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Neurosurgery Department

Department Overview

Ashikaga Red Cross Hospital has a 365-day/24-hour Emergency Medical Care Center and members of the Neurosurgery Department are also standing by to assist during the critical phase of care for patients suffering from subarachnoid hemorrhage, other brain-related hemorrhage, or stroke, and we have a strong track record in this kind of care.  The department is also certified by a number of national and local medical associations as a learning institution, and we put much effort into training younger physicians.  In 2011, we started a new pediatric neurosurgery outpatient program as well.

Treatment

Cerebral Aneurysm

Surgical treatment of cerebral aneurysm is one of this department’s areas of specialty, and we have successfully treated many extremely difficult cases, as well as published case studies of our efforts in prominent medical journals.  An unruptured aneurysm runs the risk of bursting and becoming a subarachnoid hemorrhage.  We determine the course of treatment based on the patient’s age, the size and shape of the aneurysm as well as its location.  We perform simulations prior to any treatments, considering in each individual case whether clipping techniques, or blockage techniques (such as endovascular coiling) will be the most appropriate course of action in coordination with the wishes of the patient.

Tumors

Using the latest surgical imaging and navigation products from Brainlab, Inc., we are able to safely perform surgery on skull base tumors, acoustic neuromas, trigeminal schwannomas and similar conditions.   
 
Meningioma, pituitary adenomas (including transsphenoidal, “through the nose” surgery), gliomas and metastatic brain tumors all often require a program that includes chemotherapy and/or radiation therapy in addition to surgical treatment. The experienced and technically-skilled staff of Ashikaga Red Cross Hospital will take full responsibility for your treatment and recovery.  When necessary, we also perform gamma knife treatments.  Chemotherapy of malignant brain tumors is carried out in close consultation with the doctors of Keio University Hospital.

Endoscopic Brain Surgery

Compared to previous techniques which required a large opening in the skull, we now employ more minimally invasive procedures using endoscopy to remove blood clots or tumors, and have a proven track record in this area. Interventricular tumors, pituitary tumors and some hydrocephaly can be treated with this technique.

Facial Spasms、Trigeminal neuralgia

Depending on the patient’s age, symptoms and condition, we have a broad repertoire of treatments, including neurovascular decompression techniques, medication, botulinum toxin (“botox”) injections, gamma knife treatments and others that we can employ to improve patients’ quality of life.

Head Trauma

Treatment of head trauma patients is carried out in coordination with other departments in the hospital.  Depending on the situation, we can employ targeted temperature management (therapeutic hypothermia) techniques.

Outpatient Treatment

We perform gamma knife treatment every Monday, and intravascular treatments on the 3rd Friday of each month on an outpatient basis.

Pediatric Neurosurgery

We can treat a number of congenital and other conditions affecting young children, including hydrocephaly, spina bifida (spinal cord lipoma, myelomeningocele, etc.), encephalocele, craniosynostosis, brain tumors, vascular conditions (moyamoya disease, cerebral arteriovenous malformation, etc.) and others.  Of course we work with the patient or their family to fully explain treatment options and insure that they are satisfied with the care strategy.  In all cases, to the extent possible we attempt to employ endoscopes and minimally invasive techniques. 
 
Our hospital maintains an environment where physicians from many disciplines can collaborate and coordinate easily, as required, providing the best possible chance of a satisfactory solution for patients with difficult conditions. We pledge to work with patients to make sure they are completely satisfied with both our explanations and treatment, and encourage patients with even difficult conditions to consult with us.
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