Journal article
Management of brain tumor in Nepal
International Congress series, Vol.1259(C), pp.149-155
02/01/2004
DOI: 10.1016/S0531-5131(03)01405-5
Abstract
Management of brain tumors in developing countries displays a different perspective compared to developed nations. The difference starts from the presentation, which is always grossly advanced before the patient seeks treatment. Also, the surgeons must diagnose and plan surgery with the minimum number of diagnostic tools, while the majority of the time operating on the information gained from CT alone. Since cerebral angiography is rarely done, there is chance of vascular damage leading to profound bleeding or brain swelling. Due to the lack of medical insurance, the patient has to pay his/her own bill, a major deciding factor for surgery. Lack of social security is a further concern when morbidity is involved since postoperative disability can lead to further family suffering.
Despite these constraints, we provide neurosurgical care to brain tumor patients with modification of surgical indications along with techniques meeting our socio-economic need. Here we present our experience in dealing with brain tumors in Nepal. We discuss the presentation, mode of investigation, the surgical tools and techniques adapted to meet these goals. We also discuss some peculiar differences in the presentation of brain tumors. Such differences in the biological nature of the tumor could be a subject of future study.
Details
- Title: Subtitle
- Management of brain tumor in Nepal
- Creators
- Basant Pant - Kathmandu Medical College Teaching HospitalPrabin Shrestha - Kathmandu Medical College Teaching Hospital
- Resource Type
- Journal article
- Publication Details
- International Congress series, Vol.1259(C), pp.149-155
- Publisher
- Elsevier B.V
- DOI
- 10.1016/S0531-5131(03)01405-5
- ISSN
- 0531-5131
- eISSN
- 1873-6157
- Language
- English
- Date published
- 02/01/2004
- Academic Unit
- Neurosurgery
- Record Identifier
- 9984695680302771
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