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THE RELATIONSHIP OF VOMIITING WITH INTRACRANIAL TRAUMA IN MILD CASES OF HEAD INJURY

1Dr. Nadeem Malik, 2Dr.Ayesha Muneer, 3Dr. Asma Majid

Objective: "To determine the relationship between intracranial pathology and post-traumatic vomiting in patients with mild brain injury". Study design: A descriptive cross-sectional study. Location and duration: In the Emergency and Neurosurgery Outpatient Department of Services Hospital Lahore for one year duration from March 2017 to March 2018. Methodology: The data were analyzed in relation to 206 consecutive patients who were admitted to the emergency and neurosurgery outpatient department of Services Hospital Lahore. The data were collected through nonprobability suitability sampling. The features examined were brain findings with computed tomography and severity and presence vomiting post-traumatically. Results: A total of 206 patients with mild head injury were included in our study. A total of 127 (61.7%) patients presented with vomiting after head trauma and 79 (38.3%) patients with no vomiting. 49 (23.8%) vomited once, and 78 (37.9%) showed vomiting multiple times. Vomiting was significantly more common in patients who have abnormal computed tomography. Abnormal computed tomography showed a rate of 66.7% and 51.5% of patients with normal computed tomography. Conversely, in patients with post-traumatic vomiting, 72.4% had abnormal computed tomography scans as compared to 58.2% had abnormal CT scans, and no vomiting was observed. The relationship between intracranial lesion and vomiting in CT was statistically significant; p = 0.035; OR = 1.886, 95% CI = 1.042-3.411. Conclusion: Computed tomography has a significantly higher incidence of intracranial lesions in patients with post-traumatic vomiting. These results support the inclusion of the study in defective guidelines for the application of minor injuries to the head. Key words: mild head injuries, vomiting, computerized tomography of the brain.

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