Treatment and Outcome of Chronic Subdural Hematoma in Sub-Saharan Africa and the Country of Benin

سال انتشار: 1394
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 400

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شناسه ملی سند علمی:

JR_IJN-1-2_005

تاریخ نمایه سازی: 15 شهریور 1395

چکیده مقاله:

Background & Aim: Chronic subdural hematoma (CSDH) is a common neurosurgical pathology. The objective of thisstudy was to describe the epidemiology of this pathology and the results in treating it combined from three hospitalcenters in Benin.Methods & Materials/Patients: From September 2010 to September 2013 a multi-center, retrospective and descriptivestudy was conducted in three hospital centers in Benin. Inventory was taken of all patients in whom CSDH wasdiagnosed. Patients were evaluated according to Markwalder classification. All patients received a brain scan. Thevariables studied include demographic and clinical characteristics, therapeutic modalities and post-operative followup.Results: 104 consecutive patients with CSDH were included in the study. The mean age was 49.66, but ranged fromsix months to 87 years. The M:F sex ratio was 5.11/1. Prior cranial trauma had occurred in 81 patients (77%). Preoperativeneurological Grades 1 or 2 were observed in 56.4% of cases. Surgical treatment was given to 100 patients(96.15%). Events surrounding the surgery were straightforward and results satisfactory in 94% of cases. No relapseswere observed. The morbidity was 4% and the mortality among surgical patients was 3%.Conclusion: CSDH is frequently treated in the country of Benin. The mean age of patients is lower than that observedin global literature, and patients are predominantly male. Regardless of the patient condition upon hospital admission,post-operative results compare favorably with the literature.

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نویسندگان

Luphin Hode

Neurosurgeon, Emergency Service, National University Hospital Center Hubert Koutoukou Manga of Cotonou, Africa

Kisito Quenum

Neurosurgeon, Unit of Neurosurgery, Army Training Hospital of Cotonou, Africa

Holden O Fatigba

Neurosurgeon, Unit of neurosurgery, Departmental Teaching Hospital of Borgou/Alibori, Benin, Africa

Lionelle Fanou

Neurosurgeon, Unit of Neurosurgery, Army Training Hospital of Cotonou, Africa