Aspects Épidémiologiques et Prise en Charge Neurochirurgicale des Traumatismes Cranioencéphaliques de l’Adulte au Centre Hospitalier Universitaire Sylvanus Olympio de Lomé

RESUME Introduction. Les traumatismes cranioencephaliques (TCE) constituent un probleme de sante publique, en termes de mortalite, de morbidite et de repercussions economico-sociales. Le but de ce travail etait de decrire les aspects epidemiologiques et la prise en charge sur le plan neurochirurgical des traumatises crâniens. Patients et methodes. Il s’agit d’une etude transversale retrospective descriptive des dossiers des patients hospitalises pour TCE au CHU Sylvanus Olympio de Lome, entre le 1er janvier 2015 et le 31 decembre 2017. Les variables d’etude etaient les donnees epidemiologiques et cliniques, les modalites du traitement chirurgical et les resultats obtenus. L’etude a obtenu l’accord du comite d’ethique de l’hopital. Resultats. 315 patients (287 hommes et 28 femmes) ont repondu aux criteres d’inclusion. Leur âge moyen des patients etait de 29,37 ± 12,26 ans. Parmi eux, 105 ont ete operes. Les hematomes extra duraux constituaient la pathologie chirurgicale la plus operee (60%, n = 63), suivie des embarrures (21,9% ; n = 23). La mortalite globale etait de 7,3%. Conclusion. Les TCE demeurent une preoccupation majeure, au CHU SO. La prevention et la strategie de prise en charge doivent etre ameliorees. ABSTRACT Introduction. Social and economic impact of traumatic brain injury is one of the most frequent causes of death, morbidity and disability in young adults. The aim of this study was to describe the presentation and surgical management of traumatic brain injury (TBI). Patients and methods. It was a cross sectional descriptive and analytical retrospective study. It was carried out on data of patients admitted to the CHU SO from 1st of January 2015 to 31 of December 2017. Our study variables were epidemiology, clinical features, modalities of neurosurgical treatment and outcome. Results. A total of 315 cases of TBI were recorded. The average age was 29.37 ± 12.26 years. The sex ratio was 9.76. In of cases, the brain injury. Epidural hematoma was the most common brain injury that was operated (60%, n = 63), followed by skull depressed (fracture 21.9%; n = 23). Global mortality rate was 7.3%. Conclusion. There is an emerging imperative to develop a management of patients with TBI at Sylvanus.