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. 2020 May 20;1-9.
doi: 10.1007/s00381-020-04671-x. Online ahead of print.

The Impact of Imposed Delay in Elective Pediatric Neurosurgery: An Informed Hierarchy of Need in the Time of Mass Casualty Crisis

Free PMC article

The Impact of Imposed Delay in Elective Pediatric Neurosurgery: An Informed Hierarchy of Need in the Time of Mass Casualty Crisis

Ranbir Ahluwalia et al. Childs Nerv Syst. .
Free PMC article


SARS-CoV-2 COVID-19, coronavirus, has created unique challenges for the medical community after national guidelines called for the cancellation of all elective surgery. While there are clear cases of elective surgery (benign cranial cosmetic defect) and emergency surgery (hemorrhage, fracture, trauma, etc.), there is an unchartered middle ground in pediatric neurosurgery. Children, unlike adults, have dynamic anatomy and are still developing neural networks. Delaying seemingly elective surgery can affect a child's already vulnerable health state by further impacting their neurocognitive development, neurologic functioning, and potential long-term health states. The purpose of this paper is to demonstrate that "elective" pediatric neurosurgery should be risk-stratified, and multi-institutional informed guidelines established.

Keywords: Brachial plexus; COVID-19; Coronavirus; Craniosynostosis; Pediatric neurosurgery; SARS-CoV-2 COVID-19.

Conflict of interest statement

The other authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper. The authors have no personal or institutional financial interest in drugs, materials, or devices described in their submissions.

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