files/journal/2022-09-03_18-51-40-000000_599.png

Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
About US
Editors
Issues
Pages
Indexed in
132
Views
15
Downloads

A Study on Incidence Presentation and Outcome of Traumatic Cranial Nerve Injuries in Mild to Moderate Head Injuries in a Tertiary Care Hospital Salem

G.N. Bhaskar Babu, Ravi Theja Akumalla and L. Sankar
Page: 23-27 | Received 28 Feb 2024, Published online: 10 Apr 2024

Download Citation
https://doi.org/10.36478/10.59218/makrjms.2024.6.23.27

Full Text Reference XML File PDF File

Abstract

The incidence of cranial nerve injury in craniocerebral trauma varies between 5 and 23% in various studies. To assess the incidence of CNI in TBI patients and identify the involvement of CN in mild to moderate head injury. A prospective hospital‐based observational study was conducted on the incidence, clinical presentation and outcome of cranial nerve injuries (CNI) in 30 consecutive cases of traumatic brain injuries (TBI). After post‐operatively patients were followed at 1st month, 3rd month, 6th month within the one‐year duration. The incidence of CNI in TBI patients was 4.347% (30 patients). The facial nerve was the most common cranial nerve to be involved (50%), followed by the olfactory nerve (20%), optic nerve (10%), oculomotor nerve (10%) and one each in the trigeminal nerve (3.33%), abducens nerve (3.33%) and vestibulocochlear nerve (3.33%). The study showed that Post‐op follow‐up within 12 months duration shows 9 (30%) patients with complete recovery, 15 (50%) patients with partial recovery, and 6 (20%) patients with no recovery. Cranial nerve injury was more common in patients with severe head injury (p<0.005), younger age group, the associated base of skull fractures and facial fractures (p<0.005). 70% of patients had a delayed presentation of CNI. Younger age group and delayed onset of deficit are associated with a significantly better outcome. CNI is a major cause of morbidity in TBI patients. A significant percentage of patients present with delayed presentation of CNI. All patients admitted with TBI should be examined meticulously for CNI on follow‐up.

How to cite this article:

G.N. Bhaskar Babu, Ravi Theja Akumalla and L. Sankar. A Study on Incidence Presentation and Outcome of Traumatic Cranial Nerve Injuries in Mild to Moderate Head Injuries in a Tertiary Care Hospital Salem.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.6.23.27
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.6.23.27