International Archives of Integrated Medicine, 1(1), September, 2014 Fatal craniocerebral injuries in victims who survi | Page 4

Fatal craniocerebral injuries in victims who survived for some period
injury relationship with skull bone fracture
except this present study.
Marks PV and Lavy CBD [17] observed that age
to be a major determinant of the d
degree of
recovery following fatal head injury, stating:
younger the age group better will be the
prognosis. Though it is partly true with the
present study also, we observed a strong
relationship between the brain stem injury and
the case fatality. Amongst the brain stem injury
cases also, those showing primary brainstem
rimary
injury were found to be more fatal. This finding
is also in agreement with the findings of Shukla
D et al [5], Pilz P et al [18] and Simpson DA et al
al.
[19].

Conclusion
l
Fatal craniocerebral injury cases constitute
considerable size of morbidity and mortality in
our study centre. Incidence of brain stem injury
in such a case is also very high. RTA involving the
pedestrians and two wheelers users was the
single most important cause of fatal
craniocerebral injuries. In majority of the cases
raniocerebral
the primary brainstem lesions have been
associated with basal skull fractures whereas
majority of the secondary brainstem lesions
were associated with vault fractures.
Involvement of brain stem, primarily pr
primary
brain stem injury, was found to be an important
factor determining the survival and prognosis of
the victim.

Acknowledgement
Authors acknowledge the immense help
received from the scholars whose articles are
cited and included in references of this
manuscript. The authors are also grateful to
authors / editors /publishers of all those articles,
journals and books from where the literature for
this article has been reviewed and discussed.

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International Archives of Integrated Medicine, Vol. 1, Issue. 1, September, 2014.
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