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Hydrocephalus in Low and Middle-Income Countries - Progress and Challenges
Johannes M N Enslin1, Nqobile S Thango1, Anthony Figaji1
1Department of Surgery, Division of Neurosurgery, University of Cape Town and Red Cross War Memorial Children's Hospital, Cape Town, South Africa.
Neurology India
|February 1, 2022
Summary
Hydrocephalus management in low- and middle-income countries (LMICs) presents unique challenges, including limited resources and access to care. Innovations developed in LMICs, however, offer potential global benefits for neurosurgical conditions.
Area of Science:
- Neurosurgery
- Global Health
- Pediatric Neurosurgery
Background:
- Hydrocephalus is a prevalent neurosurgical condition globally.
- LMICs face significant barriers in providing adequate hydrocephalus care, including infrastructure and political support limitations.
- Post-infectious hydrocephalus, unique microbial profiles, and limited follow-up care are specific challenges in LMICs.
Purpose of the Study:
- To discuss initiatives aimed at improving access to quality neurosurgical care in LMICs.
- To highlight the role of neuro-endoscopy in managing hydrocephalus worldwide.
- To address the growing need for neurosurgeons and improved healthcare systems in LMICs.
Main Methods:
- Review of current literature and global surgical initiatives.
- Analysis of challenges and innovations in hydrocephalus management in LMICs.
- Discussion of strategies to enhance neurosurgical training and patient education.
Main Results:
- Neuro-endoscopy innovations, like endoscopic third ventriculostomy with choroid plexus coagulation, have emerged from LMICs.
- Despite challenges, advancements in neurosurgery are crucial for improving patient outcomes.
- Increased attention from global health commissions underscores the importance of addressing neurosurgical disparities.
Conclusions:
- Improving access to neurosurgical care, training, and political support in LMICs is essential.
- Addressing specific challenges in LMICs is vital for equitable hydrocephalus treatment.
- Continued efforts are needed to enhance the quality of life for patients with hydrocephalus globally.
