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Journal of Clinical and Applied Neurosciences                            Volume 1; Issue 1                                   Jan-Jun 2015  
REVIEW ARTICLE
Tackling the problem of delayed presentation of congenital central nervous system anomalies in Africa

Taopheeq B RABIU
AFFILIATION
Division of Neurological Surgery
Department of Surgery
Ladoke Akintola University
of Technology Teaching Hospital Osogbo
Osun State, NIGERIA

CORRESPONDING AUTHOR
Taopheeq B RABIU
Division of Neurological Surgery
Department of Surgery
Ladoke Akintola University of Technology Teaching Hospital Osogbo, Osun State,
NIGERIA

E-mail:
eshohealth@gmail.com
Phone: +234 803 495 4806

This was presented in part (oral podium presentations) at the 38th Annual Meeting of the International Society for Pediatric Neurosurgery, Jeju Island, South Korea, November 2010 and the 3rd Annual Meeting of the Nigerian Academy of Neurological Surgeons Lagos, November 2012.

DISCLOSURES:
NONE ELSE


ABSTRACT
Background:
Children, adolescents and adults with paediatric congenital neurosurgical conditions appear to be increasing in Africa.
Objective: This study evaluates the problem of late presentation of congenital central nervous system (CNS) anomalies in Africa.
Methodology: Pubmed and AJOL databases were examined for publications addressing the issue. The findings were pooled and descriptive analysis was done.
Results: Reported age at presentation was as high as 47years. The identified lesions included congenital hydrocephalus, encephalocele, spina bifida, microcephaly and dermoid cyst, which were obvious at birth. Social, cultural and economic factors and deficient-healthcare systems were responsible for the late presentations. Increased rates of infection and overall morbidity and mortality in the patients presenting late for care are reported. Suggested solutions include improvements in public health education as well as social and health services.
Conclusion: Late presentation of gross congenital CNS anomalies is a major issue in Africa. Advocacy, aimed at increasing the awareness of the problem, is canvassed.



Keywords:
Birth, definitive care, six months, malformations, neurosurgeons

Received: 23rd January, 2015      Accepted: 22nd February, 2015