R J Totla, Ishtyaque Ansari, Kunal Mehta
Abstract: Diffuse axonal injury is a brain injury in which damage in the form of extensive lesions in white matter tracts occurs over a widespread area. DAI is one of the most common and devastating types of traumatic brain injury and major cause of unconsciousness and persistent vegetative state after head trauma. It occurs in about half of all cases of severe head trauma. This study was undertaken to investigate the correlation between the degrees of injuries based on MRI findings and the mean time intervals to recovery of consciousness, their hospital stay & improvement of GCS. Total 50 Patients studied. After taking detailed history, all the patients were Examined & investigated. Outcome assessed at 1, 3, and 6 & 12 months on Basis of Improvement in GCS, Time require for Consciousness & Hospital Stay. We divided the patients into three groups according to the grade of MRI finding according to classification proposed by Adams. Mean Hospital Stay in Grade I 15.51 4.73 days. Grade II 27.877.03 days. Grade III 39.36 11.23 days. Mean time requires for consciousness in Grade I 6.252.15 days, Grade II 22.376.54 days. Grade III 103.54 31.07. Our study results suggest a correlation between the mean time interval to recovery of consciousness & hospital stay in patients with DAI and the degrees of brain injuries seen on MRI.
Keywords: Diffuse Axonal Injury, Time Require for Consciousness, Hospital Stay, Glasgow Comma Scale, MRI