Ebrima K. Manneh

Edward Francis Small Teaching Hospital

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John N. Jabang

Edward Francis Small Teaching Hospital

Mustapha Bittaye

Ministry of Health and Social Welfare

Momodou G. Bah

Michigan State University

A Bah

Edward Francis Small Teaching Hospital

Cristóbal Sánchez

Edward Francis Small Teaching Hospital

Lamin Janneh

Edward Francis Small Teaching Hospital

Hafiz Malik

University of Michigan–Dearborn

Saksham Gupta

Brigham and Women's Hospital

Y Sakho

Hôpital Principal de Dakar

Aviv Daniel

Edward Francis Small Teaching Hospital

Cooperative Institutions

University of Birmingham

Korle Bu Teaching Hospital

National Institute for Health Research

University of Cape Town

University of KwaZulu-Natal

Groote Schuur Hospital

University College Hospital, Ibadan

Cairo University

University of Cape Coast

Edward Francis Small Teaching Hospital

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The development of an international partnership for cranial neurosurgery in The Gambia

Journal of Clinical Neuroscience (2025)

Saksham Gupta Ebrima K. Manneh Momodou G. Bah Sabina Kangakan Anwar AlKhateeb

10.1016/j.jocn.2025.111063

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Successful adaptation of twinning concept for global neurosurgery collaborations—a validation study

Acta Neurochirurgica (2024)

Alba Corell John N. Jabang Job Manneh Ebrima K. Manneh Magnus Tisell

Abstract Introduction Globally, many regions have an urgent, unmet need of neurosurgical care. A multi-step neurosurgical twinning technique, International Neurosurgical Twinning Modeled for Africa (INTIMA), was proved to be successful during a previous mission to Neurosurgical Unit, Enugu, Nigeria. The Swedish African Neurosurgical Collaboration (SANC) performed a developmental mission together with the local neurosurgical unit in The Gambia, adopting the INTIMA model. Methods A multidisciplinary team visited for a 2-week collaborative mission at the Neurosurgical Department of the Edward Francis Small Teaching Hospital in Banjul, The Gambia. The mission followed the data of neurosurgical operations during and after the mission as well as about the operations 3 months prior to and after the mission was collected. Results During the mission, a total of 22 operations was carried out, the most common being degenerative spinal conditions ( n = 9). In the 3 months following the mission, 43 operations were performed compared to 24 during the 3 months leading up to the mission. The complexity of the performed procedures increased after the mission. An operating microscope (Möller-Wedel) was donated and installed and the neurosurgeons on site underwent training in microneurosurgery. The surgical nurses, nurses at the postoperative ward, and the physiotherapists underwent training. A biomedical engineer serviced multiple appliances and devices improving the patient care on site while training local technicians. Conclusion This study validated the use of the INTIMA model previously described in a mission by Swedish African Neurosurgical Collaboration (SANC). The model is sustainable and produces notable results. The core strength of the model is in the multidisciplinary team securing all the aspects and steps of the neurosurgical care. Installation of an operating microscope opened for further microsurgical possibilities, improving the neurosurgical care in The Gambia.

Neuroradiology

10.1007/s00701-024-06060-8

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The Development of an International Partnership for Cranial Neurosurgery in the Gambia

Saksham Gupta Ebrima K. Manneh Momodou G. Bah Sabrina Kangakan Anwar AlKhateeb

Background: There is a considerable burden of pituitary and other skull base diseases in low-and-middle-income countries that often go unaddressed. In this study, we describe the development of an institutional partnership between Mass General Brigham (MGB) and the Edward Francis Small Teaching Hospital (EFSTH; The Gambia) to develop the capacity to perform complex cranial neurosurgery with a focus on pituitary surgery. Methods: This is a case series of 5 operations performed at EFSTH from September 17-19, 2024. Results: 5 operations were performed, including 3 for pituitary macroadenoma, 1 for giant falcine meningioma, and 1 for postcentral gyrus tuberculoma. Operative times ranged from 3-9 hours and estimated blood loss ranged from 200-800cc. There were no intraoperative complications, though one patient suffered a delayed venous infarction that caused transient weakness and inability to ambulate. All patients were discharged home, and all patients' preoperative symptoms improved by final follow-up. The crude long-term cost efficacy of performing pituitary surgery was approximated to be $21 US dollars (USD) in productivity gained for every $1 spent. Conclusions: We describe the early development of a new global neurosurgery partnership between EFSTH and MGB, which includes the country's first pituitary operation.

10.2139/ssrn.5074670

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Outcomes after surgery for children in Africa (ASOS-Paeds): a 14-day prospective observational cohort study

The Lancet (2024)

Alexandra Torborg Heidi M. Meyer Mahmoud El Fiky Maher Fawzy Muhammed Elhadi

Elective surgery

10.1016/s0140-6736(24)00103-x

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History and Current State of Neurosurgery in the Gambia

World Neurosurgery (2024)

Momodou G. Bah Cyrus Elahi Kerry A. Vaughan Lamin Dampha Ebrima K. Manneh

Scarcity

10.1016/j.wneu.2024.03.155

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Meningiomas of the parieto-occipital convexity mimicking a hematoma: A case report in a third-world country

Surgical Neurology International (2024)

F Sene Ebrima K. Manneh Job Manneh Fansu F. N. Jatta Fatoumatta S. Jallow

Background: Meningiomas are benign, slow-growing tumors of the central nervous system (CNS) that arise from the arachnoid matter. It comprises one of the most common primary tumors of the CNS, occurring mostly in and after the fifth decade of life with a female gender predilection. Diagnosis is facilitated by imaging computed tomography (CT) or magnetic resonance imaging (MRI); however, atypical forms exist which augments the risk of missing the diagnosis. This is a case of a meningioma that mimics a hematoma on imaging, the diagnosis of which was only confirmed following histopathology. Case Description: A 36-year-old patient presented with a 9-month history of intermittent moderate-intensity headaches associated with photophobia, tinnitus, and dizziness. There was no previous history of trauma. There were no focal neurological deficits on examination. Both contrast-enhanced and noncontrast-enhanced brain CT scans showed features suggestive of an intraparenchymal hematoma. She had a control CT scan 2 months and 9 months later due to the persistence of symptoms despite remaining stationary, which revealed no changes in the lesion as seen in the previous CT scans. The patient did not benefit from an MRI scan due to the socioeconomic status of the country and the patient herself. A decision to operate was made, and the sample was sent for histopathology. Histopathology confirmed the lesion to be a psammomatous meningioma. Conclusion: Although CT findings of meningiomas are quite often typical, it is important to note that atypical forms exist as well. Knowledge of the atypical forms, such as lesions that look like an intraparenchymal hemorrhage initially but remain unchanged over a period of time, would decrease the risk of missing the diagnosis in such instances.

Histopathology

10.25259/sni_410_2024

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