Our head is a very important asset in my life besides our heart. Severe trauma can destroy our future.

Some injuries which can damage our head and also brain like falling from high place, motor vehicle collision, accident at home or office, and the other skull injuries.

If someone killed in the accident, it’s of course the brain damaged and an existing skull fractures or intracranial hemorrhage.

How to Detect Head Trauma?

1. Skull x-ray is enough examination for mild trauma like it’s lump or little edema, scalps, soft tissue in around our head. Sometimes spot trauma on the frontal region, parietal (side head) or occipital (back area). Two basic projections such as Antero-Posterior and Lateral views are performed to check any fracture, sella turcica condition, bony intact, vascular groove abnormality and so on.

Some Doctors need an additional positions of x-ray if a trauma related to orbita (eye area), nose, zygomaticum, mandible, teeth, temporo-mandibular joints, and the other important organs of the face. Water’s view, Townes’, nasal bone, or axial central ray as alternative projections. Patient who got head trauma will be performed in horizontal position. X-ray angulation is made without moving the patient’s head. All possibilities are taken depending on clinical indications.

2. Head MRI or CT-Scan is the best choice if patient felt the severe head trauma. Non-contrast option is immediately done to see any abnormalities. This diagnostic procedure directed to see any brain edema, greatest detailed of vascular channels, intracranial calcification, nerve system, blood vessel, etc. Bleeding that occurs within the skull is also detected like in epidural, subdural and intraparenchymal hemorrhage.

Next Treatments of Head Trauma

A procedure which’s chosen depending on patient’s condition. Minor or Major surgery is done for handling the skull fracture, bleeding, edeme or the others. Neuro Surgeon is the Specialist of head surgery because there are much nerve system within brain and many potential complication if it’s wrong handling.

If you get head trauma and feel unconscious (coma) in short or long time, nausea, vomiting and headache, we call it cerebral contusion, you should check your head with CT-Scan or MRI. It’s suspected with little bleeding or edema within your brain. If nothing happen as mentioned above I think no diagnostic test is required.

Post head trauma if taken skull x-ray there is still identified as a fibrous union, it’s normal sign. To protect your head safely in dangerous sport or activities, helmet is the best choice to be used.

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