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