title: [Traumatic head injury in children in south Tunisia epidemiology, clinical manifestations and evolution. 454 cases].
abstract: OBJECTIVE
  To determine epidemiological, causes, clinical and Para clinical manifestations and outcome in children with traumatic head injury in south Tunisia.
  
  
  METHODS
  A retrospective study over a 8 year period (1997-2004) of 454 children's with head injury admitted to the Intensive Care Unit (ICU) of a university hospital (Sfax-Tunisia). Basic demographic, clinical, biological and radiological data were recorded on admission and during the ICU stay.
  
  
  RESULTS
  Mean age (+/- SD) was of 7.2 +/-3.8 years. The main cause of trauma was traffic accidents (69.4%). There were a predominance of male patient's with a sex-ratio of 2.21. The Score of coma of Glasgow adapted to the child, was on average from 8 +/- 3 points. Extra-cranial pathology was present were observed in 38.9%. The cerebral CT-Scan performed on admission for all patients was pathological in 86.3% of the cases. The most observed lesions were meningeal Haemorrhage (35.2%) and the cerebral contusion (34.5%). According to the "Traumatic Coma Dated Bank classification" we noted a high proportion of type 2 group (46%). Secondary systemic insults were observed in 377 children (83%). Evolution was marked by the death of 82 children (18%). Among survivors, a good recovery was observed in 229 children (50.4%).
  
  
  CONCLUSIONS
  In Tunisia, head injury is a frequent cause of hospitalization. It is essentially involved in traffic accidents. The short term prognosis is poor with a high (18%) mortality. Prevention is highly advised.
authors.affiliation: Service de Rédanimation polyvalente, CHU H. Bourguiba Sfax Tunisie.
authors.forename: Mabrouk
authors.initials: M
authors.lastname: Bahloul
authors.forename: Hedi
authors.initials: H
authors.lastname: Chelly
authors.forename: Riadh
authors.initials: R
authors.lastname: Gargouri
authors.forename: Hassan
authors.initials: H
authors.lastname: Dammak
authors.forename: Hatem
authors.initials: H
authors.lastname: Kallel
authors.forename: Chokri
authors.initials: C
authors.lastname: Ben Hamida
authors.forename: Noureddine
authors.initials: N
authors.lastname: Rekik
authors.forename: Khaireddine
authors.initials: K
authors.lastname: Ben Mahfoudh
authors.forename: Riadh
authors.initials: R
authors.lastname: Rebaii
authors.forename: Mongia
authors.initials: M
authors.lastname: Hachicha
authors.forename: Mounir
authors.initials: M
authors.lastname: Bouaziz
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D006259:Craniocerebral Trauma / Q000453:epidemiology*; D005260:Female; D015600:Glasgow Coma Scale; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D017678:Sex Distribution; D014416:Tunisia / Q000453:epidemiology