Les traumatismes crâniens chez l’enfant : à propos de 490 cas

Kenaan, A.; Karim, Rahim; Haissam, M.; Manfalouti, M.; Bertal, A.; Chellaoui, A.; Ibahiouin, K.; Hilmani, S.; Lakhdar, Abdelhakim; Naja, A.; Kamar, A. El; Azhari, A. El

doi:10.1016/j.neuchi.2011.09.159

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“…Clinical picture is highly variable in young age children suffering of TBI [10]. Skull extensibility, ventricular and peri-cerebral fluid sector presence allow a better tolerance to high intracranial hypertension firstly.…”

Section: Discussionmentioning

confidence: 99%

“…Children's head injury surgically managed frequency varies from one study to another. Maghreb countries present a higher frequency of children surgically managed in emergency for traumatic brain injuries between 13% [2] and 40% [10] against West Africa's countries between 11 [3] and 15.17% [6]. This disparity could be explained by developing health system in Maghreb countries where neurosurgery was practiced for decades, plus a significantly lower ratio of neurosurgeon/population in the Sub Saharan countries.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiological and surgical aspects of brain trauma injury of the child: Experience of the Gabriel Toure university hospital center, Bamako, Mali

Diallo¹,

Faye²,

Cissé³

et al. 2019

Neuro Neurosurg

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Introduction: Cranial trauma represent the third cause of death in paediatric population in Africa. The two-wheel motor bikes proliferation in our capital cities, this tends to become a major public health problem. Very little studies concern surgical aspect of cranial trauma in children. Our purpose was to report our experience in the surgical management of traumatic brain injury in children. Furthermore, this study will help as a framework in the future for all work on the subject.Patients and methods: It was a retrospective study for a period of 36 months (January 2014 to December 2016) conducted in Gabriel Toure Teaching hospital. It was concerning patients between 0 to 15 years old, operated in emergency of traumatic brain injury.Results: Thirty-seven cases were collected. Majority of patients was male with an average age of 7.9 years. Traffic accidents was the principal cause. At their admission in emergency department, 27% was in coma, 24.3% was presenting neurologic deficit. Extra dural hematoma (EDH) was diagnosed in 40.6% of our patients, followed by depressed skull fractures. Average surgical delay was of 1.7 day. The average length of the surgery was 2 hours and 5 minutes. Two cases of cerebral abscess were recorded. Evolution was favourable in 24.3% cases with 13.5% of death. Seventy-five patients had presented favourable evolution. Conclusion:Children's traumatic brain injury management is complex with random results when it's done out of a paediatric neurosurgical unit. The lack of suitable equipment, delay in management and long surgical procedure contribute to bad therapeutic results.

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Section: Discussionmentioning

confidence: 99%