Comparison between CT scan and autopsy findings of head injury victims

Computerized Tomography (CT) Scan, the standard investigation modality in Head Injury (HI) victims, remains incompletely reliable in diagnosing the lesions of HI victims. Systematic analysis of discrepancies of CT scan, with respect to final findings at autopsy of fatal HI, was conducted. Glaring fallacies existed in most aspects - for instance - Sub-Dural Hemorrhage, Sub-Arachnoid Hemorrhage, contusions especially of the Temporal and Occipital Lobes of the brain. Linear fractures, fractures of the Middle Cranial Fossa and other basal fractures were missed at most CT scan results. The present study aims at pointing out these discrepancies for the benefit of Neurologists/Neurosurgeons, Radiologists and the victims of RTA head injuries.