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Updated: Feb 3, 2026

Controlled Cortical Impact Model for Traumatic Brain Injury
Published on: August 5, 2014
[Surgical treatment of traumatic brain injuries in Cotonou: Difficulties, results and prospects]
L Hode1, S Mewanou2, Y B P Deffon1
1Clinique Universitaire de Traumatologie Orthopédie et de Chirurgie Réparatrice du Centre National Hospitalier Universitaire Hubert Koutoukou Maga, 01 BP386, Cotonou, Bénin.
Abstract:
Social and economical impact of traumatic brain injury (TBI) is all the more important that this condition is one of the most frequent causes of death, morbidity and disability in adults. The aim of this study was to evaluate the results of neurosurgical treatment of traumatic brain injury at the Hubert Koutoukou Maga National Teaching Hospital (CNHU-HKM) in Cotonou.
Patients And Methods:
It was a descriptive and analytical retrospective study. It was carried out on data of patients admitted to the CNHU-HKM for TBI from 1st of July 2012 to 30th of June 2015.
Results:
Among the 1777 TBI patients admitted, 80 (4.5%) had surgical treatment. The mean age of patients was 28±16 years. The sex-ratio was 5.27 male for 1 female. The injuries diagnosed were acute extra-dural hematoma (39.13%), acute subdural hematoma (15.94%), cranial cerebral wounds (21.73%), depressed fractures (14.49%), ventricular hemorrhage (5.8%), cerebellar hemorrhage (1.45%) and brain swelling (1.45%). The mean delay between diagnosis and surgical care was 120±152.32hours. Postoperative mortality rate was 13.04%.
Discussion And Conclusion:
Benin's health system does not provide optimal care management of patients with TBI. There is an emerging imperative to develop an insurance system for the management of TBI.
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