@article{ref1, title="Traumatic head injury in children in south Tunisia epidemiology, clinical manifestations and evolution", journal="Tunisie meĢdicale, La", year="2009", author="Bahloul, M. and Chelly, Hedi and Gargouri, Riadh and Dammak, Hassen and Kallel, Hatem and Ben Hamida, Chokri and Rekik, Noureddine and Ben Mahfoudh, Khaireddine and Rebaii, Riadh and Hachicha, Mongia and Bouaziz, Mounir", volume="87", number="1", pages="28-37", abstract="AIM : To determine epidemiological, causes, clinical and Para clinical manifestations and outcome in children with traumatic head injury in south Tunisia. METHODS: A retrospective study over a 8 year period (1997-2004) of 454 children's with head injury admitted to the Intensive Care Unit (ICU) of a university hospital (Sfax-Tunisia). Basic demographic, clinical, biological and radiological data were recorded on admission and during the ICU stay. RESULTS: Mean age (+/- SD) was of 7.2 +/-3.8 years. The main cause of trauma was traffic accidents (69.4%). There were a predominance of male patient's with a sex-ratio of 2.21. The Score of coma of Glasgow adapted to the child, was on average from 8 +/- 3 points. Extra-cranial pathology was present were observed in 38.9%. The cerebral CT-Scan performed on admission for all patients was pathological in 86.3% of the cases. The most observed lesions were meningeal Haemorrhage (35.2%) and the cerebral contusion (34.5%). According to the "Traumatic Coma Dated Bank classification" we noted a high proportion of type 2 group (46%). Secondary systemic insults were observed in 377 children (83%). Evolution was marked by the death of 82 children (18%). Among survivors, a good recovery was observed in 229 children (50.4%). CONCLUSION: In Tunisia, head injury is a frequent cause of hospitalization. It is essentially involved in traffic accidents. The short term prognosis is poor with a high (18%) mortality. Prevention is highly advised.

Language: fr

", language="fr", issn="0041-4131", doi="", url="http://dx.doi.org/" }