The Role of Neurosurgery in Global Health Head Trauma

David Clark, Jebet Beverly Cheserem, Indira Devi Bhagavatula, Anthony Figaji, Peter Hutchinson

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Twenty-seven million people are estimated to sustain a traumatic brain injury (TBI) every year. In this chapter, we first begin by considering the history of the diagnosis and treatment of TBI from trepanation in the Mesolithic period to seminal advances in the twentieth century such as CT scanning, ICP monitoring and the creation of the Glasgow Coma Score. Thereafter, we consider contemporary efforts to reduce morbidity and mortality due to TBI. Firstly, we review efforts to prevent TBI including helmet usage. We then consider the issues globally in the provision of adequate pre-hospital care, critical care, surgery and rehabilitation for this patient cohort. Throughout the chapter, we highlight specific issues faced in low-resource settings such as a lack of functional CT scanners and trained neurosurgeons. Moreover, we discuss innovative ways to provide high-quality care despite these challenges such as task sharing and the novel utilisation of existing technologies. Finally, we consider exciting new methodologies to improve care for these patients including precision medicine and systems science.

Original languageEnglish
Title of host publicationNeurosurgery and Global Health
PublisherSpringer International Publishing
Number of pages14
ISBN (Electronic)9783030866563
ISBN (Print)9783030866556
Publication statusPublished - 1 Jan 2022


  • Critical care
  • Epidemiology
  • Neurosurgery
  • Trauma
  • Traumatic brain injury


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