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Ethiopia neurosurgery

Arvid A Eriksen, Joakim S Johnsen, Anders H Tennøe, Abenezer Tirsit, Tsegazeab Laeke, Ephrem B Amare, Knut Wester
OBJECTIVE: A substantial number of infants in Ethiopia suffer from hydrocephalus. Neurosurgical expertise has until recently been virtually nonexistent in the country; however, since 2006, a neurosurgery training program has been established in Addis Ababa, where hydrocephalus surgery now is performed in 3 hospitals. Our experience is that hydrocephalus is diagnosed and treatment is too late to avoid severe brain damage. Introducing routine head circumference (HC) measurements can ease the detection of hydrocephalus and thus lead to earlier diagnosis, thereby reducing the brain damage caused by the condition...
July 2016: World Neurosurgery
Hagos Biluts, Mersha Abebe, Tsegazeab Laeke, Abenezer Tirsit, Addisalem Belete
BACKGROUND: Spinal injury is a major cause of morbidity and mortality worldwide. Fall and Road traffic accident are the main etiologic factor. OBJECTIVE: The aim of this study was to asses local hospital patterns of spinal injury and compare them with published reports. METHODS AND PATIENTS: This is a hospital based cross sectional study of patterns of patients with spine and spinal cord injury seen at the Emergency OPD, Tikur Anbessa Specialized Teaching Hospital (TASTH), Department of Neurosurgery, Addis Ababa, Ethiopia in the period between April 2008 and March 2012...
April 2015: Ethiopian Medical Journal
David W Cadotte, Cara Sedney, Hananiah Djimbaye, Mark Bernstein
OBJECTIVE: To explore the perspectives of Ethiopian and international neurosurgeons on the development of a sustainable academic neurosurgery teaching unit in Addis Ababa, Ethiopia. METHODS: A qualitative case study methodology was employed. RESULTS: Ethiopian and international surgeons describe a rewarding cross-cultural experience. Areas in need of improvement include communication, educational infrastructure, and structured morbidity and mortality discussions...
December 2014: World Neurosurgery
Alexa Bramall, Hananiah Djimbaye, China Tolessa, Hagos Biluts, Mersha Abebe, Mark Bernstein
OBJECTIVE: To adapt a study exploring the needs of neurosurgery patients in a tertiary care hospital in Canada to examine, for the first time, the perspectives of neurosurgery patients in a low-income country with limited health care resources. METHODS: Semistructured interviews were conducted with 25 neurosurgery patients at Tikur Anbessa Specialized Teaching Hospital in Addis Ababa, Ethiopia. Interviews were conducted in Amharic or Oromo, translated into English, and subjected to modified thematic analysis...
November 2014: World Neurosurgery
Joseph F Kahamba, Anthony B Assey, Robert J Dempsey, Mahmood M Qureshi, Roger Härtl
The second International African Federation of Neurological Surgeons course was organized on January 24 to 28, 2011, at the Seacliff Hotel and Muhimbili Orthopaedic Institute in Dar es Salaam, Tanzania. President Jakaya Mrisho Kikwete graced the official opening with high ranking government officials in attendance. The targeted participants were young neurosurgeons in the East, Central, and South African region. More than 80 surgeons, residents, and neurosurgical nurses came from Tanzania, Kenya, Uganda, Rwanda, Ethiopia, Zambia, and Zimbabwe...
September 2013: World Neurosurgery
Merwyn Bagan
The Foundation for International Education in Neurological Surgery (FIENS) was established in 1969 for the purpose of promoting neurosurgical education and patient care in the developing world. Ghana, the first African site, was adopted in 1989. In 2005 a neurosurgical training program was developed for Ethiopia, Kenya, Tanzania, and Uganda in East Africa and the College of Surgeons of Central, East, and Southern Africa (COSECSA) approved the curriculum.
April 2010: World Neurosurgery
David W Cadotte, Ashwin Viswanathan, Adam Cadotte, Mark Bernstein, Tadios Munie, Stephen R Freidberg
Tikur Anbessa Hospital (TAH) is the major teaching hospital for Addis Ababa University and the only tertiary referral hospital for neurosurgery in Ethiopia. We explore the consequence of delayed treatment by examining the current system in place for treating patients and the wait times experienced by patients. A retrospective chart review was carried out on patients who received a neurosurgical operation at TAH between January 1 and June 30, 2007. We divided patients into those requiring an elective procedure and those requiring emergency surgical care...
April 2010: World Neurosurgery
Hagos Biluts, Abebe Bekele, Berhanu Kottiso, Fikre Enqueselassie, Tadios Munie
BACKGROUND: To our knowledge neither hospital nor population-based data is available about mortality patterns in Ethiopia. OBJECTIVE: This review summarizes the patterns of deaths that occurred in hospital under the care of surgical team, during the 5-year period. PATIENTS AND METHODS: This is a hospital based retrospective cross sectional analysis of mortality among surgical patients admitted to Tikur Anbessa Specialized Teaching Hospital (TASTH), Department of Surgery, Addis Ababa, Ethiopia in the period between January 2002 and December 2006...
January 2009: Ethiopian Medical Journal
Vladimír Krcméry, P G Fedor-Freybergh
In recent supplement of neuroendocrinology letters, first time the authors from West and East, North and South of EU and the "Third World" present data on neuroinfections in high technology society - on nosocomial meningitis and vice versa in low technology and income countries of sub-Saharan Africa. 14 years survey of 171 cases of nosocomial paediatric meningitis is presented by Rudinsky et al. [1] and subpopulations of Acinetobacter baumannii and Pseudomonas aeruginosa [1,2] within last 20 years are briefly analyzed by Huttova et al...
June 2007: Neuro Endocrinology Letters
Tadios Munie
Carpal tunnel compression of the median nerve is a common condition with an estimated incidence of 0.1% to 10% and a direct medical cost of above dollars 1 billion per year in the USA. Between the years 1995 to 2002, 28 cases, 6 (21.4%) males and 22 (87.6%) females of mild to severe forms of carpal tunnel syndrome (CTS) were seen and treated by the author in Tikur Anbessa Hospital (TAH) Neurosurgery Unit and a private hospital in Addis Ababa. Of the 28 cases, 22 (87.6%) patients, 7/22 (31.8%) mild and 15/22 (68...
April 2005: Ethiopian Medical Journal
Tadios Munie
Eighteen cases of cervical Ribs causing numbness, paraesthesia and wasting of hand muscles were seen during the years 1990 to 1999 in neurosurgery unit of Tikur Anbessa, a central, referral teaching hospital. There were thirteen cases of unilateral, and 5 bilateral brachialgic pains M:F = 1:2 with ages range from 15-50 yrs (mean age 32 +/- 4.8 yrs); though it is 3 times common in women specially those with neurologic symptoms. 5 cases didn't have any cervical ribs. All had respective cervical rib resections and scalenotomy done...
July 2003: Ethiopian Medical Journal
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