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Department of Neurosurgery

June 15,2021update

 

Introduction

It has been 30 years since the establishment of the Department of Neurosurgery at the Saitama Medical Center in June of 1986. As a core presence in Saitama Prefecture, it has grown to become one of the largest facilities in the country with the number of annual surgeries at over 600 cases. We are proud to be the result of our motto, "Providing the best medical care for our patients."

According to the Japan Neurosurgical Society website, Neurosurgery is defined as "the field of medical treatment that diagnoses and cures diseases that can be primarily treated with surgical treatment of the general nervous system, including the brain, spinal cord, peripheral nervous system and appendages (blood vessels, bones, muscles, etc.)." This targets a variety of neurosymptomatic headaches, consciousness disorders, sudden convulsions, hemiplegia, motor disorders, dizziness, deafness, vision disorders, speech disorders, facial pain, facial spasm, dementia, numbness, etc. By developing a medical team with the Department of Neurology, Otolaryngology, Ophthalmology, Orthopaedic Surgery, Psychiatry, Pain Clinic, Pediatrics, Cardiology, and Endocrinology and Diabetes, etc., we are able to support brain and spinal cord diseases, from newborns to the elderly.

We are practicing treatments based on the latest findings with medical treatment for typical diseases such as stroke (subarachnoid hemorrhage, cerebral hemorrhage, cerebral infarction, internal carotid artery stenosis, cerebral arteriovenous malformation, unruptured cerebral aneurysm), brain and spinal tumors, facial spasm, trigeminal neuralgia, and head trauma. We see good results based on a wide range of surgical experience for benign brain tumors such as meningioma, acoustic neuroma, pituitary adenomas and craniopharyngioma, on which we put particular focus among other brain tumors. In the case of malignant brain tumors such as gliomas, we also use monitoring to maintain the quality of life for patients and are increasing the degree of removal to achieve long-term tumor control. We have established the Cerebral Vascular Center from April 2017 in conjunction with the Department of Neurology, and we have treated many cases in t-PA treatments, thrombus recovery, and catheter treatments for cerebral aneurysms. We introduced a Department of Neurosurgery hotline and a prefectural-designated stroke hotline with nearby medical institutions and promptly accept stroke patients.

In this way, we are targeting a wide range of neurosurgical diseases, and we strive to provide state-of-the-art, evidence based treatment that patients and their families can be fully satisfied with.

Patient care at our department

In the Department of Neurosurgery at the Saitama Medical Center, we conduct daily medical treatment with the goal of "Getting the best results for our patients."

As a base for high-level emergency medicine in the region, the Department of Neurosurgery accepts critical patients 24 hours a day. In addition, we actively accept patients who have skull base tumors or malignant gliomas, where other general hospitals consider the surgery to have a high level of difficulty, pediatric brain tumors and cerebrovascular disorders in close cooperation with the Department of Pediatrics and Pediatric Intensive Care Unit, and refractory brain tumors and cerebral arteriovenous malformations that require so-called "multidisciplinary treatment" performed in conjunction with surgery such as radiation or chemotherapy. Since we are a general hospital, it is possible to receive the latest comprehensive treatment by actively partnering with our other departments of Internal Medicine, Surgery, Otolaryngology, Ophthalmology, Plastic Surgery, Radiology and others.

The areas where our department is particularly focused are cerebrovascular disorders and brain tumors. Specifically, we are actively engaged in neurosurgical clipping and endovascular embolization for ruptured and unruptured cerebral aneurysms, bypass surgery for Moyamoya disease, and carotid artery stenting (CAS) and carotid endarterectomy (CEA) for carotid artery stenosis.

The characteristic of our department is that we make the appropriate selection of treatments for each case, considering the patient's intentions, using minimally invasive treatments (endovascular treatment), using a catheter and a highly curative direct operation. Both remedies are possible with advanced treatment by specialists and instructors in our hospital. In addition, we are also working closely with the Department of Neurology on the acute phase thrombolytic therapy by catheter. It is also a big characteristic that our department can cope with all brain tumors fully utilizing craniotomy to endoscopy. We are particularly focused on benign brain tumors such as meningiomas, acoustic neuromas, pituitary adenomas, and craniopharyngioma, malignant gliomas, and pediatric brain tumors, and have been providing the top-class treatment results in the prefecture. In addition, we have rich treatment experiences with many surgeries performed for trigeminal neuralgia and facial cramps, as well as surgery for the general spinal cord and spinal cord tumors.

In order to further improve the results of the treatment, we work hard studying knowledge and technology every day, and try to fulfill our social responsibility as a university hospital, including endeavoring to do a lot of clinical research. However, we believe that the most important thing is "to provide highly satisfying treatment considering patients and families."

Main diseases

The following are the diseases and treatments that can be handled in our department.

  • Craniotomy tumor resection and endoscopic tumor resection for all brain tumors (meningioma, glioma, acoustic neuroma, pituitary adenoma, craniopharyngioma, childhood brain tumor, skull base tumor, metastatic brain tumor, etc.)
  • Neurosurgical clipping and endovascular embolization for ruptured and unruptured cerebral aneurysms
  • Multimodal therapy combining vascular surgery, craniotomy procedures and radiation therapy for cerebral arteriovenous malformations
  • Bypass surgery for Moyamoya disease and intracranial arterial stenosis
  • Carotid artery stenting (CAS) and carotid endarterectomy (CEA) for carotid artery stenosis
  • Acute phase thrombolytic therapy for cerebral embolism
  • Trigeminal neuralgia, facial cramps
  • Spinal cord/spine disease
  • Spinal cord tumors
  • In addition to the above elective diseases, we provide advanced acute medical treatment for conditions which are extremely urgent, such as head trauma, stroke, and perinatal stroke which require cooperation with the Department of Emergency Medicine, Obstetrics, Anesthesiology, Pediatrics, etc.
 

Target Symptoms

Symptoms of brain tumors can progress slowly with symptoms including headaches, paralysis and numbness in the limbs, difficulty forming words clearly, dazed and strange look, forgetfulness, etc. We will perform a detailed examination at our department if you are concerned about such symptoms.

In the case of stroke (cerebral hemorrhage or cerebral infarction), severe headaches, paralysis of the limbs and face, and consciousness disorders can develop suddenly. If you have a sudden severe headache that you have never experienced before, you need to visit the clinic immediately, because there is a risk of subarachnoid bleeding. There is a possibility of recovery if treatment is received early after the onset of symptoms, especially in the case of cerebral infarctions, but the symptom will become permanent if time passes. In other words, it is important to visit the clinic early if symptoms suddenly appear. Moreover, even if the symptoms of the above are temporary and you recover immediately, it is likely this is a forerunner to a serious cerebrovascular disease and it is necessary to visit the doctor as soon as possible and not ignore it.

Treatment results

Surgery in 2020
Disease Number of surgeries
Total 649
◯Brain tumors 93
(1)Resection 68
(2)Biopsy 12
(3)Endoscopic transsphenoidal surgery 10
(4)Extensive tumor resection and reconstructive surgery 3
◯Cerebrovascular disease (Direct surgery) 127
(1)Ruptured aneurysm 25
(2)Unruptured aneurysm 16
(3)Arteriovenous malformation 12
(4)Carotid endarterectomy 16
(5)Bypass surgery 14
(6)Intracerebral hemorrhage 33
(7)Others 11
◯Endovascular surgery 161
(1)Ruptured aneurysm 27
(2)Unruptured aneurysm 29
(3)Arteriovenous malformation (brain) 16
(4)Arteriovenous malformation (spine) 2
(5)Occlusive vascular diseases 54
(6)(Cases of stent use among above) 23
(7)Others 10
◯Trauma 116
(1)Acute epidural hematoma 1
(2)Acute subdural hematoma 8
(3)Decompressive craniectomy 0
(4)Chronic subdural hematoma 103
(5)Others 6
◯Spine/Spinal cord 20
(1)Tumors 4
(2)Arteriovenous malformation 2
(3)Degenerative disease 4
(4)Degenerative disease (disc hernia) 0
(5)Degenerative disease (OPLL) 1
(6)Others 9
◯Functional surgery 17
(1)Microvascular decompression 17
◯Congenital anomaly 7
◯Hydrocephalus 34
◯Others 72

Medical staff

Name Job Title Position Specialized Field Credentials
松居 徹
(Matsui Toru)
脳神経外科スタッフ001
Vice Director
Proffesor
Chief of Clinical Services
Chief of Research
Education Director
Cerebrovascular disorders
Skull base tumors
Spinal disorders
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society on Surgery for Cerebral Stroke Certified Doctor
The Japan Stroke Society Certified Doctor
庄島 正明
(Shojima Masaaki)
脳神経外科スタッフ002
Director of the Cerebrovascular Center
Proffesor
Vice-Chief of Clinical Services
Staff Researcher
Chief of Education
Endovascular surgery
Cerebral aneurysms
Arteriovenous malformation
Carotid artery stenosis
Endovascular Surgery for spinal/fasial vascular lesions
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society for Neuroendovascular Therapy Senior Certified Doctor
The Japan Stroke Society Certified Doctor
大宅 宗一
(Oya Souichi)
脳神経外科スタッフ003
Professor Vice-Chief of Clinical Services(Manager of Inpatient Services)
Vice-Chief of Research
Staff Educator
Brain Tumors
Meningioma
Acoustic neuroma
Glioma
Pituitary adenomas
Craniopharyngioma etc.
Cerebrovascular disorders
Aneurysms
Cerebral arteriovenous malformation
Moyamoya disease in adults and children etc.
Microvascular Decompression
Trigeminal neuralgia
Facial spasm
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society on Surgery for Cerebral Stroke Certified Doctor
Japanese Society for Neuroendoscopy Certified Doctor
The Japan Stroke Society Certified Doctor
花北 俊哉
(Hanakita Shunya)
脳神経外科スタッフ005
Assistant Professor Brain Tumors
(meningioma,schwannoma,
Glioma,skull base tumors etc.)
Cerebrovascular disorders
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
The Japan Stroke Society Certified Doctor
中村 巧
(Nakamura Takumi)
脳神経外科スタッフ005
Instructor Cerebrovascular disorders
Pediatric neurosurgery
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society on Surgery for Cerebral Stroke Certified Doctor
The Japan Stroke Society Certified Doctor
吉田 信介
(Yoshida Shinsuke)
脳神経外科スタッフ007
Instructor Spinal surgery
Cerebrovascular disorders
Carotid artery stenosis
Aneurysms
Moyamoya disease etc.
Endoscopic surgery
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
The Japan Stroke Society Certified Doctor
Neurospinal society of Japan Certified Doctor
齊藤 徹
(Saitou Akira)
脳神経外科スタッフ008
Instructor Cerebrovascular disorders
Cerebral aneurysms
Carotid artery stenosis
Moyamoya disease
Acute cerebral ischemia
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society for Neuroendovascular Therapy Certified Doctor
The Japan Stroke Society Certified Doctor
井上 瑞穂
(Inoue Mizuho)
脳神経外科スタッフ008
Instructor Skull base tumors
Neuroendoscopic surgery
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Licensed pharmacist
轟 和典
(Todoroki Kazunori)
脳神経外科スタッフ008
Senior resident Neurosurgery general
川口 雄生
(Kawaguchi Yuki)
脳神経外科スタッフ008
Senior resident Neurosurgery general
竹ノ谷 直樹
(Takenoya Naoki)
脳神経外科スタッフ008
Senior resident Neurosurgery general
中村 翔
(Nakamura Sho)
脳神経外科スタッフ008
Senior resident Neurosurgery general
海津 啓之
(Kaizu Hiroyuki)
脳神経外科スタッフ011
Adjunct instructor President of Musashino General Hospital Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
The Japan Stroke Society Certified Doctor
小原 琢磨
(Obara Takuma)
脳神経外科スタッフ010
Adjunct instructor Director of Neurosurgery,Sanai hospital Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
平川 亘
(Hirakawa Wataru)
脳神経外科スタッフ012
Adjunct instructor Director of Neurosurgery,IKEBUKURO Hospital
Vice Director
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
印東 雅大
(Indo Masahiro)
脳神経外科スタッフ004
Adjunctive instructor Cerebrovascular disorders
Benign brain tumors
Endovascular surgery
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
Japanese Society on Surgery for Cerebral Stroke Certified Doctor
Japanese Society for Neuroendovascular Therapy Certified Doctor
TThe Japan Stroke Society Certified Doctor
藤澤 直顕
(Fujisawa Naoaki)
脳神経外科スタッフ011
Adjunct instructor Cerebrovascular disorders
Carotid endarterectomy
Head trauma
Board-Certified Neurosurgeon
(the Japan Neurosurgical Society)
The Japan Stroke Society Certified Doctor
遠藤 昌亨
(Endou Masamichi)
脳神経外科スタッフ008
Adjunctive instructor Neurosurgery general

Outpatient clinic

Department of Neurosurgery
  Monday Tuesday Wednesday Thursday Friday Saturday
午前
1診






2診
大宅 宗一
(Oya Soichi)
花北 俊哉
(Hanakita Shunya)
遠藤 昌亨
(Endo Masamichi)
庄島 正明
(Shojima Masaaki)
齊藤 徹
(Saito Akira)

3診
井上 瑞穂
(Inoue Mizuho)
大宅 宗一
(Oya Soichi)
中村 巧
(Nakamura Takumi)
印東 雅大
(Indo Masahiro)
吉田 信介
(Yoshida Shinsuke)

4診
松居 徹
(Matsui Toru)





To the Medical Institutions

① To the Regional Medical Institutions

We will respond to you promptly when you contact us for emergency patients where you suspect cerebrovascular disease.
In addition, our Department of Neurosurgery especially specializes following areas in neurosurgery,

  • Brain Tumors (meningioma, acoustic neuroma, glioma, craniopharyngioma, pituitary tumors, etc.)
  • Cerebral aneurysms
  • Cerebral arteriovenous malformation
  • Intracranial artery stenosis, cervical carotid artery stenosis
  • Moyamoya disease in adults and children
  • Trigeminal neuralgia or facial spasms
  • Spinal cord disease

Please feel free to consult with us if you have a patient who has concerns with the above. Our department wants to cooperate closely with the local medical institutions. We will report the details after the consultation.

② To medical students and residents

We conduct clinical observations and briefings at any time in our classrooms. Although we are a university hospital that tends to be biased toward "clinical pathology and research," our department considers "nurturing" to be an extremely important mission.

In such a situation, we try to make sure to consider that there is enough opportunity for them to actually use their hands and participate in the treatment, that we are enthusiastic for education also in daily practice, and that there is no such thing as a young doctor being swamped only with chores, which is likely to be seen in a so-called University Hospital.

In addition, our department works in collaboration with the First Department of Anatomy at the Saitama Medical University Hospital to seek to find safer surgical methods for skull base tumors such as meningioma, auditory neuroma, craniopharyngioma, and pituitary adenomas, or for treatment of difficult vascular lesions in the base of the skull, and spinal cord lesions. In addition to making an intensive effort to aid physicians in obtaining their doctorate, we also provide lectures on anatomy for neurosurgeons or students. Please contact our department if you are a resident or medical student who is interested in the neurosurgery treatment centered on surgery.

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