40 results on '"Oyemolade, Toyin A."'
Search Results
2. Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool
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Adebayo, Bamidele O., Ajekwu, Temitope, Akpakwu, Ojobo J., Anele, Christopher O., Aniaku, Ikechukwu D., Ayogu, Obinna M., Babagana, Mohammed, Bakwa, Nenkimun D., Bankole, Olufemi B., Bot, Gyang M., Dalhat, Nasiru K., Ige-Orhionkpaibima, Fred S., Jolayemi, Edward, Lemchi, Stanley U., Mbadugha, Tobechi, Mbanugo, Tochukwu H., Mohammed, Abubakar M., Obande, Joseph O., Obeta, Emmanuel C., Odebode, Timothy O., Ogunleye, Olabisi O., Olarewaju, Oluseun A., Onobun, Daniel, Opara, Oluwamayowa, Oremakinde, Adetunji, Oyeleye, Oluwole O., Ozoani, Groovy, Rabiu, Taopheeq B., Sale, Danjuma, Shilong, Danaan J., Sunday, Emmanuel G., Tiamiyu, Liadi O., Timothy, Samaila, Ukachukwu, Alvan-Emeka K., Oyemolade, Toyin A., Nischal, Shiva A., Onyia, Chiazor U., Morgan, Eghosa, Ekweogwu, Ofodile C., Orhorhoro, Omuvie I., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Deng, Di D., Petitt, Zoey, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, Still, Megan E.H., Haglund, Michael M., Fuller, Anthony T., Chikani, Mark C., Adeleye, Amos O., and Adeolu, Augustine A.
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- 2024
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3. Women in Nigerian Neurosurgery: A Cross-Sectional Survey
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Adebayo, Bamidele O., Ajekwu, Temitope, Akpakwu, Ojobo J., Anele, Christopher O., Aniaku, Ikechukwu D., Ayogu, Obinna M., Babagana, Mohammed, Bakwa, Nenkimun D., Bankole, Olufemi B., Bot, Gyang M., Dalhat, Nasiru K., Ige-Orhionkpaibima, Fred S., Jolayemi, Edward, Lemchi, Stanley U., Mbadugha, Tobechi, Mbanugo, Tochukwu H., Mohammed, Abubakar M., Obande, Joseph O., Obeta, Emmanuel C., Odebode, Timothy O., Ogunleye, Olabisi O., Olarewaju, Oluseun A., Onobun, Daniel, Oremakinde, Adetunji, Oyeleye, Oluwole O., Ozoani, Groovy, Rabiu, Taopheeq B., Sale, Danjuma, Shilong, Danaan J., Sunday, Emmanuel G., Tiamiyu, Liadi O., Timothy, Samaila, Badejo, Oluwakemi A., Oboh, Ena, Abu-Bonsrah, Nancy, Petitt, Zoey, Ekweogwu, Ofodile C., Morgan, Eghosa, Onyia, Chiazor U., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Dawang, Yusuf, Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Deng, Di D., Njeru, Paula N., Otun, Ayodamola, Nischal, Shiva A., Opara, Oluwamayowa, Iroegbu-Emeruem, Linda U., Fuller, Anthony T., Haglund, Michael M., Chikani, Mark C., Adeleye, Amos O., Adeolu, Augustine A., and Ukachukwu, Alvan-Emeka K.
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- 2024
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4. The Epidemiological Burden of Neurovascular Pathology in Nigeria: A Systematic Review and Pooled Patient-Level Analysis
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Nischal, Shiva A., Badejo, Oluwakemi A., Trillo-Ordonez, Yesel, Oyemolade, Toyin A., Seas, Andreas, Malomo, Toluyemi A., Nwaribe, Evaristus E., Abu-Bonsrah, Nancy, Deng, Di D., Okere, Oghenekevwe E., Ogundeji, Olaniyi D., Oboh, Ena, Still, Megan E.H., Waguia-Kouam, Romaric, Asemota, Isaac, Oboh, Ehita N., Reddy, Padmavathi, Ugorji, Chiazam, Rahman, Raphia, von Isenburg, Megan, Fuller, Anthony T., Haglund, Michael M., Adeleye, Amos O., and Ukachukwu, Alvan-Emeka K.
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- 2024
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5. Epidemiology and Management Trends of Neuro-Oncology in Nigeria: A Systematic Review and Pooled Analysis
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Ukachukwu, Alvan-Emeka K., Seas, Andreas, Oboh, Ena C., Paradie, Emma, Oyemolade, Toyin A., Nwaribe, Evaristus E., Nischal, Shiva A., Hughes, Jasmine G., Ogundeji, Olaniyi D., Badejo, Oluwakemi A., Malomo, Toluyemi A., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Still, Megan E.H., Waguia-Kouam, Romaric, Trillo-Ordonez, Yesel, Asemota, Isaac, Oboh, Ehita N., Rahman, Raphia, Reddy, Padmavathi, Ugorji, Chiazam, von Isenburg, Megan, Fuller, Anthony T., Haglund, Michael M., and Adeleye, Amos O.
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- 2024
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6. Epidemiological Burden of Neurotrauma in Nigeria: A Systematic Review and Pooled Analysis of 45,763 Patients
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Ukachukwu, Alvan-Emeka K., Nischal, Shiva A., Trillo-Ordonez, Yesel, Nwaribe, Evaristus E., Abu-Bonsrah, Nancy, Malomo, Toluyemi A., Oyemolade, Toyin A., Badejo, Oluwakemi A., Deng, Di D., Still, Megan E.H., Oboh, Ena C., Okere, Oghenekevwe E., Asemota, Isaac, Oboh, Ehita N., Ogundeji, Olaniyi D., Ugorji, Chiazam, Rahman, Raphia, Reddy, Padmavathi, Seas, Andreas, Waguia-Kouam, Romaric, von Isenburg, Megan, Fuller, Anthony T., Haglund, Michael M., and Adeleye, Amos O.
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- 2024
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7. A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050
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Adebayo, Bamidele O., Ajekwu, Temitope, Akpakwu, Ojobo J., Anele, Christopher O., Aniaku, Ikechukwu D., Ayogu, Obinna M., Babagana, Mohammed, Bakwa, Nenkimun D., Bankole, Olufemi B., Bot, Gyang M., Dalhat, Nasiru K., Ige-Orhionkpaibima, Fred S., Jolayemi, Edward, Lemchi, Stanley U., Mbadugha, Tobechi, Mbanugo, Tochukwu H., Mohammed, Abubakar M., Obande, Joseph O., Obeta, Emmanuel C., Odebode, Timothy O., Ogunleye, Olabisi O., Olarewaju, Oluseun A., Onobun, Daniel, Opara, Oluwamayowa, Oremakinde, Adetunji, Oyeleye, Oluwole O., Ozoani, Groovy, Rabiu, Taopheeq B., Sale, Danjuma, Shilong, Danaan J., Sunday, Emmanuel G., Tiamiyu, Liadi O., Timothy, Samaila, Ukachukwu, Alvan-Emeka K., Njeru, Paula N., Ayodele, Olabamidele A., Ahmad, Misbahu H., Onyia, Chiazor U., Morgan, Eghosa, Ekweogwu, Ofodile C., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Petitt, Zoey, Oboh, Ena C., Otun, Ayodamola, Nischal, Shiva A., Deng, Di D., Mahmud, Muhammad R., Mezue, Wilfred C., Malomo, Adefolarin O., Shehu, Bello B., Shokunbi, Matthew T., Ohaegbulam, Samuel C., Fuller, Anthony T., Haglund, Michael M., Chikani, Mark C., Adeolu, Augustine A., and Adeleye, Amos O.
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- 2024
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8. The Scope, Trends, and Challenges of Neurosurgical Research in Nigeria: A Bibliometric Review
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Ukachukwu, Alvan-Emeka K., Ogundeji, Olaniyi D., Abu-Bonsrah, Nancy, Still, Megan E.H., Trillo-Ordonez, Yesel, Oboh, Ehita N., Nischal, Shiva A., Deng, Di D., Ugorji, Chiazam, Seas, Andreas, Badejo, Oluwakemi A., Malomo, Toluyemi A., Nwaribe, Evaristus E., Oyemolade, Toyin A., Okere, Oghenekevwe E., Oboh, Ena, Waguia-Kouam, Romaric, Rahman, Raphia, Asemota, Isaac, Reddy, Ramya, von Isenburg, Megan, Haglund, Michael M., Fuller, Anthony T., and Adeleye, Amos O.
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- 2024
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9. The Status of Specialist Neurosurgical Training in Nigeria: A Survey of Practitioners, Trainers, and Trainees
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Adebayo, Bamidele O., Ajekwu, Temitope, Akpakwu, Ojobo J., Anele, Christopher O., Aniaku, Ikechukwu D., Ayogu, Obinna M., Babagana, Mohammed, Bakwa, Nenkimun D., Bankole, Olufemi B., Bot, Gyang M., Dalhat, Nasiru K., Ige-Orhionkpaibima, Fred S., Jolayemi, Edward, Lemchi, Stanley U., Mbadugha, Tobechi, Mbanugo, Tochukwu H., Mohammed, Abubakar M., Obande, Joseph O., Obeta, Emmanuel C., Odebode, Timothy O., Ogunleye, Olabisi O., Olarewaju, Oluseun A., Onobun, Daniel, Opara, Oluwamayowa, Oremakinde, Adetunji, Oyeleye, Oluwole O., Ozoani, Groovy, Rabiu, Taopheeq B., Sale, Danjuma, Shilong, Danaan J., Sunday, Emmanuel G., Tiamiyu, Liadi O., Timothy, Samaila, Ukachukwu, Alvan-Emeka K., Petitt, Zoey, Usman, Babagana, Ekweogwu, Ofodile C., Dawang, Yusuf, Ahmad, Misbahu H., Ayodele, Olabamidele A., Badejo, Oluwakemi A., Morgan, Eghosa, Onyia, Chiazor U., Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, Nischal, Shiva A., Deng, Di D., Mahmud, Muhammad R., Mezue, Wilfred C., Malomo, Adefolarin O., Shehu, Bello B., Shokunbi, Matthew T., Ohaegbulam, Samuel C., Chikani, Mark C., Adeleye, Amos O., Fuller, Anthony T., Haglund, Michael M., and Adeolu, Augustine A.
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- 2024
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10. The Role of International Collaborations in Sustainable Neurosurgical Development in Nigeria
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Adebayo, Bamidele O., Ajekwu, Temitope, Akpakwu, Ojobo J., Anele, Christopher O., Aniaku, Ikechukwu D., Ayogu, Obinna M., Babagana, Mohammed, Bakwa, Nenkimun D., Bankole, Olufemi B., Bot, Gyang M., Dalhat, Nasiru K., Ige-Orhionkpaibima, Fred S., Jolayemi, Edward, Lemchi, Stanley U., Mbadugha, Tobechi, Mbanugo, Tochukwu H., Mohammed, Abubakar M., Obande, Joseph O., Obeta, Emmanuel C., Odebode, Timothy O., Ogunleye, Olabisi O., Olarewaju, Oluseun A., Onobun, Daniel, Opara, Oluwamayowa, Oremakinde, Adetunji, Oyeleye, Oluwole O., Ozoani, Groovy, Rabiu, Taopheeq B., Sale, Danjuma, Shilong, Danaan J., Sunday, Emmanuel G., Tiamiyu, Liadi O., Timothy, Samaila, Onyia, Chiazor U., Morgan, Eghosa, Oyemolade, Toyin A., Ekweogwu, Ofodile C., Orhorhoro, Omuvie I., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Malomo, Toluyemi A., Nwaribe, Evaristus E., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Petitt, Zoey, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, Deng, Di D., Ogundeji, Olaniyi D., Still, Megan E.H., Nischal, Shiva A., Seas, Andreas, Asemota, Isaac, Oboh, Ehita N., Ugorji, Chiazam, Reddy, Ramya, Rahman, Raphia, Trillo-Ordonez, Yesel, Waguia-Kouam, Romaric, von Isenburg, Megan, Chikani, Mark C., Adeleye, Amos O., Adeolu, Augustine A., Haglund, Michael M., Ukachukwu, Alvan-Emeka K., and Fuller, Anthony T.
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- 2024
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11. Profile of Pediatric Neurosurgery in Nigeria from 1962 to 2021: A Systematic Review
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Oyemolade, Toyin A., Mukumbya, Benjamin, Oboh, Ehita N., Nischal, Shiva A., Ozobu, Ifeanyichukwu, Palla, Adhith, Ogundeji, Olaniyi D., Trillo-Ordonez, Yesel, Nwaribe, Evaristus E., Badejo, Oluwakemi A., Okere, Oghenekevwe E., Malomo, Toluyemi A., Abu-Bonsrah, Nancy, Oboh, Ena C., Seas, Andreas, Still, Megan E.H., Asemota, Isaac, Ugorji, Chiazam, Reddy, Ramya, Rahman, Raphia, Waguia-Kouam, Romaric, Deng, Di D., von Isenburg, Megan, Haglund, Michael M., Fuller, Anthony T., Adeleye, Amos O., and Ukachukwu, Alvan-Emeka K.
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- 2024
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12. Clinical profile of paediatric spinal cord damage in a developing country’s rural-area tertiary hospital neurosurgery
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Oyemolade, Toyin Ayofe, Adeleye, Amos Olufemi, and Ekanem, Inwonoabasi Nicholas
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- 2023
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13. Outcome of Nonoperative Management of Selected Cases of Acute Traumatic Intracranial Hematomas in a Rural Neurosurgical Service of a Developing Country
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Oyemolade, Toyin Ayofe, Adeleye, Amos Olufemi, Ekanem, Inwonoabasi Nicholas, Akinwalere, Adegboyega Kingsley, and Kareem, Adesola Olawumi
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- 2024
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14. Clinical profile and outcome of surgical management of intramedullary spinal cord tumours: A single center study in a developing country
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Oyemolade, Toyin Ayofe, Balogun, James Ayokunle, Badejo, Oluwakemi Aderonke, Malomo, Adefolarin Obanisola, Shokunbi, Matthew Temitayo, Idowu, Olusola Kayode, and Adeolu, Augustine Abiodun
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- 2023
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15. Assessing the Neurosurgical Capacity in Nigeria Using the Modified Neuro-PIPES Tool.
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Ukachukwu, Alvan-Emeka K., Oyemolade, Toyin A., Nischal, Shiva A., Onyia, Chiazor U., Morgan, Eghosa, Ekweogwu, Ofodile C., Orhorhoro, Omuvie I., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Deng, Di D., Petitt, Zoey, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, and Still, Megan E.H.
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NEUROSURGEONS , *INTENSIVE care units , *DIAGNOSTIC equipment - Abstract
Like many low- and-middle-income countries in Africa, documented assessment of the neurosurgical workforce, equipment, infrastructure, and scope of service delivery in Nigeria is lacking. This study aimed to assess the capacity for the delivery of neurosurgical services in Nigeria. An 83-question survey was disseminated to neurosurgeons and residents in Nigeria. We report the findings from the capacity assessment section of the survey, which used the modified neurological-PIPES (personnel, infrastructure, procedures, equipment, and supplies) (MN-PIPES) tool to evaluate the availability of neurosurgical personnel, infrastructure, procedures, equipment, and supplies. A comparative analysis was done using the domain and total MN-PIPES scores and MN-PIPES index. The national average MN-PIPES score and index were 176.4 and 9.8, respectively. Overall, the southwest and northwest regions had the highest scores and frequently had high subscores. The survey respondents reported that the main challenges impeding neurosurgery service delivery were a lack of adjunctive supplies (75.2%), a dearth of diagnostic and interventional equipment (72.4%), and an absence of a dedicated intensive care unit (72.4%). The availability of workforce, infrastructure, equipment, and supplies needed to provide optimal neurosurgical care is uneven in many institutions in Nigeria. Although major strides have been made in recent years, targeted collaborative interventions at local, national, regional, and international levels will further improve neurosurgical service delivery in Nigeria and will have positive ripple effects on the rest of the healthcare system. [ABSTRACT FROM AUTHOR]
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- 2024
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16. The Burden of Neurosurgical Diseases in a Rural Southwestern Nigeria Setting
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Oyemolade, Toyin Ayofe, Balogun, James Ayokunle, Akinkunmi, Mojirade Abiola, Ogunyileka, Oluwakemi Comfort, Arogundade, Folawemimo Mercy, and Olusola, Ayodele Joy
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- 2020
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17. Intracranial infection in patients with myelomeningocele: profile and risk factors
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Anegbe, Ambrose O., Shokunbi, M. Temitayo, Oyemolade, Toyin A, and Badejo, Oluwakemi A.
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- 2019
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18. Features and Outcome of Surgical Management of Spinal Tumors in a Cohort of Nigerian Patients
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Adeolu, Augustine A., Oyemolade, Toyin A., Salami, A.A., Adigun, T.A., Malomo, A.O., Akang, E.A., and Shokunbi, M.T.
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- 2015
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19. Neurotrauma: a burgeoning, yet understudied disease of rural areas in developing countries.
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Oyemolade, Toyin A., Adeleye, Amos O., Ehinola, Busayo A., Olusola, Ayodele J., Ekanem, Inwonoabasi N., and Adesola, Damilola J.
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- 2023
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20. Knowledge of the Glasgow Coma Scale among Physician Interns in a Nigerian Tertiary Health Facility
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Oyemolade, Toyin Ayofe, Akinkunmi, Mojirade A., Ogunyileka, Oluwakemi Comfort, Arogundade, Folawemimo M., Ehinola, Busayo A, and Adeleye, Amos O
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Glasgow Coma Scale, knowledge, Nigeria, physician interns - Abstract
Background: The Glasgow coma scale (GCS) is the most utilized level of consciousness scale globally. Insufficient working knowledge of the GCS by physicians may contribute to poor outcomes in patients with altered levels of consciousness. Aim: This study aims to assess the knowledge of the GCS among the physician interns, also known as house officers, in a rural tertiary health facility in Nigeria. Materials and Methods: This was a questionnaire‑based survey among physician interns in a rural tertiary hospital in Nigeria. Results: All the 77 respondents graduated from medical school within 2 years of the study. Seventy‑two (93.5%) of the participants had been actively involved in the management of patients at the hospital’s accident and emergency department within a month before the study, while 71.4% had been involved in emergency care outside the accident and emergency department within a month prior. Seventy‑five (97.4%) conceded to having received didactic lectures on the GCS in the course of their medical training. About three‑quarters (74.03%) of the respondents correctly defined GCS as GCS; about 85.7% were able to correctly identify all the clinical variables of the GCS, while only 15.6% could correctly describe and score all the parameters of the grading scale. The eye‑opening response was the most correctly remembered (64.9%), followed by the verbal response (42.9%), while the motor response was remembered by 29.9% of the respondents (P = 0.04). Only 36 (46.8%) participants were aware of any subsequent modification to the original GCS score. Conclusion: The working knowledge of GCS is poor among physician interns surveyed in this study. The clinical variable of the GCS with the highest number of items, the motor response, was the least correctly remembered.
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- 2022
21. Intracranial lipoma associated with a subcutaneous lipoma. A rare entity.
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Oyemolade, Toyin Ayofe and Balogun, James Ayokunle
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INTRACRANIAL tumors , *LIPOMA , *AGENESIS of corpus callosum , *AUTOPSY , *HUMAN abnormalities - Abstract
Intracranial lipomas are rare, frequently asymptomatic, congenital malformations. They are most commonly located in the pericallosal region and are often detected incidentally during neuroimaging studies or postmortem examinations. While other associated brain malformations, most notably callosal agenesis, are frequently reported, association with a subcutaneous scalp lipoma is extremely rare. We present a case of pericallosal lipoma associated with callosal agenesis and subcutaneous lipoma over the anterior fontanelle in a 6-month-old female infant who had excision of only the extracranial mass and has remained asymptomatic from the intracranial mass for the 3 years of follow up. [ABSTRACT FROM AUTHOR]
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- 2023
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22. Spinal meningioma: clinical profile and outcome of surgical management.
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Oyemolade, Toyin Ayofe, Adeolu, Augustine Abiodun, Malomo, Adefolarin Obanisola, Shokunbi, Matthew Temitayo, and Salami, Ayodeji Akeem
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MENINGIOMA , *SPINAL surgery , *UNIVARIATE analysis - Abstract
Spinal meningiomas are relatively rare tumours with often favourable surgical outcomes. There is paucity of data on spinal meningiomas in the Nigerian literature. This study was designed to evaluate the incidence, the anatomical distribution and outcome of surgical treatment of spinal meningiomas in our center. This was a retrospective study of patients who had surgery for spinal meningioma at our center during the study period. We obtain data from case note, operation and pathology registers. Univariate analysis was performed using SPSS version 15 (SPSS Science Inc; Chicago, IL, USA). There were 11 patients in the study all of whom were females with age range of 26-65 years. All the patients had motor deficit at presentation. Four patients (36.4%) presented within 6 months of onset of symptoms while the duration of symptoms was more than a year in 5 patients (45.5%). The preoperative functional grading was Frankel A in 2 patients (18.2%), Frankel D in 1 patient (9.1%), Frankel B and C each in 4 patients (36.4%). The tumours were located in the thoracic region in six patients (54.5%), cervical region in 2 patients (18.2%) while the tumours were cervicothoracic in the other 3 patients (27.3%). All the patients had gross total tumour resection. Post-operative neurological improvement occurred in 7 patients (63.6%) while 4 patients (36.4%) remained neurologically the same. All the patients in this study were women. Gross total tumour resection was achieved in all the cases with satisfactory functional outcome. [ABSTRACT FROM AUTHOR]
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- 2022
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23. Paediatric Spinal Tumours: Profile and Treatment Outcome in a Nigerian Tertiary Institution.
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Badejo, Oluwakemi Aderonke, Oyemolade, Toyin Ayofe, Adeolu, Augustine Abiodun, and Shokunbi, Matthew Temitayo
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CHILD patients , *TREATMENT effectiveness , *CENTRAL nervous system , *TUMORS , *PEDIATRICS ,CENTRAL nervous system tumors - Abstract
Introduction: Paediatric spinal tumours are rare, accounting for 1–10% of all childhood central nervous system tumours. There is a paucity of information on spinal tumours in Sub-Saharan Africa. This is particularly so in the Nigerian paediatric population where neuro-oncologic data are limited. Indeed, there is no previously published work on paediatric spinal tumours in the Nigerian neurosurgical literature. The authors aim to document the profile of paediatric spinal tumours in a Nigerian tertiary institution and to contribute to the available data on paediatric central nervous system tumours in West Africa. Methods: We retrospectively evaluated data on paediatric patients who underwent surgery for spine tumours over a 20-year period at our institution. Results: A total of 12 patients were managed for paediatric spine tumours during the study period. These had a male:female ratio of 1:1.4, and their ages ranged between 3 and 18 years (mean: 12.83 ± 4.75 years). The highest incidence (6/12) was seen in the 15–18 years age group. The mean duration of symptoms was 10.2 months. More than half (7/12) of the patients presented with symptoms with duration of at least 6 months. Motor deficit was present in all patients at presentation. Two-thirds of the tumours were in the thoracic region, 1 was located in the cervical region, while the remaining 3 tumours were cervicothoracic. The tumour was extradural in location in 8 of our patients and intramedullary in the remaining 4. Astrocytoma, intramedullary in all cases, was the most predominant histological tumour type (3/12) in our series. Postoperative neurological improvement occurred in 7 of the patients while 5 remained the same. There was no permanent postoperative neurological deterioration or perioperative mortality. Conclusion: Paediatric spinal tumours mostly affected older children in our study group and were predominantly astrocytic in nature. The most common tumour location was extradural, involving mostly the thoracic spinal level. The preoperative neurological status correlates with the postoperative functional outcome. Therefore, the need for early diagnosis and treatment of these tumours cannot be overemphasized. [ABSTRACT FROM AUTHOR]
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- 2022
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24. Burden of pediatric neurosurgical disease in a rural developing country: perspectives from southwest Nigeria.
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Oyemolade, Toyin A., Adeleye, Amos O., Olusola, Ayodele J., Ehinola, Busayo A., Aikhomu, Ebosetale P., and Iroko, Anita A.
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- 2022
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25. Mannitol Dosing Error during Pre-neurosurgical Care of Head Injury: A Neurosurgical In-Hospital Survey from Ibadan, Nigeria.
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Adeleye, Amos Olufemi, Oyemolade, Toyin Ayofe, Malomo, Toluyemi Adefolarin, and Okere, Oghenekevwe Efe
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MANNITOL , *HEAD injuries , *CAREGIVERS , *HEALTH facilities , *MEDICAL errors , *NEUROSURGEONS , *BOLUS radiotherapy - Abstract
Objectives Inappropriate use of mannitol is a medical error seen frequently in pre-neurosurgical head injury (HI) care that may result in serious adverse effects. This study explored this medical error amongst HI patients in a Nigerian neurosurgery unit. Methods We performed a cross-sectional analysis of a prospective cohort of HI patients who were administered mannitol by their initial non-neurosurgical health care givers before referral to our center over a 22-month period. Statistical Analysis A statistical software was used for the analysis with which an α value of <0.05 was deemed clinically significant. Results Seventy-one patients were recruited: 17 (23.9%) from private hospitals, 13 (18.3%) from primary health facilities (PHFs), 20 (28.2%) from secondary health facilities (SHFs), and 21 (29.6%) from tertiary health facilities (THFs). Thirteen patients (18.3%) had mild HI; 29 (40.8%) each had moderate and severe HI, respectively. Pupillary abnormalities were documented in five patients (7.04%) with severe HI and neurological deterioration in two with mild HI. Mannitol administration was deemed appropriate in only 43.7% (31/71). Data on mannitol dosing in 60.6% (43/71) of the patients showed 8/43 (18.6%) receiving continuous 10% mannitol infusion. The remaining 35/43 received mannitol as a 20% solution but also showing dosing error in 62.9% (22/35): overdosing in 7/35 (20%), and nonbolus administration in 15/35 (42.9%). The distribution of the dosing error among the referring health facilities (all the 13 [100%] patients from private hospitals, 66.7% from PHF, 60% from SHF, and 45.5% from THF) showed a trend of better performance (p = 0.002) by the THFs. Conclusion Mannitol use is apparently fraught with an understudied medical error in the pre-neurosurgical care of the head injured. [ABSTRACT FROM AUTHOR]
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- 2021
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26. Bedside single burr hole craniostomy drainage of chronic subdural hematoma in the emergency room: A useful option in resource challenged settings.
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Oyemolade, Toyin Ayofe and Adeolu, Augustine Abiodun
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SUBDURAL hematoma ,NEUROLOGICAL disorders ,HOSPITAL emergency services ,GLASGOW Coma Scale ,LOCAL anesthetics ,LOCAL anesthesia - Abstract
Background: In resource challenged environments, the standard treatment of chronic subdural hematoma (CSDH) in the theater may be delayed because of the endemic financial constraint and logistic problems with consequent negative impact on the outcome. An emergency bedside burr hole craniostomy with a local anesthetic at the accident and emergency ward may be lifesaving in patients presenting in extreme neurological conditions in these settings. Case Description: We presented three patients (one male and two females) with CSDH who presented at our service in poor neurological condition. The patients were between 49 and 70 years. The Glasgow Coma Score ranged from 3 to 6. The three patients had respiratory and pupillary abnormalities at presentation. They all had bedside single frontal burr hole craniostomy drainage of the hematoma under local anesthesia at the accident and emergency unit of the hospital. Surgery was done within 1 h of review by the neurosurgical team in all cases. The duration of hospital stay ranged from 8 to 24 days. The outcome was good in all cases. Conclusion: Bedside single burr hole craniostomy at the accident and emergency unit may be lifesaving in patients with CSDH who present in extreme neurological condition but in whom prompt standard surgical treatment in the theater is not feasible. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
27. Determinants of discharge against medical advice from a rural neurosurgical service in a developing country: A prospective observational study.
- Author
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Oyemolade, Toyin Ayofe, Adeleye, Amos Olufemi, Ogunyileka, Oluwakemi C., Arogundade, Folawemimo M., Olusola, Ayodele J., and Aribisala, Oluwadamilola O.
- Subjects
DEVELOPING countries ,LONGITUDINAL method ,FALLOW deer ,HEALTH literacy ,SCIENTIFIC observation - Abstract
Background: In low-resource regions of the world, discharge against medical advice (DAMA) is one empiric contributory factor to poor in-hospital outcome that is not often mentioned. This study aims to investigate the determinants of DAMA from a rural neurosurgical service in a developing country. Methods: This was a prospective observational study of all patients who discharged against medical advice in our service between November 2018 and October 2019. Results: There were 88 patients, 67 (76.1%) males, in the study, (M:F = 3.2:1), representing 17.4% of our patient population in the study period. The peak incidence was in the 20-29 years age group which accounted for 37.5% of the cases. About 55% of the patients presented directly to our center; 31.8% were referred from other hospitals, while 3.4% came from traditional caregivers and 1.1% from religious homes. Head injury was the most common indication for presentation (76.1% of the cases). The duration of hospital stay ranged from 2 h to 14 days. Majority of the patients (87.5%) left the hospital within 8 h of presentation. The reason for DAMA was financial constraints in 50% of cases, inadequate health literacy in 20.5%, financial constraints and poor health literacy together in 12.5%, religious misgivings in 4.5%, and traditional belief in 2.3%. Neurotrauma was predictive of early DAMA (P = 0.001). Conclusion: The rate of DAMA was high in our study. Financial constraints with other socioeconomic limitations were the most common causes of DAMA in our environment. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
28. Indiscriminate Use of Antibiotics in Neurotrauma Patients Referred for Expert Neurosurgical Care in a Developing Country.
- Author
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Oyemolade, Toyin A., Malomo, Toluyemi A., and Adeleye, Amos O.
- Subjects
- *
HEALTH facilities , *NEUROSURGEONS , *NERVOUS system injuries , *ANTIBIOTICS , *ASPIRATION pneumonia ,DEVELOPING countries - Abstract
Background In Nigeria, pre-neurosurgical care of most neurotrauma patients usually involves administration of many empirical agents including antibiotics with no apparent indications. This practice is fraught with two particular dangers: increase in health care costs and development of drug resistance. This study aimed to interrogate antibiotic stewardship in the pre-neurosurgical care of neurotrauma patients referred to our practice. Materials and Methods This 7-month prospective descriptive study was performed in one University Teaching Hospital of a developing country. Clinical data on all admitted neurotrauma patients with information on the pre-neurosurgical treatment received were captured and analyzed. Results There were 113 patients, 87(77.0%) males; 103(91.2%) had head injury, and 10(8.8%) spinal cord injury. Associated systemic injuries occurred in 47(41.6%): 40 involved skeletal and soft tissue systems, and 12(10.6%) presented with aspiration pneumonitis. These patients were referrals from public health facilities including primary health facilities (PHF), secondary (SHF), and tertiary (THF), as well as private clinics (PC). Antibiotics were given to 74 (65.5%) patients, with a probabilistic indication in only 17.6% (13/74) of these. The proportional distribution of this antibiotic administration according to the referral base was not statistically significant (χ 2 =6.87, p = 0.3): 70% (14/20) from PHF, 56% (14/25) from SHF, 71% (23/32) from THF, and 63% (23/36) from PC. The antimicrobial agent administered was specified in 40 cases: Ceftriaxone was the commonest antibiotic agent implicated. Conclusion There is apparent unnecessary exposure of patients to antibiotics in the pre-neurosurgical care of neurotrauma in this study. There is, therefore, need for education on antibiotic stewardship to the group of health workers involved. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
29. The Role of International Collaborations in Sustainable Neurosurgical Development in Nigeria.
- Author
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Onyia, Chiazor U., Morgan, Eghosa, Oyemolade, Toyin A., Ekweogwu, Ofodile C., Orhorhoro, Omuvie I., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Malomo, Toluyemi A., Nwaribe, Evaristus E., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Petitt, Zoey, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, Deng, Di D., and Ogundeji, Olaniyi D.
- Subjects
- *
SUSTAINABLE development , *NEUROSURGEONS , *MIDDLE-income countries , *CAPACITY building , *HEALTH facilities , *DATA management - Abstract
Despite 6 decades of existence, neurosurgery is still in the developing stages in Nigeria. In this era of collaborative health system capacity-building in low- and middle-income countries, this article reviews past efforts and future prospects for collaborative neurosurgical development in Nigeria. A bibliometric review of the Nigerian neurosurgical literature and data from a structured survey of Nigerian neurosurgeons and residents provided details of current local and international collaborations for neurosurgical research, service delivery, training, and capacity building. These were analyzed to provide an overview of the role of collaborations in sustainable neurosurgical development in Nigeria and to recommend approaches to enhance neurosurgical capacity. In 1023 peer-reviewed neurosurgery publications from Nigeria, there were 4618 authors with 3688 from 98 Nigerian institutions and 930 from 296 foreign institutions in 70 countries. While there were significant research collaborations amongst Nigerian institutions, the most common were with institutions in the US, United Kingdom, and Cameroon. From the survey, 62 of 149 respondents (41.6%) from 32 health facilities noted their institution's involvement in capacity-building neurosurgical collaborations. These collaborations involved 22 Nigerian institutions and 13 foreign institutions in 9 countries and were mostly for training and workforce development (78.1%), and research and data management (59.4%). The majority of foreign institutions were from the US and United Kingdom. Current and previous neurosurgical collaborations have led to sustainable progress in Nigeria. Further local, regional, and international collaborations would enhance the capacity to address the needs and challenges affecting neurosurgery in Nigeria. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
30. Scalp laceration: Still a cause of death from head injury in rural settings
- Author
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Oyemolade, Toyin Ayofe and Adeleye, Amos Olufemi
- Published
- 2020
- Full Text
- View/download PDF
31. Determinants of timing of presentation of neurotrauma patients to a neurosurgical center in a developing country.
- Author
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Malomo, Toluyemi, Oyemolade, Toyin, and Adeleye, Amos
- Subjects
- *
NERVOUS system injuries , *NEUROSURGERY , *NEURONS , *HEAD injuries , *SPINAL cord injuries , *WOUNDS & injuries - Abstract
Background: A major goal in neurotrauma management is the prevention of secondary neuronal injuries. This goal is time bound as neurological deficits once established are usually irreversible. Late presentation is the norm in most neurotrauma patients in developing countries. Aims: The aim of the study was to review the timing of presentation of neurotrauma patients and the possible causes of their late presentation for neurosurgical care in our practice. Methods: A cross-sectional study of a 4-month prospective database of neurotrauma patients presenting to the University College Hospital, Ibadan, was done. The participants' biodata, injury characteristics, initial-care details before referral, and information on timing and causes of delay were analyzed. Results: The study subjects included 111 patients, 80.2% (89/111) were males, and 52.8% aged 21–40 years. Head injury (HI), spinal cord injury (SCI), and combined HI and SCI occurred, respectively, in 80.2%, 14.4%, and 5.4%. Road accidents followed by falls were seen in 73.9% and 14.4% (16), respectively. Just 46.8% (52/111) cases presented within 12 h of injury and only 37 (33.3%) within 4 h. Majority, 83.8% (93/111) were referrals from primary care. These referrals were delayed in 81.7% (76/93) of these. The referring health facilities were located intracity with our center in 54%. Other causes of delayed presentation of these study participants included long-distance travel to our center, lack of funds, or a combination of the above factors. Eighty-nine patients (80.2%) were brought in by family members and the remaining minority by passers-by and road safety personnel. Conclusions: Delayed referral from primary care features prominently in timing of presentation of neurotrauma patients in Nigeria. There is a need for collaboration as well as continuing medical education between the neurotrauma specialists and primary care physicians. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
32. Response.
- Author
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Oyemolade, Toyin A. and Adeleye, Amos O.
- Published
- 2022
- Full Text
- View/download PDF
33. Determinants of the in-hospital Outcome of Spontaneous ICH in a Developing Country in the CT Era: a Neurosurgical Prospective Analytical Study.
- Author
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ADELEYE, Amos and OYEMOLADE, Toyin
- Subjects
- *
HOSPITAL mortality , *POSTOPERATIVE care , *COMA , *PNEUMONIA , *RESPIRATORY insufficiency - Abstract
Introduction: As in most low-middle income countries (LMIC) there is dearth of original reports on the outcome of spontaneous intracerebral haemorrhage (sICH) from sub-Saharan Africa (SSA). Methods: This is a 5-year prospective consecutive study of cases of sICH referred for operative care in an SSA neurosurgeon's practice. The in-hospital outcome was assessed and the determinants thereof were interrogated using univariate and multivariate logistic regression analyses. Results: There were 63 subjects, 38 (60.3%) males, aged 28-85years, mean 55.7 (SD, 12.7). Clinical presentation was in poor prognostic stage in most: >57% in coma; significant mass effect on brain CT in 78.3% and associated IVH in 65%. Surgical evacuation of ICH was offered 23 patients (36.5%), more likely in those with mass effect on CT. In-hospital mortality was 62.3%, and good outcome on dichotomized mRS- 27.4%. These proportions were similar between the surgical and non-surgical patient sub-groups. On univariate analysis, statistically significant clinical-radiological associations of these outcomes (p<0.05 in each case) include presentation in coma, unadjusted OR (95% CI) 24.73 (4.90-124.90); in state of critical illness, 28.00 (6.58-119.23); with respiratory distress/aspiration pneumonitis, 12.31 (3.04-49.77), and ICH with associated IVH, 6.48 (1.86-22.61). On multivariate binary logistic regression analysis, only presentation in a state of critical illness was predictive of death, adjusted OR 97.32(3.67-2583.93, p <0.01). Conclusion: In this typical sub-Sahara African LMIC, spontaneous ICH presents in poor prognostic mode, with coma and general critical illness. In-hospital outcome was poor in this study subjects, notwithstanding the definitive treatment, with / without surgery, received. [ABSTRACT FROM AUTHOR]
- Published
- 2016
34. Extensive vertebral scalloping in a thoracolumbar junction spinal schwannoma.
- Author
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Oyemolade, Toyin Ayofe and Adeolu, Augustine Abiodun
- Subjects
SCALLOPS ,MAGNETIC resonance imaging ,SCHWANNOMAS ,COMPUTED tomography - Abstract
Severe vertebral scalloping in spinal schwannoma is very rare. When present, extensive scalloping of the vertebral bodies possesses significant treatment challenges in patients with spinal tumors. We present the computed tomography scan and magnetic resonance images of spinal schwannoma with marked vertebral scalloping in a 40-year-old Nigerian. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
35. Spinal extradural arachnoid cyst in a child—a case report.
- Author
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Oyemolade, Toyin A, Adeolu, Augustine A, and Idowu, Olusola K
- Subjects
- *
ARACHNOID cysts , *SPINAL nerve roots , *SPINAL cord compression , *SUBARACHNOID space , *DURA mater - Abstract
Extradural spinal arachnoid cysts are rare lesions. They frequently communicate with the subarachnoid space through a defect in the dura. Symptoms result from compression of the spinal cord or nerve roots. The treatment of choice is complete surgical excision. We report the case of a 12-year-old girl with extradural spinal arachnoid cyst who had complete surgical excision with good outcome. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
36. Women in Nigerian Neurosurgery: A Cross-Sectional Survey.
- Author
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Badejo, Oluwakemi A., Oboh, Ena, Abu-Bonsrah, Nancy, Petitt, Zoey, Ekweogwu, Ofodile C., Morgan, Eghosa, Onyia, Chiazor U., Ahmad, Misbahu H., Ayodele, Olabamidele A., Usman, Babagana, Dawang, Yusuf, Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Deng, Di D., Njeru, Paula N., Otun, Ayodamola, Nischal, Shiva A., Opara, Oluwamayowa, and Iroegbu-Emeruem, Linda U.
- Subjects
- *
NEUROSURGERY , *MEDICAL students , *NEUROSURGEONS , *GENDER differences (Sociology) , *MEDICAL specialties & specialists - Abstract
Although women have made remarkable strides in several medical specialties in Sub-Saharan Africa, their presence and contribution to the development of neurosurgery remain limited. We sought to study the gender differences within Nigerian neurosurgery, identify challenges resulting from these differences, and recommend how African female neurosurgeons can maximize their effects in neurosurgery. A structured online survey captured data on neurosurgical infrastructural capacity, workforce, and training from neurosurgical consultants and residents in neurosurgical centers in Nigeria. All the collected data were coded and analyzed. Altogether, 82 neurosurgical consultants and 67 neurosurgical residents from 50 primary medical institutions in Nigeria completed the online survey. Only 8 of the respondents (5.4%) were women, comprising 3 consultants, 2 senior residents, and 3 junior residents. Although 40.2% of the respondents did not believe that being female affected the decision of whether to specialize in neurosurgery, 46.3% believed that being female was a disadvantage. Most did not believe that being female affected admission (57.8%), completion of a neurosurgery residency (58.5%), or life working as a neurosurgeon after graduation (63.4%). The most common challenges women face while navigating through neurosurgery training and practice are erosion of family and social life, lack of female mentors, and lack of a work–life balance. There is a deficit of both female consultants and trainees among Nigerian neurosurgeons. Identifying female medical students with a strong interest in neurosurgery and providing early mentorship might increase the number of female neurosurgeons. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
37. A Geospatial Analysis of the Availability, Distribution, and Accessibility of Neurosurgical Facilities, Workforce, and Infrastructure in Nigeria; and Projection Towards 2050.
- Author
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Ukachukwu, Alvan-Emeka K., Njeru, Paula N., Ayodele, Olabamidele A., Ahmad, Misbahu H., Onyia, Chiazor U., Morgan, Eghosa, Ekweogwu, Ofodile C., Usman, Babagana, Badejo, Oluwakemi A., Dawang, Yusuf, Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Petitt, Zoey, Oboh, Ena C., Otun, Ayodamola, Nischal, Shiva A., Deng, Di D., and Mahmud, Muhammad R.
- Subjects
- *
OPERATING rooms , *LABOR supply , *PUBLIC hospitals , *HEALTH facilities , *NEUROSURGEONS - Abstract
There has been a modest but progressive increase in the neurosurgical workforce, training, and service delivery in Nigeria in the last 2 decades. However, these resources are unevenly distributed. This study aimed to quantitatively assess the availability and distribution of neurosurgical resources in Nigeria while projecting the needed workforce capacity up to 2050. An online survey of Nigerian neurosurgeons and residents assessed the country's neurosurgical infrastructure, workforce, and resources. The results were analyzed descriptively, and geospatial analysis was used to map their distribution. A projection model was fitted to predict workforce targets for 2022–2050. Out of 86 neurosurgery-capable health facilities, 65.1% were public hospitals, with only 17.4% accredited for residency training. Dedicated hospital beds and operating rooms for neurosurgery make up only 4.0% and 15.4% of the total, respectively. The population disease burden is estimated at 50.2 per 100,000, while the operative coverage was 153.2 cases per neurosurgeon. There are currently 132 neurosurgeons and 114 neurosurgery residents for a population of 218 million (ratio 1:1.65 million). There is an annual growth rate of 8.3%, resulting in a projected deficit of 1113 neurosurgeons by 2030 and 1104 by 2050. Timely access to neurosurgical care ranges from 21.6% to 86.7% of the population within different timeframes. Collaborative interventions are needed to address gaps in Nigeria's neurosurgical capacity. Investments in training, infrastructure, and funding are necessary for sustainable development and optimized outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
38. The Status of Specialist Neurosurgical Training in Nigeria: A Survey of Practitioners, Trainers, and Trainees.
- Author
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Ukachukwu, Alvan-Emeka K., Petitt, Zoey, Usman, Babagana, Ekweogwu, Ofodile C., Dawang, Yusuf, Ahmad, Misbahu H., Ayodele, Olabamidele A., Badejo, Oluwakemi A., Morgan, Eghosa, Onyia, Chiazor U., Orhorhoro, Omuvie I., Oyemolade, Toyin A., Okere, Oghenekevwe E., Abu-Bonsrah, Nancy, Njeru, Paula N., Oboh, Ena C., Otun, Ayodamola, Nischal, Shiva A., Deng, Di D., and Mahmud, Muhammad R.
- Subjects
- *
NEUROSURGEONS , *SATISFACTION , *INSURANCE funding , *HEALTH insurance , *MEDICAL schools , *POPULATION density - Abstract
Despite the well-known neurosurgical workforce deficit in Sub-Saharan Africa, there remains a low number of neurosurgical training programs in Nigeria. This study sought to reassess the current status of specialist neurosurgical training in the country. An electronic survey was distributed to all consultant neurosurgeons and neurosurgery residents in Nigeria. Demographic information and questions relating to the content, process, strengths, and challenges of neurosurgical training were explored as part of a broader survey assessing neurosurgical capacity. Descriptive statistics were used for analysis. Respondents identified 15 neurosurgical training centers in Nigeria. All 15 are accredited by the West African College of Surgeons, and 6 by the National Postgraduate Medical College of Nigeria. The average duration of core neurosurgical training was 5 years. Some identified strengths of Nigerian neurosurgical training included learning opportunities provided to residents, recent growth in the neurosurgical training capacity, and satisfaction with training. Challenges included a continued low number of training programs compared to the population density, lack of subspecialty training programs, and inadequate training infrastructure. Despite the high number of neurosurgery training centers in Nigeria, compared to other West African countries, the programs are still limited in number and capacity. Although this study shows apparent trainee satisfaction with the training process and contents, multiple challenges exist. Efforts at improving training capacity should focus on continuing the development and expansion of current programs, commencing subspecialty training, driving health insurance to improve funding, and increasing available infrastructure for training. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
39. Neurotrauma: a burgeoning, yet understudied disease of rural areas in developing countries.
- Author
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Oyemolade TA, Adeleye AO, Ehinola BA, Olusola AJ, Ekanem IN, and Adesola DJ
- Subjects
- Humans, Male, Motorcycles, Prospective Studies, Nigeria epidemiology, Accidents, Traffic, Developing Countries, Craniocerebral Trauma
- Abstract
Objective: There is a paucity of data-driven reports on neurotrauma from the rural areas of developing countries, despite a disproportionally higher and burgeoning disease burden from those areas. This study aims to define the burden of neurotrauma in a new rural neurosurgical practice of a developing sub-Saharan country in Africa (Nigeria)., Methods: The authors conducted a prospective observational study of all neurotrauma patients managed at their center over a 36-month period beginning in August 2018., Results: There were 1067 patients, 816 (76.5%) of them male, accounting for 79% of all the neurosurgical patients seen at the authors' center during the study period. The peak incidence of neurotrauma was in the 20- to 29-year age group. The median trauma duration was 9 hours before presentation. The neurotrauma involved only head injury (HI) in 78% of the patients and only the spine in 4%. HIs were predominantly mild in severity (79%). Spinal cord injuries were largely incomplete (86%) and cervical in location (72%). Road traffic accidents caused approximately 79% (845/1067) of this neurotrauma burden, mostly from motorcycle crashes (69%, 581/845). Fifty-three patients (5%) were managed surgically. The median time from trauma to surgery for the operated patients was 82 hours. Treatment outcome was good in 81.2% of the patients., Conclusions: Neurotrauma, mostly caused by motorcycle crashes and other road accidents, accounts for the bulk of the neurosurgical workload in this rural neurosurgical center. Although late presentation and delayed surgical interventions were prominent features of this level of care, the in-hospital outcome was fortuitously good in the majority of patients.
- Published
- 2022
- Full Text
- View/download PDF
40. Burden of pediatric neurosurgical disease in a rural developing country: perspectives from southwest Nigeria.
- Author
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Oyemolade TA, Adeleye AO, Olusola AJ, Ehinola BA, Aikhomu EP, and Iroko AA
- Abstract
Objective: The proportion of the global burden of neurosurgical disease represented by pediatric neurosurgical pathology is unknown, especially in lower-middle income countries (LMICs) where there exists no known data-driven literature on the subject. In this study, the authors aimed to quantify the pediatric neurosurgical disease profile in a rural area of a developing country., Methods: This was a prospective observational study of all pediatric neurosurgical patients managed at a single center over a 30-month period., Results: Overall, 226 pediatric patients were included in the study (150 males and 76 females, male/female ratio 2:1), accounting for 20.4% of the total patient population during the study period. The modal age distribution was the 0- to 4-year-old group (32.3%), and head injury was the most common presentation, occurring alone in 157 patients (69.5%). Hydrocephalus alone was seen in 21 patients (9.3%) and in combination with myelomeningocele in 4 patients (1.8%). Brain tumors were found in 6 patients (2.7%), infective lesions in 6 patients (2.7%), and encephaloceles in 2 patients (0.9%). The treatment outcome was good in 170 patients (75.2%). Fourteen patients (6.2%) were referred to more advanced health facilities for specialized care; 29 patients (12.8%) were discharged against medical advice, mostly because of financial constraints; and 8 patients (3.5%) died. Several surgical cases could not be performed because of sundry logistical constraints., Conclusions: Pediatric neurosurgical disease accounted for one-fifth of the neurosurgical workload at a tertiary health facility in southwest Nigeria. Trauma was the most common presentation, and optimal in-hospital treatment, including surgery, was hampered by severe logistical constraints in a significant proportion of the cases.
- Published
- 2021
- Full Text
- View/download PDF
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