Table of Contents
ISRN Surgery
Volume 2013, Article ID 453907, 4 pages
http://dx.doi.org/10.1155/2013/453907
Clinical Study

The Exploratory Burr Hole: Indication and Results at One Departmental Hospital of Benin

1Unit of Neurosurgery, Medicine School of Parakou University, P.O. Box 02, Borgou, Benin
2Department of Surgery, Medicine School of Parakou University, Benin
3Departement of Imaging Diagnose, Medicine School of Parakou University, Benin

Received 9 January 2013; Accepted 7 February 2013

Academic Editors: F. A. Luchette and A. Parry

Copyright © 2013 Holden O. Fatigba et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. The aim of this study was to describe the indications and results of exploratory burr hole performed at the Departmental Teaching Hospital of Borgou (Benin). Methods. It was a retrospective study performed from January 2008 to February 2011. It concerned patients with a closed traumatic brain injury (TBI) in which an exploratory burr hole was performed. The selection criteria were unilateral mydriasis associated with neurological deficits on the opposite side or the occurrence of a decreased consciousness associated with the appearance of a motor deficit after a lucid interval. Results. Amongst the 74 patients operated, 23 (31%) underwent an exploratory burr hole for which the average age was 24.8 ± 17.3 years. Sex ratio male/female was 3.6. TBI was due to road traffic accident (56.5%), a fall (26.1%), and an assault (17.4%). It was severe (47.8%), moderate (39.1%), and mild (13.1%). Mydriasis was observed in 69.6% of cases as well as neurological deficit in all patients. A lesion was observed in 15 (65.2%) cases. Conclusion. The exploratory burr hole seemed as an old practice, still no longer performed in full practice in Benin, and is a diagnosis and therapeutic approach. Better technical conditions would allow more relevant therapeutic options.