Background: Stroke continues to be the third leading cause of death in many countries in addition to being responsible for major disability among survivors. Therefore, stroke is actually a major health care problem and the economic burden of stroke is enormous and rapidly escalating in terms of both health care costs and lost productivity.
Objective: To assess the outcome of neurosurgical management of patients with cerebrovascular insufficiency.
Patient and Methods: A number of 43 patients with carotid artery stenosis were divided into two groups: group A 27 patients doing carotid endarterectomy (CEA) procedure and group B 16 patients doing carotid artery stenting (CAS) procedure. The patients had been recruited from inpatient hospital admission and outpatient clinics at Kafr Elsheikh University Hospital, Al-Azhar University Hospitals, Ain Shams University Hospital and Nasser institute hospital during the period from March 2018 to March 2020.
Results: Outcome was assessed postoperatively via neurologic status together with National Institute of Health Stroke Scale (NIHSS) and mini mental state examination (MMSE). At follow-ups, NIHSS and MMSE values were very similar in both groups. There was no obvious difference between the two studied groups in the postoperative complications. This study showed no statistically significant difference between groups according to both MMSE and NIHSS changes.
Conclusions: Cerebral reperfusion via carotid endarterectomy and carotid artery stenting improve the neurological state and cognitive function in addition to its well established rule in prevention in recurrent stroke.