%0 Journal Article
%T Management of Penetrating Cranioencephalic Trauma Caused by Sharp Metal Objects—Therapeutic and Evolutionary Aspects: 12 Cases at the Renaissance University Hospital in N’Djamena
%A Goumantar F&#233
%A licien Toudjingar
%A Li-Iyane Olivier Ouambi
%A Yannick Canton Kessely
%A Donal Djasd&#233
%A Mahouli Fata Vounki
%A Momar Cod&#233
%A Ba
%J Open Journal of Modern Neurosurgery
%P 170-178
%@ 2163-0585
%D 2024
%I Scientific Research Publishing
%R 10.4236/ojmn.2024.142018
%X <b>Introduction: </b>Cranioencephalic trauma caused by bladed weapons is rare, and that caused by sharp objects is exceptional. The aim of our study was to describe the clinical, therapeutic and evolutionary aspects. <b>Materials and method: </b>This was a descriptive and analytical study over a 48-month period at CHU la Renaissance from January 1, 2018 to December 31, 2021, concerning patients admitted for penetrating cranioencephalic trauma by pointed object. <b>Results: </b>Twelve cases, all male, of penetrating cranioencephalic sharp-force trauma were identified. The mean age was 34 ± 7 years, with extremes of 11 and 60 years. Farmers and herders accounted for 31% and 25% of cases respectively. The average admission time was 47 hours. Brawls were the circumstances of occurrence in 81.2% of cases. Knives (33%), arrows (25%) and iron bars (16.6%) were the objects used. Altered consciousness was present in 43.8% of cases, and focal deficit in 50%. Scannographic lesions were fracture and/or embarrhment (12 cases), intra-parenchymal haematomas (6 cases) and presence of object in place (4 cases). Surgery was performed in 11 patients. Postoperative outcome was favorable in 9 patients. After 12 months, 2 patients were declared unfit. <b>Conclusion:</b> Penetrating head injuries caused by sharp objects are common in Chad. Urgent surgery can prevent disabling after-effects.
%K Penetrating Trauma
%K Skull
%K Encephalon
%K Sharp Object
%K Surgery
%K Patient Outcome
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=132832