Evidence map›Paper›PMID 40232510›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

A retrospective outpatient department-based study of the pattern of first-visit pediatric neurosurgical disorders: a 6-year single-center experience in Ghana.

Kwadwo Darko, Bernice Limann, Joseline Haizel-Cobbina, Mabel Banson, Patrick Bankah

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Kwadwo DarkoDepartment of Neurosurgery, Korle Bu Teaching Hospital, 25 Harley Street, Accra, Ghana. darkobhp@gmail.con.
Bernice LimannDepartment of Neurosurgery, Korle Bu Teaching Hospital, 25 Harley Street, Accra, Ghana.
Joseline Haizel-CobbinaDepartment of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Mabel BansonDepartment of Neurosurgery, Korle Bu Teaching Hospital, 25 Harley Street, Accra, Ghana.
Patrick BankahDepartment of Neurosurgery, Korle Bu Teaching Hospital, 25 Harley Street, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn recent years, there has been a growing emphasis on studying neurosurgical diseases and access to care in LMICs. This study aims to analyze the pattern of pediatric neurosurgical disorders in our outpatient department, highlighting common conditions and patient demographics.

methodsIn this retrospective outpatient department (OPD) based study, pediatric patients with neurosurgical diagnoses between 2017 and 2023 were reviewed to characterize demographics and spectrum of disorders. Descriptive statistics were employed to summarize the data.

resultsA total of 836 patients were included in the study, with a male-to-female ratio of 1:1. The median age was 2.0 years (range, 0.4-8.9 years). Hydrocephalus was the most common disorder, accounting for 41.0% (343/836) of cases. Other congenital anomalies (18.2%), spine disorders/deformities (10.3%), and CNS tumors (10.2%) were also prevalent. Other congenital conditions included spina bifida (11.9%) and encephalocele (5.7%). Scoliosis was the most frequent spine disorder, accounting for 61.6% (53/86) of spine cases, followed by Potts disease (18.6%). For patients with location data, 68.4% (270/408) were from the Greater Accra Region, followed by 13.9% (57/408) from the Eastern region. The median travel distance was 167.4 km (interquartile range, 225-122).

conclusionOur institute manages varying pediatric neurosurgical disorders primarily consisting of hydrocephalus. The results suggest specific disease priorities for the pediatric population that we care for and serve as a guide for future clinical efforts.

Indexed as

Neurosurgical ProceduresChildChild, PreschoolFemaleGhanaHumansHydrocephalusInfantMaleRetrospective StudiesGhana neurosurgeryHydrocephalusNeurosurgery capacityPediatric neurosurgery

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