Spectrum of Surgically Treated Closed Head Injury in Department of Neurosurgery Lady Reading Hospital Peshawar

Objective: To know the burden of surgically managed closed head injury in neurosurgery unit Lady Reading hospital Peshawar. Material and Methods: This is descriptive cross sectional study was conducted from December 2012 to may 2013 (6 month) in neurosurgery unit lady reading hospital Peshawar. All cases of TBI including fall, RTA and physical assault requiring surgical intervention were included. Cases of penetrating head injury, bomb blast injuries and compound depressed skull fracture were excluded. Once the target population was identified, further data were collected on a designed proforma from the hospital charts and operative records of the patients. Data was entered into statistical program SPSS 16 software and was expressed in percentages. Data was presented in different charts and tables. Results: A total of about 1087 patients of head injury were admitted through emergency in neurosurgical unit Lady reading hospital Peshawar during 6 month duration, out of which 247 patients were operated for different intracranial injuries. There were 196 males and 51 females with a male to female ratio of 4:1. The age range was from1 to 72 years and the mean age was 29.05 years. Out of the 247 patients about 96 (38.88%) were having extradural hematoma, 80 (32.38%) with depressed skull fracture,38 (15.38%) with chronic subdural hematoma and 33 (13.36%) were having acute subdural hematoma. Conclusion: Almost every fourth case of a closed head injury patients require surgical intervention. Extradural hematoma and Depress Skull Fracture were the common surgical entities. Most of the patients were male and in the age group of 21 – 40 years reflecting that surgical intervention carries significant impact