Management of Craniocerebral Injuries in the Neurosurgery Department

Abstract

The authors describe a retrospective study about 257 cases of cranio-cerebral wounds collected over a period of 7 years (2017 to 2024) in the neurosurgery department of CHU Mohammed IV of Marrakech. The craniocerebral wounds represent 19% of all head injuries. The male is very significant (75%). The average age was 28.6 years. Accidents highway is the major cause (44%) and assaults (35%). The majority of patients were admitted during weekends and summer months. On admission, 34.24% of head injuries were severe (GCS ≤ 8), signs deficits were noted in 17% of cases and autonomic disorders in 21.4%. scaner brain was performed in all patients, it has detected the CPC and the lesions associated with intracranial contusion ranked first with 42.39%. The therapeutic management consisted of medical treatment associated with surgery. (Craniotomy+ recovery plan dural and skin). The postoperative course was excellent in 84% cases while in 16% of complications occurred and dominated by neurological deficits.