The Brain and Spine Institute is a leading force in the field of neurosciences in the Philippines. It provides a full spectrum of neurological services for adults and pediatric with disorders of the brain, spine and neurovascular abnormalities through its subspecialty centers: the Philippine Gamma Knife Center, the Brain and Spine Tumor Center, the Philippine Movement Disorder Surgery Center, the Cardinal Santos Spine Center, the CSMC Stroke Service, the Neurophysiology Center, and the Cardinal Santos Memory Center. It is a recognized referral center for neurological diseases in the country.



The Philippine Gamma Knife Center

The Philippine Gamma Knife Center at Cardinal Santos Medical Center was established in 1998. It committed to providing our patients with neurosurgical care and technology that was, at the time, only available outside of the country. Established at a time when few specialists were interested in the field, the Center was envisioned as a center of excellence in Stereotactic Neurosurgery and Radiosurgery for the Philippines.


  • Gamma Knife Radiosurgery for brain tumors, Central Nervous System vascular malformations, and trigeminal neuralgia.
  • Minimally invasive open frame-based Stereotactic Neurosurgery procedures
  • Biopsy of intracranial lesions
  • Implantation of catheters
  • Aspiration of cysts
  • Evacuation of blood clots
  • Evacuation of abscesses
  • Stereotactic excisions

The Philippine Movement Disorder Surgery Center

The creation of  The Philippine Movement Disorder Surgery Center in 2005, marked another milestone in Philippine healthcare as it gave Filipinos, for the very 1st time,  access to surgical care for disabling movement disorders such as Parkinson’s disease and dystonia (X-linked Dystonia Parkinsonism).


  • Deep Brain Stimulation Surgery (DBS) for movement disorders like Parkinson’s Disease, Dystonia and Essential Tremor. DBS at the Philippine Movement Disorder Surgery Center (PHILMOVE) is performed by a multidisciplinary team consisting of movement disorder neurosurgeons, a movement disorder neurologist, a neurophysiologist, neuro anesthesiologists, and a movement disorder nurse working harmoniously together to optimize the safety and efficacy of DBS surgery.

The Brain and Spine Tumor Center

In 2008, the Brain and Spine Tumor Center was established. It was envisioned to be a premier neurooncology service geared towards providing a tteam-oriented multidisciplinary and standardized manner of diagnosis and treatment for patients with brain and spine tumors. To this day, the group conducts weekly multidisciplinary conferences and doctors from other institutions are welcome to present their cases to the group.

Part of its mission is to provide education for future specialists through regular symposia raising awareness on the importance of unbiased, multispecialty, comprehensive care.


  • Multidisciplinary consultation and deliberation of each individual case is made possible through weekly conferences.  The attending physician is able to get inputs on behalf of the patient.
  • Specific Surgical Services (Intracranial tumors):
    • Awake Craniotomy with Brain Mapping
    • Image Guided Cranial Surgery
    • Conventional craniotomy (Adult and Pediatric Brain Tumors)
    • Endoscopic and endoscopic assisted surgery
    • Minimally invasive craniotomies
    • Posterior Fossa Decompression (Adult and Pediatric)
    • Transphenoidal  (endonasal and sublabial) Surgery
    • Skull-base surgery
    • Stereotactic biopsy (frame based and frameless techniques)
    • Ventriculoperitoneal Shunt insertion
  • Specific Surgical Services (Spinal Tumors) :
    • Conventional open and minimally invasive spine tumor surgery
    • Conventional and minimally invasive spine stabilization surgery
    • Excision of extradural tumors
    • Excision of intradural, extramedullary tumors
    • Excision of intramedullary tumors
    • Kyphoplasty/Vertebroplasty
  • Specific Surgical Services :
    • Intraoperative adjuncts (Cranial) : Fluorescein- Guided Tumor resections (using Sodium Fluorescein), Microscopic and 3D Exoscopic Surgery, Intraoperative Videoangiography, Neuronavigation with microscope integration, intraoperative functional imaging (stealthviz S8 software), Ultrasonic Aspirator for Tumor Excision, Semi-quantitative blood flow analysis (Flow 800 software of Kinevo Microscope), Intraoperative Neurophysiological Monitoring.
    • Intraoperative adjuncts (Spine):
    • Fluorescein- Guided Tumor resections (using Sodium Fluorescein), Microscopic and 3D Exoscopic Surgery, Neuronavigation, Ultrasonic Aspirator for Tumor Excision, Intraoperative cord monitoring
  • Specific Medical Services :
    • Chemotherapy, Immunotherapy, Targeted Treatment
    • Radiation Therapy
    • Conventional Radiation Therapy (ie. Whole brain radiation therapy)
    • Conformal Radiation Therapy (includes 3D Conformal Radiation Therapy (3DCRT), Intensity Modulated Radiation Therapy (IMRT), Image Guided Radiation Therapy (IGRT), Volumetric Arc Therapy (VMAT))
    • Stereotactic Radiation Therapy (SRT) – Including Stereotactic Radiosurgery (ie. Gamma Knife), Stereotactic Body Radiation Therapy (SBRT)
    • Neuro-Anesthesia Services
    • Neuro-Ophthalmology services
    • Neuro-Pathology services
  • Neuro-Imaging services
    • Functional Brain Imaging
    • Tractography
    • Magnetic Resonance Spectroscopy (MRS)
    • Cerebral blood flow measurement
    • CT cranial angiography
    • CT perfusion
    • Whole body PET CT scan
    • Magnetic Resonance Angiography
  • Nutrition Services
  • Pain Management
  • Rehabilitation Medicine Services

The CSMC Spine Center

Established in 2010 the CSMC Spine Center is considered an authority in the comprehensive management of spine disorders. It offers conventional and minimally invasive treatment options for a myriad of spine diseases, handled by a collaborative team of experts in orthopedics and neurosurgery.

The CSMC Spine Center has a  roster of reputable neuro and orthopedic spine surgeons providing conventional, open and minimally invasive options for the following procedures:

  • Cervical Spine Procedures
    • ACDF
    • Anterior Cervical Corpectomy
    • Cervical Decompression
    • Cervical Laminoplasty
    • Cervical Laminectomy
    • Cervical Laminotomy
    • Cervical Posterior Decompression and Fusion
    • Cervical Laminectomy and Fusion
    • Cervical Posterior Foraminotomy
    • Anterior /Posterior Cervical Fusion
    • Cervical disc replacement
    • Cervical Fusion for Tumors
  • Thoracic Spine Procedures
    • Posterior Thoracic Decompression
    • Posterior Thoracic Laminectomy
    • Thoracic Posterior Fusion
    • Thoracic interbody fusion
    • Thoracic posterior fusion for tumors
    • Percutaneous pedicle instrumentation of the thoracic spine
  • Lumbar Spine Procedures
    • Lumbar Decompression
    • Lumbar Laminectomy
    • Lumbar discectomy
    • Lumbar microdiscectomy
    • Lumbar posterior fusion
    • Lumbar fusion for tumors
    • Percutaneous pedicle instrumentation of the lumbar spine

The CSMC Spine Center has a  roster of reputable neuro and orthopedic spine surgeons providing conventional, open, and minimally invasive options for the following procedures:

  • Minimally Invasive Surgery
    • Minimal Access Spine Techniques
    • Kyphoplasty/Vertebroplasty
    • Motion Sparing Surgery/Artificial Disc Replacement
    • Endoscopic Spine Surgery
    • Percutaneous Instrumentation
  • Deformity Spine Procedures
    • Pediatric Scoliosis Surgery
    • Adult Scoliosis Surgery (Idiopathic and Degenerative)
    • Surgery for high-grade Spondylolisthesis
  • Other Spine Procedures
    • Complex Revision Spinal Surgery
    • Motion Sparing Surgery
    • Artificial Disc Replacement
    • Osteotomies
    • Spine Surgeries for Tumor Excision
    • Removal of Spinal Implants/Hardware
    • Chiari Decompression
    • Cranio-cervical Decompression with or without Fusion
    • Cervico-Thoracic Decompression and Fusion
    • Spino-Pelvic Fixation

The Neurovascular Center

The CSMC Neurovascular Center offers specialized surgery for conditions involving the blood vessels of the brain or spinal cord such as arterio-venous malformations, aneurysms, strokes,  carotid artery stenosis, moyamoya disease.


  • Diagnostic cranial and spinal catheter angiography
  • Conventional open and minimally invasive surgery for ICH evacuation.
  • Decompressive hemicraniectomies for malignant infarcts
  • Clipping of aneurysm
  • Excision of Arterio-Venous Malformations and Cavernomas
  • Microvascular bypass procedures
  • Endovascular coiling
  • Endovascular embolization
  • Endovascular stenting and balloon occlusion
  • Endovascular thrombectomy
  • Intraoperative adjuncts:
    • Intraoperative videoangiography (Indocyanine green and Sodium Fluorescein), Neuronavigation with microscope integration, intraoperative functional imaging (stealthviz S8 software), Semi-quantitative blood flow analysis (Flow 800 software of Kinevo Microscope)
  • Miscellaneous Services:
    • Craniotomy/ Craniectomy for evacuation of traumatic hematoma
    • CSF diversion (shunting) procedures
    • Neuro-endoscopic procedures
    • Peripheral nerve surgery (e.g. Carpal tunnel surgery)
    • Repair of congenital neural tube defects (cranial and spinal)

The Neurophysiology Center

The Neurophysiology Center is designed as a one stop-hub for patients requiring neurologic care by providing comprehensive neuro-diagnostic procedures. It is composed of highly trained and nationally renowned electrophysiologists and a technical staff delivering a cost effective, and high quality service in a modern facility


  • Routine EEG
  • Sleep and Awake EEG
  • Video EEG 1 hour
  • Video EEG 2 hours
  • Video EEG 3-12 hours
  • Video EEG 24 hours
  • EEG Monitoring/Extended per hour
  • Transcranial Doppler Study
  • Transcranial Doppler Sturdy with Bubble Test
  • EMG/NCV Upper and Lower Extremities
  • Blink/Facial Study EMG
  • Repetitive Nerve Stimulation (RNS)
  • Brainstem Auditory Evoke Response (BAER)
  • Somatosensory Evoked Potential (SSEP)
  • Sympathetic Skin Response (SSR)
  • Visual Evoked Potential (VEP)
  • Phrenic Nerve Study 

The Memory Center

One of the goals of CSMC Memory Center is to create awareness, promote quality of life in the elderly and delay the progress of Alzheimers disease through its expertise in the brain and memory. It aims to provide early detection and management of dementia, and patient’s with cognitive impairment, from brain injury and diseases through the following procedures:

  • Comprehensive Neurocognitive Workup
  • Medication Management
  • Cognitive Rehabilitation Programs

The Insomnia Clinic

The CSMC Insomnia clinic aims to promote overall well-being of our patients through a healthy Sleeping habits and management of their Psychological health.


  • Comprehensive Insomnia Assessment
  • Cognitive Behavioral Therapy


(02) 8727-0001 local 5303