Detection of Midline Shift from CT scan Predicate Outcome in Patients with Head Injuries

Abstract

This study aim to detect the midline shift from CT scan predicated outcome in patients with head injuries. This study was done in Al gazira Traumatology center during the period from feb.2016 to November 2016. Fifty patients (36 males and 14 females), males represent (72%) of study population and (28%) are males, the age range of patients was between 15-95 years. (16%) of patients aged range between 15-35years, their GCS according to classification to mild, moderate, and severe (21.2%12.5%, and 0%). For patients aged between 36-55years, (34%) their GCS (39.4%, 33.3% and 12.5%). (38%) of patientsofaged between 56-75 their GCS (30.3%, 55.6%, and 50%). While (12%) of patients of age between 76-95, their GCS are (9.1%, 0%, and 37.5%). The result shows the degree of midline shift in patient’s brain injury was statically significant as a determinant of outcome. It appeared that probability of poor outcome was higher when there is combination of midline shift with other type of intracranial hemorrhage, clinical factor such as sex, age GCS score and associated injury. Also the outcome would be poorest if the midline shift with SDH compared to other lesion in patients with brain injury. the degree of midline shift did not prove to be of a predictive significance of all the patients with midline shift