Neurosurgical Stroke Management trends - Philippines

Neurosurgical Stroke Management trends - PhilippinesPART IISUBARACHNOID HEMORRHAGEANEURYSMSCurrent Western Trend 50-90% coiled Clipping/Coiling trend reversed in 8 yrs PhilippinesPhil Gen Hospital 120 cases/yr7% coiledCoiling rate higher in other private centers

INTRACEREBRAL HEMATOMA

2007 Jan to Oct

Total Aneurysms 107 Clipped 98Coiled 9 (10%) 2007 Jan to Oct

Total Aneurysms 14

Clipped 11Coiled 3 (25%)ANEURYSMSCURRENT HOT ISSUES

Management approach for UIATreat or not?Endovascular and Microsurgical indications (or not vs) UNRUPTURED INTRACRANIAL ANEURYSMSISUIA IIProspective StudyTreat Anterior >7mm Posterior circlnObserve Anterior