Profil Clinico-Épidémiologique et Tomodensitométrique du Traumatisme Crânioencéphalique à l’Hôpital Sominé Dolo (Mopti)

RESUME Objectif. Decrire le profil clinico-epidemiologique et tomodensitometrique du traumatisme crânioencephalique (TCE) a l’hopital de Mopti. Methodologie. Il s’agissait d’une etude transversale menee de janvier 2015-decembre 2019 au service de radiologie de l’hopital de Mopti. L’etude concernait tous les patients traumatises crâniens ayant beneficie d’une tomodensitometrie cerebrale pendant cette periode. Les patients sans notion de traumatisme crânien etaient non inclus. Les variables etudiees etaient: le profil sociodemographique, le score de Glasgow, l’etiologie du traumatisme et les resultats tomodensitometriques. Les donnees ont ete analysees avec le logiciel SPSS version 20. Resultats. Parmi les 2294 examens tomodensitometriques cerebraux,  830(36,18%) etaient des traumatises crâniens. Les patients entre 15-29 ans etaient les plus representes (41%). Les hommes etaient les plus nombreux (84,60%). Les agriculteurs etaient plus affectes (26,39%). Le TCE modere etait le plus frequent et representait 36,63% des cas. Les accidents routiers representaient 59,60% des etiologies. Le resultat tomodensitometrique etait pathologique dans 77,20% des cas avec une predominance de l’association lesionnelle (30,20%). Conclusion. Notre etude a montre que le traumatisme crânioencephalique constitue un probleme de sante publique non rare dans la region de Mopti touchant surtout les adolescents, les adultes jeunes et les agriculteurs de sexe masculin. Les accidents de la voie publique sont l’etiologie la plus frequente. La tomodensitometrie est pathologique dans la majorite des cas avec une predominance de l’association lesionnelle. ABSTRACT Objective. To describe the clinical-epidemiological and CT scan profile of cranioencephalic trauma at Somine Dolo Hospital in Mopti. Methods. It was a cross-sectional study from January 2015-December 2019 in the radiology department of Mopti hospital. The study involved all head trauma patients who underwent a cerebral CT scan during this period. Patients without head trauma were not included. The study variables were: sociodemographic profile, Glasgow score, etiology of the trauma and CT results. The data were compiled with SPSS version 20 and Excel 2013 software. Results. Among 2294 brain CT exams, 830 cases were done for trauma, ie 36.18%. There were 84.60% of male against 15.40% of female The average age was 26.43 years. Patients aged 15-29 years were more numerous (41%). The most common professional group was farmers (26.39%). Moderate head trauma represented 36.63% of cases. Road traffic accidents represented 59.60% of the etiologies. CT scan findings were abnormal in 77.20% of cases. Associations of injuries were found in 30.20% of cases.  Conclusion. Head trauma is a common public health problem in Mopti’s region. It affects mainly male adolescents, and young adults. Road traffic accidents are the most frequent etiology. Most CT scan findings are abnormal. Injuries are commonly found in association.