TITLE:
Traumatic Intracerebral Hematomas in Adults: Treatment Outcomes at CNHU-HKM
AUTHORS:
Alihonou Thierry, Gbaguidi Abdias, Ndanga Adorelle, Hode Luphin, Agbo Panzo Martial
KEYWORDS:
Traumatic Brain Injury, Traumatic Intracerebral Hematoma, Surgery, Secondary Systemic Cerebral Insults (SSCI), CNHU-HKM
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.15 No.4,
October
23,
2025
ABSTRACT: Introduction: Traumatic intracerebral hemorrhagic lesions are common in head trauma. Here we report the results of the management of traumatic intracerebral collections at the CNHU-HKM University Neurosurgery Clinic. Materials and Methods: This was a descriptive cross-sectional study with retrospective data collection from January 1, 2020, to December 31, 2022. All patients over the age of 15 with traumatic intracerebral hemorrhage (TICH) were included. Results: During the study period, traumatic intracerebral hematoma accounted for 43.4% of intracranial hemorrhagic collections and 31.1% of head injuries. Men were overrepresented (113M/12F) with a mean age of 38.72 ± 15.28 years. Road traffic accidents were the cause of TICH in 118 patients (94.40%). Among them, 39.2% had a Glasgow Coma Scale score of less than 8/15. Anisocoria was present in 14.4% of cases. The hematoma was single, superficial, and frontal in 51.2%, 89.60%, and 31.2% of cases, respectively. Twenty-seven patients (21.6%) underwent surgery with a mean delay of 6.6 days. Decompressive craniectomy without hematoma evacuation was performed in 17 patients (62.9%). Thirty-seven patients (29.6%) died within an average of 13.4 days. Death was significantly associated with neurological status on admission (p Conclusion: TBI is a reality at CNHU-HKM. Its management is still hampered by delays in diagnosis and treatment, and mortality remains high.