Management of Penetrating Cranioencephalic Trauma Caused by Sharp Metal Objects—Therapeutic and Evolutionary Aspects: 12 Cases at the Renaissance University Hospital in N’Djamena  

作　　者：Goumantar Félicien Toudjingar Li-Iyane Olivier Ouambi Yannick Canton Kessely Donal Djasdé Mahouli Fata Vounki Momar Codé Ba Goumantar Félicien Toudjingar;Li-Iyane Olivier Ouambi;Yannick Canton Kessely;Donal Djasdé;Mahouli Fata Vounki;Momar Codé Ba(Neurosurgery Unit of Center Hospitalier Universitaire la Renaissance, N’,Djamena, Chad;Neurosurgery Unit of CHU la Ré,fé,rence Nationale, N’,Djamena, Chad;Neurosurgery Department of Centre Hospitalier National Universitaire de Fann, Dakar, Senegal)

机构地区：[1]Neurosurgery Unit of Center Hospitalier Universitaire la Renaissance, N’,Djamena, Chad [2]Neurosurgery Unit of CHU la Ré,fé,rence Nationale, N’,Djamena, Chad [3]Neurosurgery Department of Centre Hospitalier National Universitaire de Fann, Dakar, Senegal

出　　处：《Open Journal of Modern Neurosurgery》2024年第2期170-178,共9页现代神经外科学进展（英文）

摘　　要：Introduction: Cranioencephalic trauma caused by bladed weapons is rare, and that caused by sharp objects is exceptional. The aim of our study was to describe the clinical, therapeutic and evolutionary aspects. Materials and method: This was a descriptive and analytical study over a 48-month period at CHU la Renaissance from January 1, 2018 to December 31, 2021, concerning patients admitted for penetrating cranioencephalic trauma by pointed object. Results: Twelve cases, all male, of penetrating cranioencephalic sharp-force trauma were identified. The mean age was 34 ± 7 years, with extremes of 11 and 60 years. Farmers and herders accounted for 31% and 25% of cases respectively. The average admission time was 47 hours. Brawls were the circumstances of occurrence in 81.2% of cases. Knives (33%), arrows (25%) and iron bars (16.6%) were the objects used. Altered consciousness was present in 43.8% of cases, and focal deficit in 50%. Scannographic lesions were fracture and/or embarrhment (12 cases), intra-parenchymal haematomas (6 cases) and presence of object in place (4 cases). Surgery was performed in 11 patients. Postoperative outcome was favorable in 9 patients. After 12 months, 2 patients were declared unfit. Conclusion: Penetrating head injuries caused by sharp objects are common in Chad. Urgent surgery can prevent disabling after-effects.Introduction: Cranioencephalic trauma caused by bladed weapons is rare, and that caused by sharp objects is exceptional. The aim of our study was to describe the clinical, therapeutic and evolutionary aspects. Materials and method: This was a descriptive and analytical study over a 48-month period at CHU la Renaissance from January 1, 2018 to December 31, 2021, concerning patients admitted for penetrating cranioencephalic trauma by pointed object. Results: Twelve cases, all male, of penetrating cranioencephalic sharp-force trauma were identified. The mean age was 34 ± 7 years, with extremes of 11 and 60 years. Farmers and herders accounted for 31% and 25% of cases respectively. The average admission time was 47 hours. Brawls were the circumstances of occurrence in 81.2% of cases. Knives (33%), arrows (25%) and iron bars (16.6%) were the objects used. Altered consciousness was present in 43.8% of cases, and focal deficit in 50%. Scannographic lesions were fracture and/or embarrhment (12 cases), intra-parenchymal haematomas (6 cases) and presence of object in place (4 cases). Surgery was performed in 11 patients. Postoperative outcome was favorable in 9 patients. After 12 months, 2 patients were declared unfit. Conclusion: Penetrating head injuries caused by sharp objects are common in Chad. Urgent surgery can prevent disabling after-effects.

关 键 词：Penetrating Trauma SKULL Encephalon Sharp Object Surgery Patient Outcome 

分 类 号：D67[政治法律—政治学]