Cranial CT in the evaluation of coup and countercoup head injuries

Objective: To describe the role of Cranial Computed Tomography [CT] in the evaluation of Coup and Countercoup head injuries with its outcome

Study Design: A comparative cross-sectional study

Settings: Radiology Department of PMC/Allied Hospital Faisalabad. Duration: 09 months, October 2012 to June 2013

Sample Size: 150 patients

Materials and Methods: The patients with coup and countercoup head injuries were studied and divided into two groups: Coup injuries [n=117], countercoup injuries [n =33] .The groups were comparable with respect to age, Glasgow Coma Scale [GCS] and outcome. Site of primary impact was determined by CT scan pattern

Results: The mortality rates in each group were compared with respect to age, GCS and CT pattern. Significance was calculated using Chi-Square test. There was a statistically significant difference in mortality between patients with coup injuries [p

Conclusion: Presence of a countercoup component on CT scan may show a worse outcome in head injuries and may warrant closer monitoring and more aggressive management of these patients

Depressed skull fracture; Interrelationship between CT evaluation of and its clinical findings

The purpose of study was to interrelate CT findings of depressed skull fracture with clinical findings. This was exploratory study. The study was conducted at Mayo Hospital Lahore and Lahore General Hospital. From March 9,2004 to October 2004. Fifty patients irrespective of their age and sex were included. Only the newly admitted patients in the above mentioned hospitals were included in the study. Previously diagnosed depressed skull fracture or the patients having associated facial abdominal and thoracic injuries were excluded. Patients having depressed skull fracture were clinically evaluated and thereafter subjected to 4[th] generation spiral CT scan at the radiology department of the above mentioned hospitals. Both bone and brain window were taken for various intracranial structures. Analysis of the data for association between the variables of clinical and CT findings revealed that patients with conscious level, with DSF and having mild head injury were less associated with scalp injury [p=0.1156] which is statistically insignificant. DSF with moderate and severe head injury had more probability of scalp injuries. Scalp laceration seen with DSF had association with scalp injury [p<0.001]. It is a key for clinician and neurosurgeon to use GCS score in congestion with the CT findings for early management of DSF

Imaging of ambiguous genitalia

To establish the role of imaging in Ambiguous Genitalia. June 2006 to June 2008. Place: Radiology Department, Mayo Hospital, Lahore and Allied Hospital Faisalabad. 12 cases referred to us with Ambiguous Genitalia were taken and evaluated with Ultrasound and Magnetic Resonance Imaging. Following findings were observed, incomplete scrotal fusion with Ambiguous genitalia was observed in 41.7% infants. Whereas testis were localized in 33.3% by ultrasound and remaining by MRI. Imaging diagnosed that 66.7% were male and remaining female. Lab tests and surgical evidence prove that imaging results were in agreement. Imaging has a conclusive role in Ambiguous Genitalia and Ultrasound is the first modality to look for Internal Genitalia