[Neurosurgical management of head injury in Parakou, Benin: use of radiography].
| Autor: | Fatigba OH; Clinique Universitede Parakou, CHDU-Parakou, Republique du Benin. ftg_holden@yahoo.fr, Savi de Tove KM, Allode SA, Babio R, Padonou J |
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| Jazyk: | francouzština |
| Zdroj: | Le Mali medical [Mali Med] 2011; Vol. 26 (2), pp. 4-7. |
| Abstrakt: | Aims: To report useful of skull X-Ray in surgical management of traumatic brain injuries in Benin. Method: Descriptive study performed in the Neurosurgery Unit of CHD-Borgou in the North-East of Benin. It concerned 29 cases of TBI all operated between April 2008 and June 2009 on clinical and radiographic criteria. Results: The mean age of the patients was 23.46 SD 14.28 years with a male prevalence (93.10%). On the basis of Glasgow Coma Scale scores 9 patients (31%) presented a severe TBI, 15 (51.8%) moderate TBI and 5 (17.2%) mild TBI. The skull radiography showed a depressive fracture at 17 (58.6%) patients, vault fracture at 7 (24.2%) and no lesion in 5 (17.2%) cases. Surgical management was performed on 3 (10.3%) cases cranial wound, 4 (13.8%) cases of extradural hematoma, 17 (58.6%) cases of skull depressive fracture and 5 (17.2%) cases an exploring buhr hole. The Depressive fracture straightening up was associated with surgical management of 3 extradural hematoma, 3 osteodural defect and 4 debridement with duroplasty. Conclusion: The skull radiography cannot compensate for Brain CT-scan for management of TBI. It can nevertheless bring invaluable information allowing a surgical purpose. |
| Databáze: | MEDLINE |
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