Analysis and outcomes of diffuse axonal injury in tertiary care centre

---

Original Article

Author Details : Shikhil Uppal*, Visvanathan K

Volume : 8, Issue : 2, Year : 2022

Article Page : 138-144

https://doi.org/10.18231/j.ijn.2022.028

Suggest article by email

Get Permission

---

Abstract

Aims & Objective: To report the clinical features, radiological features and outcomes of patients with diffuse axonal injury in a tertiary care centre.
Materials and Methods: Fifty five patients with history of trauma with low GCS and radiological evidence of DAI were studied from August 2016 to December 2018. It consisted 46 (84%) males and 9 (16%) females. Majority of the patients were in age group of 16-25. Most common modality of injury was RTA. Seven (12.7%) patients had grade 1 DAI, 36 (65.5%) patients had grade 2 DAI and 12 (21.8%) patients had grade 3 DAI. Follow up was done after 3 months of injury. Patients outcome was analysed using the Glasgow Outcome Scale.
Result: Patients with GCS 3-8 had GOS 1-3. Patients with GCS of 9-12 had GOS of 3-4 and Patients with GCS of 13-15 had GOS of 4-5. Most patients in our study had grade 2 DAI and GOS 4.
Discussion: Diffuse axonal injury is devastating types of traumatic brain injury. The acceleration-deceleration mechanism is responsible for DAI. It is most commonly analyzed based on the outcomes of GOS Scale.
Conclusion: Most of the patients in this study had grade 2 DAI. Good recovery was seen in grade 1 and 2 DAI and high mortality in grade 3 DAI.
 

Keywords : DAI, Trauma

How to cite : Uppal S, Visvanathan K, Analysis and outcomes of diffuse axonal injury in tertiary care centre. IP Indian J Neurosci 2022;8(2):138-144

This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.