{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T02:25:49Z","timestamp":1794018349274,"version":"4.8.0"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This was a prospective observational study of all pediatric neurosurgical patients managed at a single center over a 30-month period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/2021.6.peds21179","type":"journal-article","created":{"date-parts":[[2021,10,22]],"date-time":"2021-10-22T03:12:29Z","timestamp":1634872349000},"page":"162-167","source":"Crossref","is-referenced-by-count":8,"title":["Burden of pediatric neurosurgical disease in a rural developing country: perspectives from southwest Nigeria"],"prefix":"10.3171","volume":"29","author":[{"given":"Toyin A.","family":"Oyemolade","sequence":"first","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Federal Medical Center, Owo, Ondo State;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amos O.","family":"Adeleye","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University College Hospital, Ibadan, Oyo State; and"},{"name":"Division of Neurological Surgery, Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayodele J.","family":"Olusola","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Federal Medical Center, Owo, Ondo State;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Busayo A.","family":"Ehinola","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Federal Medical Center, Owo, Ondo State;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ebosetale P.","family":"Aikhomu","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Federal Medical Center, Owo, Ondo State;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita A.","family":"Iroko","sequence":"additional","affiliation":[{"name":"Division of Neurosurgery, Department of Surgery, Federal Medical Center, Owo, Ondo State;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"9993","key":"b1","series-title":"Lancet","doi-asserted-by":"publisher","first-page":"569","DOI":"10.1016\/S0140-6736(15)60160-X","article-title":"Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development","volume":"386","author":"Meara JG","year":"2015","unstructured":"Meara JG, Leather AJM, Hagander L, Alkire BC, Alonso N, Ameh EA,  Global Surgery 2030: evidence and solutions for achieving health, welfare, and economic development. 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