St. Luke’s International Hospital

St. Luke’s International Hospital

Neurosurgery Department

Overview

Since our department’s establishment, we have practiced team medicine. We use state-of-the-art diagnosis and operation equipment including CT/MRI, various Brain Physiology Exams and Nuclear Medicine Scan, Operation Microscopes, Surgery Navigation System, Brain Endoscopy and Surgical lasers. We seamlessly work together with the Emergency Care Center and operate on an on-call system after normal hours to work quickly and effectively.

Diseases and Expertise

Diseases treated at the Neurosurgery Department

1. Brain Tumor 2. Cerebral Vascular Disease 3. Head Trauma
Glioblastoma
Meningioma
Acoustic Schwannoma
Pituitary Adenoma
Craniopharyngioma
Brain Metastasis
Intraventricular Tumor
Subarachnoid Hemorrhage
Cerebral Hemorrhage
Cerebral Infarction
Transient Ischemic Attack
Carotid Artery Stenosis
Moyamoya Disease
Arteriovenous Malformation
Dural Arteriovenous Fistula
Carotid-Cavernous Sinus Fistula
Dissecting Vertebral Artery Aneurysm
Skull Fracture
Epidural Hematoma
Subdural Hematoma
Traumatic Intracerebral Hematoma
Traumatic Epilepsy
Cerebrospinal Leakage
Otorrhea/Rhinorrhea
4. Spinal Disease

5. Congenital Disease

6. Functional Disease
Cervical Disc Herniation
Cervical Spinal Canal Stenosis (OPLL)
Ossification of the Yellow Ligament
Spinal Tumor
Spinal Trauma
Myelomeningocele
Hydrocephalus
Chiari Malformation
Arachnoid Cyst
Spinal Dysraphism, Myelomeningocele
Tethered Cord Syndrome
Craniosynostosis
Hemifacial Spasm
Trigeminal Neuralgia
Idiopathic Normal Pressure Hydrocephalus (iNPH)
Parkinson's Disease
Intractable Pain

Equipment

Diagnostic Equipment: CT, MRI, various Brain Physiology Exams, Nuclear Medicine Scan and Cerebral Angiography (DSA)

1. Olympus Operative Microscope OME-9000 (ICG・5-ALA Fluorescent Operative Microscope)

1. Olympus Operative Microscope OME-9000 (ICG・5-ALA Flurorescent Operative Microscope)

2. Olympus Neurosurgical Endoscope System EndoArm

2. Olympus Neurosurgical Endoscope System EndArm 2. Olympus Neurosurgical Endoscope System EndArm

3. Neurosurgical Neuro-navigator

3. Neurosurgical Neuro-navigator 3. Neurosurgical Neuro-navigator

4. Perioperative Neuro electrophysiology monitoring

The neuro electrophysiology monitoring team consisting of professional engineers from the central physiological laboratory conduct perioperative examinations. From here on, brain tumor craniotomy near the speech area will be conducted under neuro electrophysiology monitoring taking waking state operation into consideration.

The neuro electrophysiology monitoring team consisting of professional engineers from the central physiological laboratory conduct perioperative examinations. From here on, brain tumor craniotomy near the speech area will be conducted under neuro electrophysiology monitoring taking waking state operation into consideration.

SEP Monitoring

SEP Monitoring SEP Monitoring SEP Monitoring

During the brain tumor craniotomy, SSEP is measured and the central channel is identified.

SEP Monitoring SEP Monitoring

During carotid endarterectomy, the SSEP is measured and cerebral ischemia condition is evaluated.

VEP Monitoring

VEP monitoring is conducted for surgeries relating to the visual pathway including optic nerve tumor and visual center.

VEP Monitoring VEP Monitoring

MEP Monitoring

Transcranial stimulation electrodes for MEP during a cervical cord injury surgery

MEP Monitoring MEP Monitoring

5. GADELIUS Transcranial Doppler Ultrasound Testing Equipment(TCD)

Treatment for angiospasm is mainly conducted; the cerebral blood flow speed is measured during the cerebrovascular spasm period, after subarachnoid hemorrhage.

5. GADELIUS Transcranial Doppler Ultrasound Testing Equipment(TCD) 5. GADELIUS Transcranial Doppler Ultrasound Testing Equipment(TCD)

Results

Number of Operations FY 2011 FY 2012
Brain Tumor Craniotomy 17 26
Craniotomy Clipping 19 20
Removal of Cerebral Hematoma 32 20
Removal of Arteriovenous Malformation   7
Cranioplasty   4
Removal of Bone Tumor   2
Transnasal Surgery   2
Indirect Anastomosis   1
Cervical Spinal Fusion 8 3
Laminectomy/Laminoplasty 3
Cerebrospinal Fluid Shunt 11 19
Aneurysmal Coiling Surgery 34 18
Embolization 13
Carotid Artery Stenting 6
Thrombolysis/Thrombectomy 2
Others 163 72

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