Management of brain tumours in developing countries displays a different perspective compared to developed nations The disease is grossly advanced before the patient seeks treatment Diagnosis as well as management requires minimum number of diagnostic tools

1. Brain tumor surgery: challenges
faced in rural set up
Dr Amit Agrawal, MCh

2.  Management of brain tumours in developing countries
displays a different perspective compared to developed
nations
 The disease is grossly advanced before the patient seeks
treatment
 Diagnosis as well as management requires minimum
number of diagnostic tools
Introduction

3.  Benign vs. malignant
 Accessible vs. not-accessible
 Affordability
 Need for radiotherapy or chemotherapy
Algorithm

4. Benign accessible lesions

5. Benign accessible lesions

6. Benign accessible lesions

7. Benign accessible lesions

8. Malignant accessible lesions

9. Malignant accessible lesions

10. Malignant relatively accessible
lesions

11. Malignant not accessible lesions

12. Malignant not accessible lesions

13. Malignant not accessible lesions

14. Malignant not accessible lesions

15. ?? Malignant not accessible lesions

16. Multiple lesions

17. Multiple lesions

18. Delayed presentation

19.  Delayed presentation
 Under investigation (poor affordability and lack of medical
insurance)
 Treatment may be appropriate but sometime suboptimal
 Inadequate follow up data
Challenges

20.  Basic as well as advanced neurosurgical care; although
difficult and challenging can be provided with less
investment
 Limited resources can be used as an opportunity to find out
ways to provide optimum care particularly in rural areas
Conclusion