The Philippine League Against Epilepsy has a community project which has been named, The Epilepsy Manager Program. It was created to address the needs of patients with epilepsy in the rural areas. An Epilepsy Manager is defi ned as a non-Neurologist who will render care to persons with epilepsy in the primary care level, in areas of the country where access to Neurologist service is not readily available. The program focuses on training of the Epilepsy Managers. It uses a preceptorship-guided, hands-on strategy. Government doctors or Municipal Health Offi cers in different provinces volunteer for the program, after it has been fully explained to them. This paper describes the process involved for the training of Epilepsy Managers, and the results of the program after 9 years of implementation.

Moyamoya Disease was initially reported in 1957 as vessels resembling a puff of smoke, alongside hypoplasia of bilateral internal carotids. The true incidence remains elusive. Genetic studies point to familial occurrence of the disease, however some studies refute this, claiming that environmental factors are to blame. The treatment strategies remain an enigma, more so in our country where data is scarce. We present a case of an asymptomatic Moyamoya disease incidentally diagnosed in the work - up of Subarachnoid Hemorrhage. The basis of the management is being provided.
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