J Korean Soc Traumatol.  2016 Dec;29(4):99-104. 10.20408/jti.2016.29.4.99.

The Significance of Clinical Examination for Brain Lesion Differentiation of Patients with Head Trauma after Alcohol Intoxication

• Jung YH
• Jeong DK
• Lee JW
• Moon HJ
• Choi JH
• Song JH

• KMID: 2378442
• DOI: http://doi.org/10.20408/jti.2016.29.4.99

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.

Keyword

Alcoholic intoxication; Craniocerebral trauma; Neurologic examination

MeSH Terms

Alcoholic Intoxication
Brain*
Craniocerebral Trauma*
Ethanol
Glasgow Coma Scale
Glucose
Head*
Humans
Medical Records
Neurologic Examination
Partial Thromboplastin Time
Platelet Count
Prothrombin Time
Retrospective Studies
Ethanol
Glucose