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CC BY 4.0 · Indian Journal of Neurosurgery 2025; 14(01): 001-005
DOI: 10.1055/s-0043-1770098
Original Article

Outcomes of Pediatric Neurosurgical Cases Managed by General Neurosurgeons: A Retrospective Study from Eastern India

Abhijit Acharya
1   Departent of Neurosurgery, IMS & SUM Hospital, SOA University, Bhubaneswar, Odisha, India
,
Satya Bhusan Senapati
1   Departent of Neurosurgery, IMS & SUM Hospital, SOA University, Bhubaneswar, Odisha, India
,
Sumirini Puppala
2   Department of Neurology, IMS & SUM Hospital, SOA University, Bhubaneswar, Odisha, India
,
AK Mahapatra
1   Departent of Neurosurgery, IMS & SUM Hospital, SOA University, Bhubaneswar, Odisha, India
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Abstract

Background

India is home to almost 19% of the world's children. The burden of diseases in the pediatric age group is quite high and is just the tip of the iceberg. In India, there are very few neurosurgeons who deal with cases in the pediatric age group. Most parents avoid surgical management for their child due lack of confidence in the expertise of the neurosurgeon in handling pediatric cases. Many challenges are encountered in the pediatric population during the pre-, intra- and post-operative period.

Objectives

The aim of this study is to study the demographic profile and respective outcomes of pediatric neurosurgical cases (below 18 years of age).

Methods

A retrospective study of cases over a period of 1.5 years in the Department of Neurosurgery, Institute of Medical Sciences and Sum Hospital was done. The variables analyzed were age group, sex, diagnosis, elective or emergency, neurological examination, and outcome. Data analysis was done using Version 3.0.2; 2013-09-25 for Statistical Computing (IBM Corporation's SPSS programme, version 27.0, 2020). Literature review was done through the NCBI PubMed, Scopus, Embase, and Google Scholar databases. Quality of life was assessed by the disability-adjusted life years (DALY) score approved by the World Health Organization.

Results

The majority of the patients had significant improvement in achieving milestones with reduced morbidity and one case of mortality.

Conclusion

To conclude, we have managed all cases of pediatric age group in a general neurosurgery department with utmost skill and meticulous surgery, with less than 0.1% mortality. In the cases that pertain to low resourced centers, areas, and countries where general neurosurgeons are mandated and obliged to perform pediatric neurosurgical procedures, we general neurosurgeons should take it as a challenge to manage these pediatric cases as our study showed appreciable results although the need for specialized pediatric neurosurgical care cannot be overemphasized.

Keywords

pediatric neurosurgery - neurological demography - children - tumors - neurosurgery

Authors' Contribution

A.A. is the main author of the current article, and he compiled the images. S.B.S. was responsible for the methods and review of literature. S.P. was responsible for compilation of data. A.M. was responsible for discussions and technical nuances. The Manuscript has been read and approved by all the authors and the requirements for authorship has been met and each author believes that the manuscript represents honest work.




Publication History

Article published online:
19 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Burton KJ, Allen S. A review of neurological disorders presenting at a pediatric neurology clinic and response to anticonvulsant. Ann Trop Paediatr 2003; 23 (02) 139-143
    CrossrefPubMedSearch in Google Scholar
  • 2 Bell MJ, Carpenter J, Au AK. et al. Development of a pediatric neurocritical care service. Neurocrit Care 2009; 10 (01) 4-10
    CrossrefPubMedSearch in Google Scholar
  • 3 Mekitarian Filho E, Carvalho WB, Cavalheiro S. Perioperative patient management in pediatric neurosurgery. Rev Assoc Med Bras 2012; 58 (03) 388-396
    CrossrefPubMedSearch in Google Scholar
  • 4 Mung'ala-Odera V, Meehan R, Njuguna P, Mturi N, Alcock KJ, Newton CR. Prevalence and risk factors of neurological disability and impairment in children living in rural Kenya. Int J Epidemiol 2006; 35 (03) 683-688
    CrossrefPubMedSearch in Google Scholar
  • 5 Mohammed IN, Moneim MA, Rahman A. The profile of childhood epilepsy in Sudan. KMJ 2010; 3 (02) 444-447
    PubMedSearch in Google Scholar
  • 6 Ahmed EE, Mohamed IN. Attention defect hyperactivity disorder (ADHD) in Sudanese children with epilepsy. Sudan J Pediatr 2015; 15 (01) 42-48
    PubMedSearch in Google Scholar
  • 7 Abbas A, Elseed M, Hamed A, Mohamed IN. The role of oral prednisolone in the management of infantile spasms in resource-limited countries; experience from Sudan. KMJ 2014; 7 (03) 1012-1018
    PubMedSearch in Google Scholar