Publication

Abstract : Introduction: Traumatic brain injury (TBI) occurs whenever mechanical force injures the brain. Electrolyte derangements are common after neurologic injury. The role of electrolyte imbalance is being delineated in severe cranial trauma and is an essential investigation for its therapeutic managements. Objectives: This study is designed to ascertainCorrelation between the severity of head injury and electrolytes in patients with traumaticBrain injury. Material and Methods: This observational study was carried out in New Civil Hospital Surat, Gujarat.The total number of patients who fulfilled the inclusion and exclusion criteria were 84. Data was collected in the preformed proforma and analysed for the result. We measured serum levels of sodium and potassium in all these patients. Results: Out of these 84 Patients, 46(54.7%) had mild injury, 20(23.8%) had moderate injury and 18(21.4%) had severe injury. Out of these 84 patients, 69(82.1%) had normal sodium levels, 13(15.4%) had low sodium levels and 2(2.3%) had high sodium levels whereas 73(86.9%) had normal potassium levels, 10(11.9%) had low potassium levels and 1(1.1%) had high potassium levels. Out of 18 severe injuries, 10(55.5%) had abnormal sodium levels and 3(16.6%) had abnormal potassium levels which were found to be significant(p<0.0001). Conclusion: we conclude that patients with severe brain injury have significantly deranged sodium and potassium levels as compared to mild and moderate brain injuries.