Evidence map›Paper›PMID 42788104›Full record

ReviewNeurosurgery practice2026

The State of Neurovascular Surgery in Nigeria: Past, Present, and Future.

Abass Oluwaseyi Ajayi, Abubakar Ismail Muhammad, Christian Osemudiamen Igibah, Abubakar Usman, Michael Kenechukwu Nzeako, Oluwatowo Daniel Fabiyi, Opemipo Oluwatobi Aiku, Chukwugemezu Ephrem Ihechere, Obianuju Iheomamere Muoghallu, Kamil Adeniran Ajagbe and 10 more

Abstract readReview
In one paragraph

Review in Neurosurgery practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Abass Oluwaseyi AjayiNeurosurgery Division, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.ORCID https://orcid.org/0000-0003-0958-5255
Abubakar Ismail MuhammadBayero University, Kano, Nigeria.ORCID https://orcid.org/0009-0009-0113-8689
Christian Osemudiamen IgibahDepartment of Medicine and Surgery, Ambrose Alli University, Ekpoma, Nigeria.ORCID https://orcid.org/0009-0008-8274-4308
Abubakar UsmanNeurosurgery Division, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.ORCID https://orcid.org/0009-0005-3365-3002
Michael Kenechukwu NzeakoDepartment of Surgery, Duchess International Hospital, Lagos, Nigeria.ORCID https://orcid.org/0009-0008-8385-7320
Oluwatowo Daniel FabiyiClinical Services, Downtown Specialist Hospital, Ota, Ogun State, Nigeria.ORCID https://orcid.org/0009-0003-8412-9601
Opemipo Oluwatobi AikuAfe Babalola University, Ado-ekiti, Ekiti, Nigeria.ORCID https://orcid.org/0009-0007-3890-2471
Chukwugemezu Ephrem IhechereNeurosurgery Department, National Hospital, Abuja, Nigeria.ORCID https://orcid.org/0009-0005-0492-2701
Obianuju Iheomamere MuoghalluDepartment of Internal Medicine, University of Uyo Teaching Hospital, Uyo, Akwa Ibom, Nigeria.ORCID https://orcid.org/0009-0008-2222-5012
Kamil Adeniran AjagbeDepartment of Surgery, University Hospitals Birmingham, Hartland, England.ORCID https://orcid.org/0009-0001-7234-4107
Isaac GunduNeurosurgery Division, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.ORCID https://orcid.org/0000-0003-2810-9836
Abdulhameed Oluseyi QazeemUniversity of Ibadan, Ibadan, Oyo State, Nigeria.ORCID https://orcid.org/0009-0007-5773-0193
Chibueze I AgwuPritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.ORCID https://orcid.org/0000-0003-2458-1025
Tunde Mutalib AfolayanFederal Teaching Hospital, Birnin Kebbi, Nigeria.ORCID https://orcid.org/0000-0001-8973-0728
Izuchukwu Okechukwu NwachukwuUniversity of Chester, Chester, UK.ORCID https://orcid.org/0009-0003-7411-9151
Maryam Yetunde Edun-AjayiAnaesthesia Department, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Kassim Jabir MuhammadNeurosurgery Department, National Hospital, Abuja, Nigeria.ORCID https://orcid.org/0009-0006-4028-7941
Nourou Dine Adeniran BankoleClinical Investigation Center (CIC), 1415, INSERM, Teaching Hospital of Tours, Tours, France.ORCID https://orcid.org/0000-0002-4277-9767
Yusuf Ayodeji SalmanUniversity of Abuja, Abuja, Nigeria.ORCID https://orcid.org/0000-0002-6002-8641
Abdullahi Onimisi JimohNeurosurgery Division, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.ORCID https://orcid.org/0000-0002-3656-5244

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This narrative review elaborates on the development of neurovascular surgery in Nigeria, highlighting the growth over the years. It also elucidates the severe shortage of specialists, the financial burden to patients who may require neurovascular services, and the limited diagnostic and therapeutic equipment. It highlights the critical need for specialized training programs, workforce expansion, infrastructural improvements, sustainable financing, and financial reforms. The authors reviewed the literature narratively and examined, in broad strokes, the historical background of neurovascular surgery in Nigeria, the current practices, outcomes, and training and gave recommendations. Search keywords used include neurovascular surgery in Nigeria, history of neurosurgery in Nigeria, endovascular facilities in Nigeria, and advances in neuroimaging in Nigeria in various combinations using Boolean operators. Searches were conducted in a nonsystematic manner through Public/Publisher MEDLINE, SCOPUS, and African Journal Online. The field of neurovascular surgery experienced significant growth, driven by the contributions of Dr E. L. Odeku in the 1960s and 1970s. However, this progress was hindered by economic and political instability between the 1980s and 2001s. Since the resurgence era began in 2002, substantial advancements have been made. However, the challenges being faced are numerous, and development is quite slow. A multidisciplinary approach is crucial to improving neurovascular care in Nigeria and other low- and middle-income countries, and addressing these deficiencies is essential for optimizing patient outcomes and advancing neurovascular care. This study highlights the state of neurovascular surgery in Nigeria, elucidates the challenges of this practice, and offers recommendations for improvement.

Indexed as

Global neurosurgerylow middle income countriesNeurovascular surgeryNigeria

Identifiers

PMID42788104
PMCPMC13606017

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.