Author(s)

Youssouf Sogoba¹, Drissa Kanikomo¹, Quenum Kouassi Jean Marie Kisito², Moussa Diallo¹, Bakary Dembélé¹, Boubacar Sogoba¹, Djènè Kourouma¹, Izoudine Blaise Koumaré¹, Seybou Hassane Diallo³, Hamidou Almeimoune⁴, Moustapha Mangané⁴, Thierno Madane Diop⁴, Oumar Coulibaly⁵, Mamadou Salia Diarra⁶, Mahamadou Dama⁵, Oumar Diallo⁵, Youssoufa Maiga³, Djibo Mahamane Diango⁴

¹Department of Neurosurgery, Gabriel Touré Teaching Hospital, Bamako, Mali.
²Neurosurgeon, University of Parakou, Parakou, Benin.
³Department of Neurology, Gabriel Touré Teaching Hospital, Bamako, Mali.
⁴Department of Emergency Care, Gabriel Touré Teaching Hospital, Bamako, Mali.
⁵Department of Neurosurgery, Hôpital du Mali, Bamako, Mali.
⁶Department of Neurosurgery, Hôpital Luxambourg, Bamako, Mali.

Background: Traumatic Brain Injury (TBI) is a major health problem worldwide. It is the main cause of trauma mortality. Acute subdural hematoma (ASDH) has a reputation for being the most serious of all posttraumatic head injuries. Its frequency is estimated to be 1% to 5% of all head injuries and 22% of severe head injuries. The aim of this study was to assess the epidemiological, clinical and prognosis aspects of ASDH in our department. Material and Methods: This prospective study, from January to December 2019, included 57 patients admitted to the Gabriel Touré Teaching Hospital for ASDH. Patients underwent detailed clinical and radiological evaluation and ASDH was diagnosed by non-contrast computed tomography (CT) scan. Functional outcome was evaluated 6 months after injury by Glasgow Outcome Scale. Results: During the study period, 662 patients were admitted for TBI including 57 (8.61%) cases of ASDH. The mean age was 34 years with extremes of 2 and 77 years. There was a male predominance with 52 (91.2%). The main cause of trauma was motor vehicle accidents in 38 (66.6%) patients. According to the Glasgow coma scale (GCS), 33 (57.9%) patients were classified mild (Table 2). The thickness of the hematoma was more than 1 cm in 13 (22.8%) patients and less than 1 cm in 44 (77%) patients. Surgical treatment was performed in 13 (22.8%) patients. The outcome was favorable in 30 (52.6%) patients and the mortality rate was 33.3%. Conclusion: ASDH remains a difficult challenge because of the high mortality. The mortality rate remains high particularly in patient with poor GCS score at admission.

Acute Subdural Hematoma, Traumatic Brain Injury, Outcome

Sogoba, Y. , Kanikomo, D. , Kisito, Q. , Diallo, M. , Dembélé, B. , Sogoba, B. , Kourouma, D. , Koumaré, I. , Diallo, S. , Almeimoune, H. , Mangané, M. , Diop, T. , Coulibaly, O. , Diarra, M. , Dama, M. , Diallo, O. , Maiga, Y. and Diango, D. (2022) Management and Outcome of Acute Subdural Hematoma in Gabriel Touré Hospital. Open Journal of Emergency Medicine, 10, 48-53. doi: 10.4236/ojem.2022.101004.