Essobiyou Tamassi Bertrand, Labou Albert Kossi, Ouedraogo Samuel Salem Laurent, Diendere Pegwende Rachid Cedric, Kpelao Stéphane Essossinam
General Surgery Department, Sylvanus Olympio University Hospital Center, Lome, Togo; General Surgery Department, Dapong Regional Hospital Center, Dapaong, Togo.
Neurosurgery Department, Sylvanus Olympio University Hospital Center, Lome, Togo.
Int J Surg Case Rep. 2024 Jul;120:109883. doi: 10.1016/j.ijscr.2024.109883. Epub 2024 Jun 14.
Craniocerebral wounds are potentially serious and life-threatening injuries. These are real medical and surgical emergencies. The authors report a case of craniocerebral injury in a child with extensive craniotomy and its management in a hospital with limited resources in Togo.
He was a young 11-year-old schoolboy who presented with an extensive craniocerebral injury with craniotomy after a road traffic accident. On admission, he had no focal neurological deficits or other signs related to an intracranial expansive process. After preoperative reanimation, antibiotic therapy and anti-tetanus serovaccination, he was taken to the operating room by general surgeons. He underwent lavage, suture of the dura mater, placement of the bone flap and suture of the scalp wound. The postoperative course was simple.
Cranioencephalic trauma is one of the main causes of pediatric mortality in developing countries. Cranio-cerebral wounds are a therapeutic emergency because of the risk of infection, which remains the main concern. Treatment consists of a medical component followed by a surgical component. Reanimation remains an essential component of medical treatment.
Craniocerebral wounds are serious injuries. It requires rapid and appropriate medical and surgical management to avoid complications, particularly infection.
颅脑创伤是潜在的严重且危及生命的损伤。这些属于真正的医疗和外科急症。作者报告了一名多哥资源有限的医院中接受广泛开颅手术的儿童颅脑损伤病例及其治疗情况。
他是一名11岁的男学生，在道路交通事故后出现广泛颅脑损伤并接受了开颅手术。入院时，他没有局灶性神经功能缺损或与颅内占位性病变相关的其他体征。经过术前复苏、抗生素治疗和破伤风抗血清接种后，普通外科医生将他送入手术室。他接受了冲洗、硬脑膜缝合、骨瓣放置和头皮伤口缝合。术后过程顺利。
颅脑外伤是发展中国家儿童死亡的主要原因之一。颅脑创伤是一种治疗急症，因为存在感染风险，这仍然是主要关注点。治疗包括医学部分，随后是外科部分。复苏仍然是医学治疗的重要组成部分。
颅脑创伤是严重损伤。需要迅速且适当的医学和外科治疗以避免并发症，尤其是感染。
