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J Trauma Inj > Volume 29(4); 2016 > Article
Journal of Trauma and Injury 2016;29(4):99-104.
DOI: https://doi.org/10.20408/jti.2016.29.4.99    Published online December 31, 2016.
The Significance of Clinical Examination for Brain Lesion Differentiation of Patients with Head Trauma after Alcohol Intoxication
Yoon Hyun Jung, Dong Kil Jeong, Jung Won Lee, Hyung Jun Moon, Jae Hyung Choi, Jun Hwan Song
1Department of Emergency Medicine, College of Medicine, Soonchunhyang University, Cheonan, Korea. c96021@schmc.ac.kr
2Department of Pediatrics, College of Medicine, Soonchunhyang University, Cheonan, Korea.
Received: 14 August 2016   • Revised: 2 September 2016   • Accepted: 30 December 2016
Abstract
PURPOSE
There are many patients visited to ED in an alcohol intoxicated state. For these patients, it is difficult to predict by only clinical examination whether he/she would have brain lesion. The purpose of this study is to research whether it is possible to predict brain lesion by only clinical examination findings, with comparing patients with/without actual brain lesions.
METHODS
A retrospective study was performed at a university hospital for the period 11 months with the medical records. As for the inclusion group, head trauma patients with objectively proved drunk, judging by their blood ethanol concentration, and performed the brain CT were selected. In terms of medical record, Glasgow coma scale (GCS), the presence of neurologic abnormalities, the presence of lesion on brain CT of the patients, were examined. From laboratory results, blood ethanol concentration, platelet count, prothrombin time (PT), activated partial thromboplastin time (aPTT) and glucose concentration were identified.
RESULTS
For this study, there were total 80 patients of inclusion group. There was no statistically significant difference in terms of GCS score and neurological examination abnormalities, between the group with brain lesion and the group without brain lesion on brain CT.
CONCLUSION
Alcohol intoxicated patient with head trauma visits the ED, it is not possible to distinguish or determine whether brain lesion exists or not by only clinical findings. In order to check the lesion existence, the image examination, therefore, should be considered and performed.
Key Words: Alcoholic intoxication; Craniocerebral trauma; Neurologic examination


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