| 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)
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| | - 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-vascularization to minimize neurological deficit and mortality.
- Golden 8 hours: Mechanical Thrombolysis +/- (Intra-Arterial) I.A rTPA (Endovascular Therapy) for brain re- vascularization to minimise neurological deficit and mortality.
- Golden 8 hours Emergency EC-IC Arterial bypass surgery for brain re-vascularisation in to minimize neurological deficit and mortality.
- Decompressive craniotomy and duroplasty for infarct brain swelling.
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| | - 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:
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| | - 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
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| | - 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
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| | 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
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| | Minimally Invasive Spine Surgery: - Endoscopic Spine Surgery
- Microdiscectomy
- Microscopic Posterior Decompression
- Minimally Invasive Spinal Fusion Surgery
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| | Non-Operative Spine Treatments: - Facet Joint Injections
- Transforaminal Epidural Injections
- Selective Nerve Root Blocks
- Medial Branch Block
- SI Joint Injection
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| | 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
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| | Vascular Anomaly of spine: - Spinal Arterial Venous Fistula/ Malformation: Microsurgical excision or Endovascular Therapy
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| | Cerebral Palsy - Selective Dorsal Root rhizotomy for gait Improvement
Spine Infection |
| Investigations: | | |
| | - X-Ray Spine
- CT Scan Of Spine
- Bone Scan
- Standing/Weight Bearing MRI Spine
- Dynamic MRI Spine Discogram
- Diagnostic Nerve Blocks
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| Rehabilitation: | | |
| | - Multi-Disciplinary Team Approach for Brain and spine Rehabilitation +/- Acupuncture
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| Other Services: | | |
| | - Medico-Legal Expert Assessment
- Labour Injury Expert Assessment
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