THE HONG KONG MINIMALLY INVASIVE BRAIN & SPINE NEUROSURGERY CENTRE

 
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:

  1. Head trauma and brain injury

  2. Brain tumors and Pituitary tumors:

  3. Stroke: both Ischemic and Hemorrhagic strokes

    1. Stroke Risk Assessment and Stroke Screening

    2. Stroke Prevention:

    3. Stroke Acute Treatment within Golden-Hours;

  4. Neuropathic Pain Treatments and Functional Neurosurgery:
    1. Trigeminal neuralgia
    2. Glossopharyngeal neuralgia
    3. Hemifacial spasm

    Microvascular Decompression (MVD)

  5. Spine:

    1. Spinal Tumor

    2. Spinal Trauma:
       with or without spinal fracture, spinal cord or nerves injury.

      1. Minimally invasive decompression +/- fixation spinal surgery for spine stabilization.

    3. Spinal Herniated Disc:

      with numbness, pain, weakness at arms or legs, sciatica pain at legs.

      1. Spinal injection and radiofrequency treatments for discogenic back pain or sciatica pain at legs.
      2. Microdiscectomy for freeing the impinged nerves
      3. Mini-decompressive Laminectomy for freeing the impinged spinal cord or nerves.

    4. Spinal Stenosis at neck or lower back:

      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.

    5. Degenerative Spine Disease:

      with back pain, nerves compressions, spinal instability or scoliosis: 

      Minimally Invasive Spine Fusion Surgery under Microscope:
      1. Transforaminal Lumbar Interbody Fusion (TLIF)
      2. ObliquLumbar Interbody Fusione (OLIF)

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. 

Seeking Second Medical Opinion

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:

Head injury

Brain tumors can be subdivided into non-cancerous benign tumor and malignant cancerous tumor. If a tumor is originated within brain compartment ......

Spine Surgery
Spine Surgery

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......

Stroke Prevention

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 tumor treatment Hong Kong

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....

Brain, Spine Tumor treatment & Surgeon consultation, Pain relief, Stroke rehabilitation

Dr Pang Ka Hung, Peter 彭家雄醫生

MBBS(HK) 
FCSHK 
FRCS (Edin) 
FHKAM (Surgery)

Specialist In Neurosurgery 
Brain and Spine Neurosurgery 
Subspecialised in skull base, neuro-vascular and spine 
High dependency unit critical care 
Licensed to operate DSA (Digital Subtraction Angiogram) machine for Endovascular therapy

Languages Spoken: English, Cantonese

Dr. Pang Ka Hung Peter Facebook

 Dr Ka Hung Pang, Peter

 

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

News & Events

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