Epidemiological, clinical and therapeutical study of depressed skull fractures in the neurosurgical department of the gabriel toure hospital: about 72 cases

• Published in: Le Mali medical Vol. 30; no. 3; p. 7
• Main Authors: Kanikomo, D, Sogoba, Y, Dama, M, Coulibaly, O, Diarra, M S, Thiam, A B, Traoré, D, Djibo, D, Diallo, G, Ba, M C, Sakho, Y, Badiane, S B
• Format: Journal Article
• Language: French
• Published: Mali 2015
• Subjects: neurochirurgical; road traffic accident; neurosurgical; AVP; fracture embarrure; Depressed skull fracture
• ISSN: 1993-0836

Depressed skull fractures are common and frequent among neurosurgical diseases of whose danger stem from the associated intracranial lesions. The aims of this study were to describe the epidemiological characteristics of depressed skull fractures, to determine their etiology, to describe the clinical signs, to highlight the complications and sequelae and to evaluate care management. It was a retrospective and descriptive study from January to December 2013 including 72 patients admitted to the neurosurgical department of the Gabriel Toure hospital. The frequency was 14.7% and the male to female ratio was 13.4. The peak frequency of these injuries occurred in the 16-to 25-year-old age group accounting for 38.9% of cases. Road traffic accidents were the most common causes of depressed skull fractures (59.7%). Neurosurgical treatment was performed in 25 (34.72%) patients and the most common surgical technique performed was the craniectomy in (64%). Infection of the wound was found in 15.3% and the mortality rate was 1.39%. Depressed skull fractures are a frequent neurosurgical disease in the Gabriel Touré hospital. Young people are most affected and road traffic accidents involving motorbikes are the main cause the fractures. The infection of the wound is a poor prognostic factor. Therefore, an early management is required to expect a good outcome.