Fatigba O H, Savi de Tove K M, Brun L, Babio R, Padonou J
Neurochirurgien, Assistant chef de clinique, Faculté de Medecine, Universite de Parakou, Bénin.
Mali Med. 2011;26(4):60-4.
The goal of this study was to report skull vault injuries characteristics among motorcyclists after crash.
It was descriptive study performed at the Departmental Hospital of Borgou, Benin from January 2008 to April 2009. It concerned motorcyclists hospitalized after traffic accidents. They undergoing skull X-ray and or Brain CT-scan.
On 106 patients answering the criteria of inclusions, 40 (37,7%) presented a lesion of the skull vault. Sex ratio M:F was 4,71. The mean age was 24,55 years. Skull X-Ray was performed in 25 cases, CT- scan in 9 and both in 6.A fracture was observed in 22 patients (55%), a depressive fracture in 13 (32,5%) patients, an association fracture and depressive fracture in 5 patients (12,5%). The location was: frontal 47,5%, parietal 22,5%, temporal 7,5%, occipital 2,5%. Intracranial lesions were identified in 12 (80%) of 15 patients receiving CT-scanning.
The skull vault lesions observed after motorcycle crash in our study are worrying. Helmet use law may reduce these injuries and they can be better explored by a technical conditions strengthened.
本研究的目的是报告摩托车手在事故后颅骨损伤的特征。
这是一项描述性研究,于2008年1月至2009年4月在贝宁博尔古省医院进行。研究对象为交通事故后住院的摩托车手。他们接受了颅骨X光检查和/或脑部CT扫描。
在106例符合纳入标准的患者中,40例(37.7%)出现颅骨损伤。男女比例为4.71。平均年龄为24.55岁。25例行颅骨X光检查,9例行CT扫描,6例两者均做。22例(55%)观察到骨折,13例(32.5%)为凹陷性骨折,5例(12.5%)为骨折合并凹陷性骨折。骨折部位分布为:额部47.5%,顶叶22.5%,颞叶7.5%,枕叶2.5%。在接受CT扫描的15例患者中,12例(80%)发现颅内病变。
我们的研究中观察到的摩托车事故后颅骨损伤令人担忧。头盔使用法规可能会减少这些损伤,并且通过加强技术条件可以更好地探究这些损伤。