La craniectomie décompressive chez le traumatisé crânien : à propos d’une série de 70 cas.

Decompressive craniectomy is a procedure commonly used to manage suffering from traumatic brain injury patients. It has shown its effectiveness in reducing intracranial pressure, increasing cerebral perfusion pressure, and improving transcranial Doppler. However, it has no clear benefit on outcome. We performed a retrospective analysis of demographic, clinical, and evolving data from 70 cases of decompressive craniectomy in patients with traumatic brain injury at Hassan II University Hospital in Fez, Morocco, from January 2017 to December 2021. Majority of patients were young (age 15-90) and male (63 out of 70). The most common etiology was a road traffic accident (53 out of 70). At initial evaluation, 27 patients (38%) were classified as having severe traumatic brain injury. Pupillary examination revealed no abnormalities for 48 patients (68%). Acute subdural hematoma was the most commonly observed lesion (37 out of 70, 52%). The Glasgow Outcome Scale (GOS) was used to assess the neurological outcome of patients, and 26 patients (37%) had an unfavorable outcome. Only a Glasgow Coma Scale score of 3-8, absent pupillary reactivity, and delayed surgical procedure (>48 hours) were associated with a poor outcome (p<0.05). [ABSTRACT FROM AUTHOR]