article · The Egyptian Journal of Neurosurgery : the official publication of the Egyptian Society of Neurological Surgeons/Egyptian journal of neurosurgery
A six-year review of hospital records at a national referral facility in Kampala, Uganda, reveals the clinical presentation and histological subtypes of brain tumours managed in its neurosurgery unit. Between January 2013 and December 2018, eighty-eight patients with histologically confirmed brain tumours were analysed. The average patient age was 35.3 years, with a slight male predominance. Over half of the cohort presented clinically with headache. Benign tumours constituted the vast majority of all cases, accounting for over 71 percent. When categorised by tumour type, gliomas represented the most common diagnosis, closely followed by meningiomas. Within the glioma category, astrocytomas emerged as the most frequent subtype. The findings highlight gliomas and meningiomas as the primary drivers of neurosurgical intervention at the tertiary centre.
Brain tumours cause significant morbidity and mortality worldwide. Understanding the specific types of tumours treated in regional referral hospitals, along with common symptoms such as headache, helps healthcare planners and clinicians recognise local diagnostic burdens. This evidence supports better resource allocation and medical preparation for neurosurgical interventions.
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Abstract Introduction Brain tumors (BTs) are a group of heterogeneous tumors which are aggressive and have significant morbidity and mortality globally. Aim of the work This study aims to provide a 6-year review of the frequency of histological subtypes of BTs from a single tertiary hospital in Uganda. Methods This was a descriptive cross-sectional study which included retrospective data from hospital records. Data were extracted from the patients’ files who were managed due to BTs in the neurosurgery unit from January 2013 to December 2018. Patients with available files and histology reports altogether with information consisting of histopathological diagnosis and clinical information on duration of diseases, and treatment modality among many others were included in the analysis. Results A total of 88 histologically confirmed cases with BTs were recorded at the neuropathology unit for a period of 6 years. The mean age of the patients was 35.3 ± 19.2 years, and males were slightly more prevalent 51.1% (45/88) compared to females. Most of the patients 54.5% (48/88) were presenting clinically with headache. Of all the cases analyzed, the vast majority 71.6% (63/88) of the patients had benign tumors. Gliomas were the most common BTs which were found in 44.3% (39/88) followed by meningiomas which comprised 40.9% (36/88). Astrocytomas were the commonest type of gliomas which consisted of 38.5% (15/39) of all the gliomas. Conclusion This study reports on a cohort of patients with BTs among whom, most of them were presenting clinically with headache. From our findings, it can be observed that the highest referral for acute neurosurgical intervention is glioma, followed by meningioma.
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DOI: 10.1186/s41984-025-00432-7
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