Challenges and Solutions for Functional Neurosurgery in Developing Countries.

Area of Science:

• Neurosurgery
• Global Health
• Medical Implementation Science

Background:

• Functional neurosurgery is crucial but globally under-documented.
• Low- and middle-income countries (LMIC) have a high burden of diseases treatable by functional neurosurgery, such as epilepsy.
• High costs of functional neurosurgery present a significant barrier to implementation in LMIC.

Purpose of the Study:

• To review the current status of functional neurosurgical techniques in LMIC.
• To identify challenges and opportunities for functional neurosurgery implementation in resource-limited settings.
• To establish a baseline for future initiatives aimed at improving access to these treatments.

Main Methods:

• A comprehensive literature review was conducted using the PubMed database.
• Search terms included "functional neurosurgery," "developing countries," and "low and middle income countries."
• The review focused on assessing the current body of literature regarding functional neurosurgery in LMIC.

Main Results:

• The exact disease burden treatable by functional neurosurgery in LMIC remains largely unknown.
• While international neurosurgical collaborations are increasing, specific reports on functional neurosurgery are scarce.
• Access to safe surgical care is limited for billions, with functional neurosurgery access being particularly unclear.

Conclusions:

• Global awareness of surgical disparities is growing, but specific guidelines for functional neurosurgery are lacking.
• International partnerships between high-income countries (HIC) and LMIC are vital for understanding disease burden and developing tailored solutions.
• Concerted efforts and increased collaborations are needed to expand the practice of functional neurosurgery in LMIC.