AJNS
LETTERS / LETTRES
 
A NEUROSURGICAL TALE OF TWO CITIES




E-Mail Contact - ADELOYE Adelola : aadeloye@yahoo.com


The paper entitled « The Surgery of Meningiomas: a review of 215 cases » by R.F. Ruberti, Nairobi, Kenya which appeared in a recent issue of « The African Journal of Neurological Sciences », (volime 14, January 1995, pages 10 – 13) makes fascinating reading and represents an invaluable contribution to our knowledge of meningiomas seen in our part of the world of neurosurgery.

At a personal level, Professor Ruberti deserves special commendation for his efforts and congratulations on forty years of sustained, active and productive service in the demanding field of neurological surgery in Italy and Africa. His present series compares favourably with those giant past masters of the neurological art such as Cushing, Olivecrona and Zulch as shown in his Table 2 and

The review is based on materials collected from fifteen years of practice in Padua, Italy and of a quarter of a century in Nairobi, Kenya. Readers will be better informed if the author can separate the Italian material from that of Africa and subject both the concise clear analysis he has presented for his corporate experience from the cities of Padua and Nairobi. That accomplished, his work can become an authoritative addition to the literature and useful reference on meningiomas in Italy as well as in Africa. Such a contribution will be particularly appreciated and relevant in Africa, where hitherto the extant publications on meningiomas are generally few and relatively old and some made up of inadequatly studied, isolated case reports.

Adeloye, 1989.

EDITORIAL COMMENT
In reply to the letter to the Editor entitled « A neurosurgical tale of two cities » by A. Adeloye, Blantyre, Malawi on a paper entitled « The surgery of meningiomas: a review of 215 cases » by R.F. Ruberti, Nairobi, Kenya, appeared in the African Journal of Neurological Sciences (1995: Vol.14 pages 10-13), I would like to underlinethat my intention was to review only the surgical management, and not the epidemiology, of the meningiomas and possibly on a larger series of cases and this is the reason why I summed up my cases of Padua, Italy with the ones of Nairobi, Kenya. In fact the surgical management of the meningiomas may change in the hands of different surgeons, but should not change for the same sugeon at different latitudes.
For what concerns the epidemiology of the meningiomas and other tumours of the Central Nervous System in Africa, this has been treated in my paper « Tumours of the Central Nervous System in the African » appeared in the Journal of Neurological Sciences, (1989: Vol. 8 pages 24 – 29).
At personal level, I would like to thank very much Prefessor Adeloye for the congratulations on forty years of sustained, active and productive service in the demanding field of neurological surgery in Italy and Africa, and comparing my work with that of the giants of the past: that perhaps and undeserved compliment, but we try to do our best.

REFERENCES

  1. ADELOYE, A. Neurosurgery in Africa, Chapter 8, Ibadan University Press, 1989, pp 224 – 226



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