Keywords
Head trauma; domestic accident; Public road accident; Children; Neurological sequelae
Abstract
The head injury is one of the most common traumatic pathology that may be the cause of serious sequelae; particularly since it mainly affects the young active population
Aim: The aim of this study is to evaluate the epidemiologic profile of victims of head trauma and the lesion characteristics.
Patients and methods: This is a retrospective descriptive study including all children (age 0 to 15 years) who have been hospitalized in the year 2010 for head injury in our department.
A total of 191 children (131 boys and 60 girls) with a mean age of 5, 94 years were managed. The causes of head injury were: domestic accidents in 65, 9% of cases, accident of public roads in 32, 5% of cases and aggression in 3 cases. Head injuries were benign in 83, 4% of cases, moderate in 8, 9% of cases and severe in 3, 7% of cases. 188 patients were explored by CT scan that objectified an elementary lesion in 63, 3% of cases. In major cases, treatment consisted in saline infusion, oxygenation and neurological monitoring. Intubation and mechanical ventilation was necessary in only 11 cases (5, 76%). Evolution was satisfactory in 96% of cases. Five patients died in our series and tow had major neurological sequelae.
Conclusion: Head trauma is common in children especially in males. Although most of them are benign, it may in some cases be responsible for major neurological sequelae.
Citation
Khemakhem R, Aloui K, Rahay H, Nouira F, Chennoufi F, Louati H, et al. Epidemiological Profile of Traumatic Brain Injuries in Children. SM J Pediatr Surg. 2017; 3(1): 1040