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CHUK Roadmap to strengthening the neurosurgery healthcare

Striving to boost Neurosurgical Trade
The University Teaching Hospital of Kigali “CHUK” is the leading public hospital in Rwanda thus it has to handle all complicated illnesses be it in general medicine-pediatrics-gynecology or neurosurgery passing thru complexity of therapy procedures in different specialties.
As complex specialty Neurosurgery, or neurological surgery, is the medical specialty concerned with the prevention, diagnosis, surgical treatment, and rehabilitation of disorders which affect any portion of the nervous system including the brain, spinal cord, central and peripheral nervous system, and cerebrovascular system. In other words, neurological disorders are diseases which affect the brain, spinal cord, cranial nerves, peripheral nerves, nerve roots, autonomic nervous system, neuromuscular junction, and muscles.

Dr Muneza Severin with team of surgeons and Anaesthesiologists

At CHUK The long journey is still going on by devoted team of surgeons ; Doctor Muneza is the senior consultant neurosurgeon at CHUK. Good practices education and research doubled by strong partnership in terms of medical mission has improved the healthcare in different specialties and sub specialties including Neurosurgery at CHUK.

Among others neurological disorders include epilepsy, Alzheimer disease and other dementias, cerebrovascular diseases including stroke, migraine and other headache disorders, multiple sclerosis, Parkinson’s disease, neuro infections, brain tumours, traumatic disorders of the nervous system due to head trauma, and neurological disorders as a result of malnutrition. Many bacterial (i.e. Mycobacterial tuberculosis, Neisseria meningitides), viral (i.e. Human Immunodeficiency Virus (HIV), Enteroviruses, West Nile Virus, Zika), fungal (i.e. Cryptococcus, Aspergillus), and parasitic (i.e. malaria, Chagas) infections can affect the nervous system. Neurological symptoms may occur due to the infection itself, or due to an immune response as well explained in World Neurosurgery Journal.

Dr Teresa Burnett from The University Hospitals of Plymouth nhs trusts in England is proud to testify longtime neurosurgery partnership to provide education support in neurosurgical medical services with University Teaching Hospital of Kigali CHUK
In this exercise teaching sessions are done on neuro anesthesia to improve technical skills with need to develop neuro surgery procedures high standards healthcare services.

Dr Teresa Burnett remarked the improvement to focus on how to approach the patient undergoing neuro surgery procedure: the way of thinking about difference between neuro surgery elective case and emergency traumatic brain injury has improved for anesthesia for neuro surgery. Up to five patients have been monitored and treatment in every neuro surgery medical mission from Plymouth University Hospital. Expectations are lower than experienced during the mission; Enthousiastic and very hard working people said Dr Teresa Burnett.

Education support in neurosurgical healthcare services

Dr Muneza Severin is here to detail procedures performed by our neurosurgery experts including Brain surgery. Clot removal. Aneurysm repair. Tumor removal.
Spine surgery. Diskectomy. Laminectomy.

The most common conditions in these categories that a neurosurgeon will treat are: Head Injury-Stroke-Brain Tumors-congenital malformations including hydrocephalus. However gaps are there to run neuro surgical services, Invasive monitoring of blood pressure have to be available also in ICU there is need of Blood Gas Machine with quick access to the patient electrolyze oxygen PH and hemoglobin to improve the neuro surgical services. Hundreds of millions of people worldwide are affected by neurological disorders. More than 6 million people die because of stroke each year; over 80% of these deaths take place in low- and middle-income countries. More than 50 million people have epilepsy worldwide. It is estimated that there are globally 47.5 million people with dementia with 7.7 million new cases every year - Alzheimer’s disease is the most common cause of dementia and may contribute to 60–70% of cases.

By Pascal Mbuguje