Study on involvement of cranial nerves in head injuries and to evaluate clinicoradiological correlation

Authors

  • Momin Abdul Jaleel Senior Consultant, Department of Neurosurgery, Kamineni Hospitals, LB Nagar, Hyderabad, Telangana, India
  • Ritesh Rakesh Bhalla DNB Student, Department of Neurosurgery, Sahydri Superspecilaity Hospital, Pune, Maharashtra, India
  • Balaji Varaprasad Professor, Department of Radiology, Kamineni Hospitals, Hyderabad, Telangana, India
  • Shighakolli Ramesh Assistant Professor, Department of Neurosurgery, Kamineni Hospitals, LB Nagar, Hyderabad, Telangana, India

Keywords:

Cranial nerve, Head injuries, Glasgow Coma Scale (GCS)

Abstract

Introduction: The incidence of cranial nerve injuries in craniocerebral trauma varies between 5-23 percent in various literature and can occur by sudden acceleration/deceleration, brain stem injury or injury to the skull base. Aims: To evaluate the involvement of cranial nerves in mild and moderate head injuries and to find out clinicoradiological correlation. Materials and methods: The present prospective observational and descriptive study was done at Kamineni hospitals, L.B. Nagar, Hyderabad on 950 patients to evaluate the involvement of cranial nerves in mild and moderate head injuries and to assess the clinicoradiological correlation. Results: Cranial nerve injuries were seen in 134 cases, but cumulative number of cranial nerve palsies was 248. However, out of 134 cases radiological correlation was seen in only 114 cases. Significant association was found between involvement of cranial nerve and clinical and radiological findings (p<0.05). Cranial nerve VI was involved in most of the cases (42), followed by cranial nerve III (41), cranial nerve VII (41). Cranial nerve I was involved in 23 cases, II and IV in 28 cases each, V in 20 cases, cranial nerve VIII in 16 cases, IX and X in 4 cases each. Conclusion: Meticulous clinical and radiological examination, documentation and follow-up are essential to detect cranial nerve injuries mild and moderate head injuries

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Published

2021-12-16

How to Cite

Momin Abdul Jaleel, Ritesh Rakesh Bhalla, Balaji Varaprasad, & Shighakolli Ramesh. (2021). Study on involvement of cranial nerves in head injuries and to evaluate clinicoradiological correlation. International Journal of Health and Clinical Research, 4(22), 244–250. Retrieved from https://ijhcr.com/index.php/ijhcr/article/view/3567

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