Abstract：
Nigeria\'s neurosurgical field faces profound challenges, including a critically low neurosurgeon-to-patient ratio and significant migration of medical professionals to developed countries. High costs, low socioeconomic status, and the urban-centric location of neurosurgical centers impede access to care. Key barriers to service delivery include lack of manpower, insufficient emergency care, limited imaging modalities, inadequate operative equipment, and ineffective political and administrative policies. Neurotrauma is the primary reason for neurosurgical intervention but is poorly managed due to delayed access and insufficient guidelines. The neurosurgical education system is strained by limited training capacity and the absence of subspecializations, restricting specialized care. Research output is low, hindered by limited infrastructure, lack of databases, insufficient funding, and minimal international collaboration. To address these issues, it is critical to enhance the imaging capabilities, ensure the availability of operative equipment, and establish effective policies for task sharing and communication at different levels of care. Other approaches include expanding training capacity, particularly in rural areas, implementing a uniform match system for residency, addressing gender disparities, and utilizing dual practice to ensure adequate compensation for neurosurgeons. Furthermore, stakeholders should develop subspecialization programs in areas such as neurovascular, neuro-oncology, pediatric neurosurgery, and minimally invasive neurosurgery to expand service scope. To transform the neurosurgical research landscape, efforts should be made to establish electronic medical databases, foster international collaborations to ensure funding, and make research mandatory for accreditation renewal to ensure continuous academic contribution.
摘要：
尼日利亚的神经外科领域面临着深刻的挑战，包括神经外科医生与患者的比率极低，医疗专业人员大量向发达国家迁移。高成本,社会经济地位低下，以城市为中心的神经外科中心位置阻碍了获得护理的机会。服务提供的主要障碍包括缺乏人力，急救护理不足,有限的成像模式，操作设备不足,以及无效的政治和行政政策。神经创伤是神经外科介入的主要原因，但由于访问延迟和指南不足，管理不善。神经外科教育系统因培训能力有限和缺乏亚专业而紧张，限制专业护理。研究产出低，受到有限的基础设施的阻碍，缺乏数据库,资金不足,和最少的国际合作。为了解决这些问题,增强成像能力至关重要，确保操作设备的可用性，并为不同护理级别的任务共享和沟通制定有效的政策。其他方法包括扩大培训能力，特别是在农村地区，实行统一的居住权匹配制度，解决性别差异，并利用双重实践来确保神经外科医生得到足够的补偿。此外，利益相关者应该在神经血管、神经肿瘤学，小儿神经外科,和微创神经外科扩大服务范围。为了改变神经外科研究领域，应努力建立电子医疗数据库，促进国际合作以确保资金，并强制要求进行认证更新的研究，以确保持续的学术贡献。
