Prise en charge des traumatismes crânio-encéphaliques chez les enfants à Cotonou

Hodé, Luphin

doi:10.1016/j.neuchi.2014.10.042

Cited by 4 publications

(6 citation statements)

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“…Indeed, the prevalence of 15.2% in the present study is slightly lower, compared to the results obtained by Hodé et al [11] in Cotonou, in southern Benin (20%) and Gaye et al [1] in Senegal. Because of the higher density, traffic accidents involving two-person vehicles are more frequent, hence the increase in frequency.…”

Section: Discussioncontrasting

confidence: 81%

Favourable Outcome in Pediatric Neurosurgery for Extra Dural Hematoma in Sub Sahara Africa: Report of Parakou University Hospital in the Benin Republic

Quenum

et al. 2020

JNRT

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Introduction The extra dural hematoma is a blood collection between the cranial vault and the dura mater. It is a neurosurgical emergency whose statistical data are poorly known in the Republic of Benin. Objective The aims of this study are to assess epidemiology, therapeutic and outcome of traumatic extra dural hematomas for children admitted to the surgical department of CHUD-B/A from 2012 to 2017. Methods This was a cross-sectional, descriptive and retrospective study over a period from January 1st, 2012 to December 31st, 2017. Results One hundred and seventy-eight cases of children aged between 0-15 years were examined for brain traumatic injury. Twenty-seven 27 (15.2%) cases of extra dural hematomas were retained. The most represented age group was between 11-15 years with a frequency of 42.1%. The male sex was more represented (78.9%). Road traffic accidents were the main aetiology (57.9%). 52.6% had a mild head injury, 26.3% had a moderate head injury and 21.1% had a severe head injury. On brain scan the frequently observed location was temporo-parietal (31.6%). Acute anemia was observed in 16 children. Seventeen children were operated on. The operation involved evacuation of extra dural hematoma by cranial bone flap with suspension of the dura mater. There were no deaths. Conclusion The availability of brain CT makes the diagnosis of extra dural hematoma easier. Its management is neurosurgical with a favourable post-operative evolution in all cases in this series.

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Section: Discussioncontrasting

confidence: 81%

Favourable Outcome in Pediatric Neurosurgery for Extra Dural Hematoma in Sub Sahara Africa: Report of Parakou University Hospital in the Benin Republic

Quenum

et al. 2020

JNRT

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“…The frequency of surgical treatment was 3.8% and this rate was lower than the 11.76% of surgery in children reported by Fatigba who works under the same conditions as us in Parakou [15]. This low rate of TBI surgery was probably due to the low rate of patients who could perform the brain scan [16] thus reducing the rate of lesional diagnosis and thus the surgical indications.…”

Section: Discussionmentioning

confidence: 58%

Surgical Treatment of Traumatic Brain Injuries of Children in Abidjan: Difficulties, Results and Prospects

Kouitcheu¹,

Moumouni²,

Padonou³

et al. 2019

OJMN

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“…The real incidence of this condition in general paediatric group it's unknown because lot of studies as our one is based on hospital records which don't consider prehospital death and abuse children. Moderate and severe trauma was representing 46.1% of TBI in Cotonou in 2014 [3]. Almost half million of the 1.7 million American's civils who was suffering of cranial trauma was aged of 14 years or younger [4].…”

Section: Discussionmentioning

confidence: 99%

“…This can explain the violent character of the trauma which was related in majority to traffic accidents. EDH with cerebral haemorrhagic contusion was the most common endocranial injuries found in Hode's series at Cotonou in Benin [3]. In some studies, cerebral contusion was the most common traumatic brain injuries found with respectively 25.8% [6] and 41% [9].…”

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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Prise en charge des traumatismes crânio-encéphaliques chez les enfants à Cotonou

Cited by 4 publications

References 0 publications

Favourable Outcome in Pediatric Neurosurgery for Extra Dural Hematoma in Sub Sahara Africa: Report of Parakou University Hospital in the Benin Republic

Favourable Outcome in Pediatric Neurosurgery for Extra Dural Hematoma in Sub Sahara Africa: Report of Parakou University Hospital in the Benin Republic

Surgical Treatment of Traumatic Brain Injuries of Children in Abidjan: Difficulties, Results and Prospects

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

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