Neurosurgery Department, Fann's National Teaching Hospital, Dakar, Senegal.
Neurosurg Rev. 2023 Jul 4;46(1):162. doi: 10.1007/s10143-023-02074-5.
Cranioencephalic trauma is a transient or permanent cerebral dysfunction resulting from a direct or indirect shock applied to the skull and its contents. The aim of this study was to establish the aetiological and favourable factors for the occurrence of cranioencephalic trauma in children under 5 years of age in an urban environment, in order to expose the implication of socio-economic development and parental responsibility. This was a 5-year mixed-methods analytical study from 10/07/2017 to 10/07/2022. It included 50 children, who were hospitalised at the neurosurgery department of Fann Hospital in Dakar for cranioencephalic trauma (CET) with a Blantyre score ≤ 2/5 and a GCS ≤ 8. During the study period, we had collected 50 children with severe CET. The mean age of the patients was 30.25 months with extremes of 01 months and 60 months. At 1 year post-CET, 8 children, i.e., 16% of the children, were seen with neurological after-effects such as motor disorders, with a p value of 0.041 ˂ 0.05. We are living in a period where the technological revolution is taking a big step forward every day. The misuse of NICT and the socio-economic stability of parents seem to influence the occurrence of severe CET in small children. It is becoming more and more frequent with the lack of supervision of children in favour of communication and leisure tools.
颅脑创伤是指由于颅骨及其内容物受到直接或间接冲击而导致的短暂或永久性脑功能障碍。本研究旨在确定城市环境中 5 岁以下儿童发生颅脑创伤的病因和有利因素，以揭示社会经济发展和父母责任的影响。这是一项为期 5 年的混合方法分析研究，时间为 2017 年 7 月 10 日至 2022 年 7 月 10 日。共纳入 50 名因颅脑创伤（CET）在达喀尔法汉医院神经外科住院的儿童，其 Blantyre 评分为≤2/5，GCS 评分为≤8。在研究期间，我们共收集了 50 名严重 CET 患儿。患者的平均年龄为 30.25 个月，极值为 01 个月至 60 个月。在 CET 后 1 年，8 名儿童（即 16%的儿童）出现神经后遗症，如运动障碍，p 值为 0.041 ˂ 0.05。我们生活在一个技术革命每天都在大步前进的时代。滥用 NICT 和父母的社会经济稳定似乎影响了幼儿严重 CET 的发生。由于缺乏对儿童的监督， favour communication and leisure tools，这种情况越来越频繁。
