Table 2.
Prioritization of Neurosurgical Patients during COVID-19 Pandemic[5]
| Priority Level | Description | Examples (not all inclusive) | Action |
|---|---|---|---|
| Emergency Neurosurgery | Immediate neurosurgery within 24 h | Neurotrauma, intracranial tumors with feature of decompensation or intratumoral bleed, intracranial hemorrhage, ruptured intracranial aneurysm, ruptured myelomeningocele, pituitary apoplexy with acute loss of vision, cauda equina syndrome | Immediate neurosurgery |
| Semiemergency/Urgent Neurosurgery | Requires treatment within 1 week | Large tumors, e.g., Meningiomas and gliomas, unruptured aneurysm, arteriovenous malformations, spinal tumors with progressing deficits | Prioritize the case; decide on case-to-case basis |
| Elective Neurosurgery | Neurosurgery within 1 month | Pituitary adenoma, craniopharyngioma, degenerative spinal pathology (lumbar stenosis), schwannoma | Postpone neurosurgery and reschedule based on appropriate time |