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Pediatric Hydrocephalus in the Developing World

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Pediatric Hydrocephalus

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Abstract

Hydrocephalus in children has been inadequately recognized as an important cause of death and disability in developing countries. In addition to the expected congenital causes, for which high birth rates increase prevalence, neonatal infection and neural tube defects are especially important, and potentially preventable, causes. Research and public health policy have the potential to diminish the burden for both of these etiologies through prevention. The inadequate number of centers trained and equipped to treat hydrocephalus is a ubiquitous barrier to care for these children throughout the developing world. Relative to the treatment of other conditions, hydrocephalus treatment is very cost-effective; yet, poverty and insufficient health system support remain as significant obstacles to treatment. The lack of access to emergency neurosurgical care also renders shunt dependence more dangerous in these contexts. This provides a compelling argument for promoting primary endoscopic treatment whenever possible. In some regions, infants with hydrocephalus are not recognized as having a treatable medical condition, which can delay or prevent referral for neurosurgical treatment. A number of organized efforts in recent decades have made progress by providing treatment, training, research, and public education. But there is far more to be done.

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Authors and Affiliations

  1. Division of Neurology, Department of Medicine, University of Toronto, Toronto, Canada

    Ryan T. Muir

  2. Division of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada

    Shelly Wang

  3. Department of Biostatistics and Epidemiology, Harvard School of Public Health, Boston, MA, USA

    Shelly Wang

  4. Department of Neurosurgery, Boston Children’s Hospital and Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA

    Benjamin C. Warf

  5. CURE Children’s Hospital of Uganda, Mbale, Uganda

    Benjamin C. Warf

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  1. Ryan T. Muir
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  2. Shelly Wang
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  3. Benjamin C. Warf
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Correspondence to Benjamin C. Warf .

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Editors and Affiliations

  1. Pediatric Neurosurgery, Santobono Pausilipon Children’s Hospital, Naples, Italy

    Giuseppe Cinalli

  2. Division of Pediatric Neurosurgery, Acıbadem University, School of Medicine, Istanbul, Istanbul, Turkey

    M. Memet Ozek

  3. Hopital Necker-Enfants Malades, Paris, France

    Christian Sainte-Rose

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Muir, R.T., Wang, S., Warf, B.C. (2018). Pediatric Hydrocephalus in the Developing World. In: Cinalli, G., Ozek, M., Sainte-Rose, C. (eds) Pediatric Hydrocephalus. Springer, Cham. https://doi.org/10.1007/978-3-319-31889-9_59-2

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  1. Latest

    Pediatric Hydrocephalus in the Developing World
    Published:
    24 August 2018

    DOI: https://doi.org/10.1007/978-3-319-31889-9_59-2

  2. Original

    Pediatric Hydrocephalus in the Developing World
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    18 June 2018

    DOI: https://doi.org/10.1007/978-3-319-31889-9_59-1

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