Clinical Services
Neurosurgery
Introduction
Vision
To pursue excellence in providing comprehensive neurosurgical services and to keep pacing with advance neurosurgical technology
To ensure a happy and safe working environment for our staffs
Mission
We provide quality neurosurgical care to the community of our Cluster
We facilitate and encourage training, education and research for our staffs
Value
I - Integrity (誠實)
C - Competence (稱職)
P - Professionalism (專業)
Scope of Services
The Department of Neurosurgery at Queen Elizabeth Hospital is the largest Neurosurgical Centre in Hong Kong, providing service to the population in the cluster of Central Kowloon & Eastern Kowloon; and receiving tertiary referrals from other HA hospitals and private sector. We provide comprehensive clinical services including:
- Cerebrovascular disease; Microvascular and Endovascular Neurosurgery
- Epilepsy & Functional neurosurgery
- Neuro-traumatology
- Neuro-oncology
- Spinal Surgery
- Paediatric neurosurgery
- Minimally invasive, Neuro-endoscopy, Image-guided & Stereotactic Neurosurgery
- Radiosurgery
- Neurorehabilitation
Special features:
- Microvascular and Endovascular Neurosurgery
Neurovascular disease is one of the main disease entities in neurosurgery, ranging from carotid stenosis, Moyamoya disease, to arteriovenous malformation and cerebral aneurysm. Management of such patients include microvascular and endovascular approaches. Microvascular surgery usually requires opening of skull bone, and utilizes special surgical instruments including aneurysm clips, while endovascular treatment uses microcatheters inserted via a femoral artery sheath to deliver endovascular devices or therapy directly to intracranial vessels. In some occasions, combination of both treatment options is needed. A multidisciplinary discussion involving neurosurgeons and interventional radiologists is conducted to decide the best treatment option for the patients.
- Minimal invasive Neurosurgery
Majority of neurosurgical operations are performed via standard craniotomy under microscope. Minimal invasive approach using endoscopes and minicraniotomy in selected cases permits much smaller wound, less tissue manipulation and facilitate recovery. Specific designed instruments are used to facilitate endoscopic or endoscopic assisted operations. Case examples include pituitary tumor, skull base lesion, hydrocephalus treated with endoscopic third ventriculostomy.
- Stereotactic Radiosurgery
Stereotactic Radiosurgery is a kind of ionizing radiation therapy in which focused high dose radiation is targeted via a three-dimensional coordinate system to an intracranial region of interest. It can treat various brain diseases instead of using excision with a blade. It allows doctor to deliver higher doses of radiation to intracranial targets with limited damage to surrounding healthy and vital brain tissues. During the treatment procedure, the patient is positioned on a moveable treatment couch with a face mask or head frame covering the head. Based on the results and planning of previous image studies, the machine produced high-energy radiation beams that are shaped to conform to the shape of the lesion. The patient must remain perfectly still until the treatment is complete, either in one time or in a few daily sessions.
- Functional Neurosurgery
Functional neurosurgery involves treatment of conditions where function of the central nervous system is abnormal with relatively normal anatomical structures. Example of diseases treated by functional neurosurgery include epilepsy, movement disorders (Parkinson’s disease, tremor), psychiatric conditions and pain.
We have been treating epilepsy and Parkinson's disease by surgical means since 2000. We accept referrals from KEC, KCC and KWC. Both diseases require multi-disciplinary and teamwork management approach in the pre-operative workup, case selection, combined meeting, intra-operative monitoring and post-operative caring and rehabilitation. Apart from regular meetings with neurologists, radiologists and nurses, we have close working relationship with other specialties, including clinical psychologist, psychiatrist, physiotherapist, occupational therapist, speech therapist and the rehabilitation team.
- Spinal Surgery (MIS)
Various spinal pathologies including tumor, vascular lesion and degeneration are commonly encountered in neurosurgical practice. Development of minimal invasive surgery (MIS) in spinal procedures in recent years has shifted the treatment paradigm to smaller wound, minimal tissue trauma and preservation of spinal stability and alignment.
- Neuro-oncology
Brain tumors are managed by obtaining tissue diagnosis, safe removal of tumor while preserving neurological function, and subsequently followed by oncological treatment. In particular, gliomas can be located adjacent to or at eloquent areas, such as language and motor area. We offer awake craniotomy for such patients, coupled with intraoperative mapping and monitoring during surgery. Patients are assessed by a multi-disciplinary team, including anaesthesiologist, nurse specialist, clinical psychologist, to see if they are medically and psychologically fit to undergo awake craniotomy. During operation, patients will be put under anaesthesia during skin incision and bone opening, and stay alert after dura is opened. They need to cooperate and follow specific commands to perform various tasks, allowing surgeons to achieve the aim of maximal safe resection of tumors.
Location
| Description | Location |
|---|---|
| Male Neurosurgical Ward | E8 |
| Female Neurosurgical Ward | G8 |
| Neurosurgical Special Care Ward | H8 |
| Minimally Invasive Neurosurgery Centre | F2 |
Contact Us
Department of Neurosurgery
Queen Elizabeth Hospital
30 Gascoigne Road, Kowloon
Tel: 35068888
Fax: 35068951