| Abstract: |
Head injuries continue to be a major problem by the year of 2000,not only in terms of their frequency but also, because of thefatalities and handicaps that result in the population they most often affect.Head injury is clinically classified according to GCS into 3 groups.,mild with GCS 13-15, moderate with GCS 9-12 and severs with GCS 3-8.The analysis of prognostic factors in comas resulting from head injuryis crucial to the specialized care team involved in their management. Inaddition to being helpful in making therapeutic decisions, it provides abasis for objective response to legitimate questions asked by families. So,prediction of outcome of head injury is an area of interest.The clinical evaluation of a head-injured patient is a simple, reliablemethod depending on GCS.CT is widely used now as a diagnostic procedure of head injuredpatients as, it safety, speedity, and non- invasive procedure offer it over allother types of diagnostic and prognostic studies that can be used to detectoutcome of head injured patients.All these patients’ examined, clinical findings were recorded, and CTscan and ICTS were done for every patient.So, this series aiming to determine the role of CT in a scoring matter,depending on 6 items (•ide of lesion, number of cuts, midline shift, lateralventricular system, cortical sulci, and basal cisterns) in comparison studywith GCS in prediction of outcome of SHI (fatal or non filial) in patientswho were admitted in Zagazig University Hospitals from the period ofOctober 1998 to October 1999).It was founded statistically that ICTS is a good reliable and valid scoreto predict outcome and it is statistically divided into two groups; the first<8 points which represents bad prognostic group and the second > 8 whichrepresents good prognostic groups.
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