundred and eighty seven cadavers (165 (88.2%) male and 22 (11.8%) female) with head injury with the mean age of 36.14 years (SD = 15) were recruited in this study. Mechanism of trauma was motor vehicle accident in 147 (78.6%) cadavers and falling in 40 (21.4%) cadavers. One hundred and fifty eight (84.5%) had SDH, 44 (23.5%) had EDH, 162 (86.6%) had SAH and 139 (74.3%) had contusion. Hemorrhage was seen in 132 (93%) cadavers who had scalp injury and 36 (80%) cadavers who did not have scalp injury ( p  = 0.01). Overall, 168 (89.8%) cadavers had hemorrhage and 139 (74.3%) had contusion. There was a significant correlation between intracranial injuries and scalp injury ( p  
ISSN:1752-928X
1878-7487
DOI:10.1016/j.jflm.2014.09.009