Pattern and Practice of Paediatric Neurosurgical Procedures- An analysis of one year initial experience at resource challenged setup of Children Hospital, Faisalabad.

patients presenting to Children Hospital, Faisalabad. Materials and Methods: Retrospective case series of 778 consecutive cases admitted in Pediatric Neurosurgery Department, Faisalabad over one year (October 2019- September 2020). Patients age less than 15 years, any gender, ward for management were included studied their demographic data hospital stay, a procedure done outcome. Results: A total who required some neurosurgical intervention admitted, 725 underwent various types procedures the remaining treated conservatively. 320 (44.14%) male and405 (55.86%) female. The range was 20 days 13 years. most common diagnosis hydrocephalous, then Meningomyelocele (MMC). first three performed monitoring Cerebrospinal fluid (CSF) 36% cases, Placement shunt (21%), placement external ventricular drain (EVD) 13% cerebrospinal (CNS) infections hydrocephalous. Conclusion: Pattern presentation pediatric take almost all diseases like neural tube defects, cranial trauma, tumors, cysts, but surgical routine practice district cover mainly hydrocephalous its complications. Endoscopic or advanced are not commonly practiced due multiple factors existing constraints do prevent best neurosurgery patients.