Vestibular schwannoma: Global perspectives.

Q2 Medicine

Handbook of clinical neurology Pub Date : 2025-01-01 DOI:10.1016/B978-0-12-824534-7.00036-6

Raghunandhan Kumar, Beverly Cheserem, Mohan Kameswaran

引用次数: 0

Abstract

The management protocols for vestibular schwannomas (VS) may differ across the world depending on local health-care policies and resources available. Early diagnosis, appropriate intervention, and follow-up may all vary depending on a multitude of factors especially the availability of medical infrastructure, professionals, funding, and ethnic/socioeconomic factors in the developing world. Limited awareness of the way VS present, lack of primary care physicians, poorly developed referral pathways, limited resources to pay for treatment, poor provision of clinicians, and appropriate facilities for treatment are commonplace, often resulting in a delay in recognition of pathology and timely onward referral for treatment. There is, however, a general trend toward improvement in the availability and quality of care and, in a limited number of regions, state-of-the-art facilities are already available for those who can afford to access them. This chapter describes the current status of VS care in India and Africa and explores the challenges faced in the management of VS in the developing world.

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前庭神经鞘瘤（VS）的管理方案可能因当地卫生保健政策和可用资源而在世界各地有所不同。早期诊断、适当的干预和随访都可能因多种因素而异，特别是发展中国家的医疗基础设施、专业人员、资金和种族/社会经济因素的可用性。对性病的认识有限、缺乏初级保健医生、转诊途径不完善、支付治疗费用的资源有限、临床医生供应不足以及适当的治疗设施都很普遍，这往往导致对病理的识别和及时转诊治疗的延误。但是，总的趋势是改善护理的提供和质量，在有限的几个区域，已经为那些负担得起的人提供了最先进的设施。本章描述了印度和非洲静脉注射护理的现状，并探讨了发展中国家静脉注射管理面临的挑战。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Handbook of clinical neurology Medicine-Neurology (clinical)

CiteScore

4.10

自引率

0.00%

发文量

302

期刊介绍： The Handbook of Clinical Neurology (HCN) was originally conceived and edited by Pierre Vinken and George Bruyn as a prestigious, multivolume reference work that would cover all the disorders encountered by clinicians and researchers engaged in neurology and allied fields. The first series of the Handbook (Volumes 1-44) was published between 1968 and 1982 and was followed by a second series (Volumes 45-78), guided by the same editors, which concluded in 2002. By that time, the Handbook had come to represent one of the largest scientific works ever published. In 2002, Professors Michael J. Aminoff, François Boller, and Dick F. Swaab took on the responsibility of supervising the third (current) series, the first volumes of which published in 2003. They have designed this series to encompass both clinical neurology and also the basic and clinical neurosciences that are its underpinning. Given the enormity and complexity of the accumulating literature, it is almost impossible to keep abreast of developments in the field, thus providing the raison d''être for the series. The series will thus appeal to clinicians and investigators alike, providing to each an added dimension. Now, more than 140 volumes after it began, the Handbook of Clinical Neurology series has an unparalleled reputation for providing the latest information on fundamental research on the operation of the nervous system in health and disease, comprehensive clinical information on neurological and related disorders, and up-to-date treatment protocols.