NEUROSURGERY is a highly specialized surgical subspecialty that involves i) medical treatments ii) physical treatments iii) interventional or endovascular procedures and iv) minimally invasive microsurgeries for treating a very wide spectrum of clinical conditions and diseases that happen at our BRAIN and SPINE. Among all, treating STROKE and PAIN are the basics of Neurosurgery daily practices.
In the other words, NEUROSURGEONs, with their knowledges and trainings, together with their sophisticated micro-instruments, utilize their operative skills under the microscope, they treat wide spectrum of clinical conditions and diseases that happen along human nervous systems and its surrounding tissues; skull, spinal column, vessels and related tissues.
The followings are the summary of the common routines in Neurosurgical Practices:
with numbness, pain, weakness at arms or legs, sciatica pain at legs.
with spinal cord or cauda equina nerves compressions, causing pain, numbness, weakness at arms or legs, disturbed gait, disturbed urinary habit and bowel habits, disturbed sexual function.
with back pain, nerves compressions, spinal instability or scoliosis:
Minimally Invasive Spine Fusion Surgery under Microscope:Among all Neurosurgeries, minimally invasive spine surgery (MIS Spine Surgery) are the microsurgeries that Neurosurgeons most commonly perform among their routines.
For all spine surgeries, Neurosurgeons apply their knowledges of nervous system and spinal column, and also their microsurgical skills and techniques, together with their micro-instruments of brain surgeries. Sometimes, Neurosurgeons may also add the technique of Continuous Intra-Operative Neural Monitoring (IOM) to monitor the nerve signal transmission function along brain, spinal cord and nerves during surgery, so as to assure patients’ good neurological outcome in spine surgeries.
With the ever-advancing Medical Technology, seeking a second medical opinion is now the standard practice for all kinds of medical diagnoses. Getting a second medical opinion from another Medical Expert is a decision-support tool for ratification or modification of the medical suggestions from other doctors.
Second medical opinion may have critical impacts on the disease outcome by influencing the followings, namely 5Cs:
Brain tumors can be subdivided into non-cancerous benign tumor and malignant cancerous tumor. If a tumor is originated within brain compartment ......
Tumors can develop in the vertebrae, nerves, and other tissue throughout your spine. Some spine tumors, such as astrocytomas, occur more commonly in children and adolescents......
Given the disease burden of strokes, prevention is an important public health concern. As stroke neurosurgeons, we do not want to treat stroke unless we are forced to do so for acute stroke ......
Brain tumors grow and compress normal brain tissue. Both benign and malignant tumors can cause swelling of the brain and raised intracranial pressure. Headache, dizziness....
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| 三叉痛易誤診 | 都市日報 | 2014年05月15日 |
| 唔夠瞓傷腦 | 蘋果日報 | 2014年02月21日 |
| 補過龍血壓飆 | 蘋果日報 | 2014年02月21日 |
| 亂按摩易中風 | 蘋果日報 | 2014年02月21日 |
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| 心理壓力大 中風機率增30% | 蘋果日報 | 2013年10月23日 |
| 腸胃感染缺水 中風風險增加 | 明報 | 2013年1月7日 |
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| 對症下藥 單憑電腦掃描難斷症 | 蘋果日報 | 2012年3月30日 |
| 公院中風搶救遜巴基斯坦 僅一成人「黃金3小時」注射溶血劑 | 明報 | 2012年2月4日 |
| 醫生﹕增中風中心 減社會成本 | 明報 | 2012年2月4日 |
| 太遲用溶血劑風險反增 | 明報 | 2012年2月4日 |
Dr Pang Ka Hung, Peter 彭家雄醫生MBBS(HK) Specialist In Neurosurgery Languages Spoken: English, Cantonese
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Disease Spectrum, Medical Procedures and Operations:
Brain:
Stroke:
Prevention Stroke Risks Screening and Assessment
Medical Risks: Chronic headache, Obesity, Hypercholesterolemia, DM, HT, Family History, Renal disease, Blood disease, Atrial Fibrillation, Drug related (e.g. Warfarin), Soft drug related. Surgical Risks: Heart disease (valvular disease, mural thrombus in AF), Carotid / Vertebral artery stenosis, intracranial arterial stenosis, cerebral aneurysm, Arterio-venous malformation AVM, Arterio-venous Fistula AVF, cavernous haemangioma).
Prophylactic Treatment (Interventional Therapeutic Neuroradiology = Endovascular therapy)
Conventional Carotid endarterectomy for carotid artery stenosis
Endovascular Therapy for Wall Stent over carotid / vertebral artery stenosis
Endovascular Pipeline stent +/- coiling for unruptured Cerebral Aneurysm
Endovascular Wingspan Stent +/- Balloon Angioplasty for intracranial arterial stenosis
Endovascular coiling /Onyx Glue Therapy or Microsurgery for cerebral Arterio-venous malformation AVM/ Dural arterio-venous fistula AVF.
Endovascular coiling for Carotico-Cavernous Fistula CCF presented with protruded red eye
Microsurgery for clipping unruptured cerebral aneurysm (those not suitable for endovascular therapy)
Acute Ischaemic Stroke Care: Tele-expert opinion, 2nd Medical Opinion in fast- track care Including Inter-hospitals Medical Escort
Golden 3 hours: Intravenous iv. rTPA thrombolysis for brain re-vascularisation to minimise neurological deficit and mortality.
Golden 8 hours: Mechanical Thrombolysis +/- (Intra-Arterial) I.A rTPA (Endovascular Therapy) for brain re- vascularisation to minimise neurological deficit and mortality.
Golden 8 hours Emergency EC-IC Arterial bypass surgery for brain re-vascularisation in to minimise neurological deficit and mortality.
Decompressive craniotomy and duroplasty for infarct brain swelling.
Acute Haemorrhagic Stroke: Tele-expert opinion, 2nd Medical Opinion in fast-track care Including Inter-hospitals Medical Escort
Emergency external ventricular drain (intracranial pressure monitoring) for hydrocephalus or intraventricular haemorrhage
Emergency Craniotomy for blood clot evacuation Decompressive craniotomy and duroplasty for brain swelling
Subarachnoid Hemorrhage due to ruptured cerebral aneurysm:
Microsurgery for clipping of aneurysm
Endovascular Therapy for coiling or stenting embolisation of aneurysm
Haemorrhagic stroke due to vascular dissection: Endovascular Therapy for coiling or stenting of the vascular dissection
Emergency Endovascular Therapy for Carotid blow out in NPC patients
Brain / Skull Bone tumour: Supratentorial, infratentorial and Skull Base tumour (Primary: meningioma / glioma, secondary or metastatic brain tumour)
Minimally Invasive Navigational Microsurgery for tumour Excision
Minimally Invasive Endoscopic Excision of Ventricular tumour
Minimally Invasive Transphenoid Surgery for Pituitary tumour
Minimally Invasive Supra-Orbital Eyebrow Approach for Anterior Skull Base tumour or Aneurysm
Function Preserving Glioma Surgery
Facial nerve preserving Acoustic Neuroma Surgery
Intra-orbital tumour Surgery
Functional Neurosurgery
Microvascular decompression for Trigeminal Neuralgia
Microvascular decompression for Hemi-facial Spasm
Chronic Headache, Migraine and other Neuropathic Pain Treatment
Medical and Surgical Treatment for Epilepsy
Others Head / Brain: Trauma (Brain injury, Subdural Haematoma), Infection, congenital abnormality, degeneration (VP Shunt for Normal pressure Hydrocephalus, Subdural Effusion,etc)
Radiosurgery: X-knife for brain tumour and Arterio-venous malformation AVM.
Neuro-endoscopy for 3rd ventriculostomy in obstructive hydrocephalus, tumour excision and vascular microsurgery.
Spine:
Degenerative disease:
Conventional Open Procedures:
Anterior Cervical Discectomy and Fusion
Cervical Artificial Disc Replacement
Cervical Laminoplasty
Cervical Foraminotomy
Thoracotomy and Anterior Apinal Fusion
Lumbar Laminectomy, Foraminotomy and instrumented Fusion
Anterior Lumbar Spinal Fusion
Tarlov Cysts Surgery
Minimally Invasive Spine Surgery:
Endoscopic Spine Surgery
Microdiscectomy
Microscopic Posterior Decompression
Minimally Invasive Spinal Fusion Surgery
Non-Operative Spine Treatments:
Facet Joint Injections
Transforaminal Epidural Injections
Selective Nerve Root Blocks
Medial Branch Block
SI Joint Injection
Spine tumour:
Intradural spinal tumour: Neurilemmoa/ Schwannoma, meningioma. Hemi-laminectomy for microsurgery excision under intra-operative neural monitoring
Congenital Anomaly of Spine
Spinal Bifida Repairing
Tethering Cord Syndrome Release
Chiari Malformation Decompression
Spinal Syringomyelia Decompression
Vascular Anomaly of spine:
Spinal Arterial Venous Fistula/ Malformation: Microsurgical excision or Endovascular Therapy
Cerebral Palsy
Selective Dorsal Root rhizotomy for gait Improvement
Spine Infection
Spine Trauma
Investigations:
X-Ray Spine
CT Scan Of Spine
Bone Scan
Standing/Weight Bearing MRI Spine
Dynamic MRI Spine Discogram
Diagnostic Nerve Blocks
Rehabilitation:
Multi-Disciplinary Team Approach for Brain and spine Rehabilitation +/- Acupuncture
Other Services:
Medico-Legal Expert Assessment
Labour Injury Expert Assessment
Address:
Kowloon Centre: Unit 1107, Grand Centre, 8 Humphreys Avenue, Tsim Sha Tsui, Kowloon (MTR T.S.T. Station A2 Exit)
Hong Kong Centre: 18/F, Euro Trade Centre, 13-14 Connaught Rd Central, Central, Hong Kong (MTR Central A Exit)
Contacts:
Tel:2367 6116
Fax:2682 5216
Hotline:
Tel:8107 1616
E-mail:
[email protected]
Website:
https://www.brainandspine.com.hk
Find us on:
Consultation Hours (By appointment)
Monday - Friday:
10:00 a.m. to 13:00 p.m.
15:00 p.m. to 18:00 p.m.
Saturday:
10:00 a.m. to 14:00 p.m.
Sunday & Holidays: Closed
