The Early History of Neurosurgery in Brazil

Gusmão, Sebastião; Souza, José Gilberto de

doi:10.1097/00006123-200206000-00026

Cited by 4 publications

(6 citation statements)

References 1 publication

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“…However it is worth mentioning Drs Solanki, Esangbedu, Azmy, Roberts, Samateh et al the Cuban and Nigerians and those from the West. This history is similar to other countries such as Brazil [6], Austria [7] and England [8].…”

Section: Introductionsupporting

confidence: 71%

“…The availability of emergency CT scans after 1,600 hours could sometimes be difficult. After receiving neurosurgical patients in the ER, the Neurosurgery unit is then called to review however in the absence of a Neurosurgeon, these patients are managed by the General surgeons [6][7][8]. Lack of adequate materials, qualified staff, intensivists occasions adverse consequences in the management of these patients.…”

Section: Discussionmentioning

confidence: 99%

“…During the 1980s the neurosurgery unit headed by the first Neurosurgeon Dr. Ulric Jones [2] became functional until early 1990 when Dr. Ulric Jones retired. Suffice to say that other general surgeons who worked in the hospital including visiting surgeons from different parts of the globe also performed basic neurosurgical interventions [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

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The Practice of Neurosurgery in Edward Francis Small Teaching Hospital of Banjul, the Gambia

Jabang¹,

Thiam²,

Ndiaye³

et al. 2018

JHS

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The management of neurosurgical pathologies has become a priority in our regions. Over the years the number of patients consulting in neurosurgical clinics continues to rise. Publications and studies of neurosurgical activities are rare in sub-Saharan Africa and almost inexistent in the Gambia in particular hence the impetus for this study: The Practice of Neurosurgery in EFSTH (Edward Francis Small Teaching Hospital) of Banjul, the Gambia. The objective of this study was to report on all the neurosurgical activities of the Neurosurgery unit of EFSTH of Banjul over an 18-month period. A retrospective study of all the neurosurgical activities of the EFSTH over a period of 18-month was carried out. Data were obtained from the medical records of the hospital categorized according to age groups. Consultation, admission, surgery, morbidity and mortality were evaluated. We included all patients managed in the Neurosurgery unit and excluded patients with insufficient data or missing folders. The Neurosurgery unit had a total of 2,038 patients giving an average of 113 patients seen per month of whom 399 (19.57%) were hospitalized and 127 (6.23%) benefitted from neurosurgical intervention. Morbidities and mortalities of 19 and 47 are respectively. Pediatric population with ages ranging from 0-9 years dominated in our admissions. Male: Female ratio was 2:1. The clinical features in our studies varied according to the diverse pathologies encountered in the study. Imaging was dominated by CT scan 168 cases (61%), X-Rays 102 cases (37%). Pathologies seen in the Outpatient consultations were mainly degenerative pathology 938 (46%), Trauma 391 (21%), Hydrocephalus and other CNS (Central nervous system) Malformations 325 (16%). Hospitalizations were mostly dominated by Trauma 300 (75.18%), Hydrocephalus and other CNS Malformations 41 (9.77%), degenerative disease 26 (6.52%). Neurosurgical interventions were mainly trauma 47 (37%), Hydrocephalus and other CNS Malformations 39 (31%), Degenerative 15 (12%). Neurosurgical procedures mainly comprised of Burr hole 18 (14%), Spina bifida repair 17 (13%), Craniotomy 13 (10%), Ventriculoperitoneal shunt 13 (10%), Spinal internal fixation 12 (9%) and elevation of depressed skull fracture 11 (8%). Morbidities encountered included surgical site infection 6 (4.51%), CSF (cerebrospinal fluid) leak 6 (4.51%) shunt infection 3 (2.26%). Mortality was mostly from Trauma 33 (8%), Infection 5 (1.25%) and Hydrocephalus and Other CNS Malformations 4 (1.5%) of the total admissions. Conclusions: Lack of materials (bipolar cautery, operating microscope, (C-arm fluoroscopy in the first 7 months of the study)), consumables (surgical, surgical cotton, gel foam, bone wax etc.) had been an enormous challenge the neurosurgical unit of EFSTH had faced. This study therefore demonstrates the great need of a permanent Neurosurgeon and neurosurgical team in the Gambia.

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Section: Introductionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Practice of Neurosurgery in Edward Francis Small Teaching Hospital of Banjul, the Gambia

Jabang¹,

Thiam²,

Ndiaye³

et al. 2018

JHS

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“…After that, the patient returned to work with a mild sequela, characterized as an expressive dysphasia. 5,6 Brandão Filho was a general surgeon interested in brain surgery. In 1924, he performed the first ventriculography in Brazil, and in 1928 he performed America's first cerebral angiography.…”

Section: Introductionmentioning

confidence: 99%

“…Despite the first performed neurosurgery procedure in 1710, Brazilian neurosurgery just grew up from 1928 with two general surgeons: Alfredo Monteiro and José Ribes Portugal. [5][6][7][8]…”

Section: Introductionmentioning

confidence: 99%

Historical High Complexity Neurosurgery Development of One of the Poorest Brazilian Regions

Junior

Godoi

Cordeiro

et al. 2020

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Human development rates in the Vale do Jequitinhonha, state of Minas Gerais, Brazil, called “Misery Valley,” are among the lowest in the country, not to mention the often precarious psychosocial realities that daily contact with these families reveals. The history of neurosurgery at the Neurosurgical Reference Center at the Vale do Jequitinhonha e Mucuri dates from 2004, when the first neurosurgical procedures were performed in the recently organized Section of Neurosurgery. The historical surgical series shows the positive impact of the service. In 2007, the average was 3 neurosurgeries/month. In the last year, 2018, service growth boosted the record to 34.83 neurosurgeries/month. In addition to performing elective surgery, the neurosurgery team supports the emergency team by performing some neurosurgical procedures. The service number of patients operated since the development of the service is nearly 3,000. Neurosurgery at the Santa Casa de Caridade from Diamantina has been made comparable to the best national neurosurgery services.

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