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| Department
of Neurosurgery |
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Introduction |
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The Department of Neurosurgery has founded in
1982 by Namio Kodama, M.D., Ph.D., the first professor
and chairman of the department. Since then, our
department has continued to grow and evolve. Professor
N. Kodama has stressed that patients and their
suffering problems must be approached and resolved
from both scientific and humanistic points of
view.
We strive to provide more effective and lower
risk treatments for a wide variety of disorders
affecting the nervous system, especially involving
cerebrovascular disease. Also we provide the newest
and the best management for patients. Our department
can be contacted 24 hours a day, and neurosurgeons
are standing by for emergency cases.
Our clinical and research results are highly regarded
not only in Japan but also in the world. Our department
has held several national meetings and will hold
the 7th International Workshop for Cerebrovascular
Surgery at Kyoto in September 2002.
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Research |
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| Basic research and clinical research projects
are an integral part of our faculty and trainee
activities. We believe that the results of research
should be fed back to patients in the actual clinical
setting. Various studies are ongoing in our department. |
| 1. |
Prevention of
vasospasm after subarachnoid hemorrhage |
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Cisternal irrigation therapy with urokinase
and ascorbic acid was applied to over 200
patients for preventing vasospasm after
subarachnoid hemorrhage. We succeeded to
reduce the rate of manifestation of the
symptomatic vasospasm to 2.8%, although
vasospasm is usually observed at the rate
of 30-40% in SAH patients without this treatment. |
| 2. |
Three-dimensional
(3D) CT angiography |
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We developed a less invasive 3D diagnostic
modality using the helical CT scan. We published
that the diagnostic accuracy of the 3D-CT
angiography was superior to that of conventional
angiography in detecting cerebral aneurysms.
On the basis of these results, we have operated
on more than 100 patients with acutely ruptured
aneurysms only by the 3D-CT angiography.
Our study is the first trial of its kind
in the world. The 3D-CT angiography is also
useful to evaluate cerebral veins in cerebrovascular
and brain tumor surgery. This modality has
great potential in various fields of neurosurgery. |
| 3. |
Development
and clinical application of various intraoperative
monitorings |
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To reduce intraoperative and postoperative
neurological damage, we applied electro-neurophysiological
monitoring procedures during operation.
Our department has developed intraoperative
monitoring procedures, including olfactory
nerve evoked potentials, medullary trigeminal
evoked potentials, etc. Recently we developed
a novel monitoring procedure for the motor
function in aneurysm surgery. These monitorings
are contributing to the safety of operations. |
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| In addition, fundamental research, such as pathological
studies of arteriovenous malformation, dural arteriovenous
fistula, and dissecting aneurysms in the vertebral
artery, is still under way. |
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Education |
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| 1. |
Student education |
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In Bed Side Learning (BSL), our department
has a two-week program. In the first week,
students experience the medical scene at
the front line of patient care in several
of our affiliated hospitals and clinics.
In the second week, students learn clinical
skills (neurological examinations, etc.)
and knowledge from the faculty and residents
in a man-to-man system at Fukushima Medical
University Hospital. Students learn how
to attend to and communicate with patients
through this program. They also learn neuroanatomy
and neurosurgical techniques through observing
operations. |
| 2. |
Residency program |
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The neurosurgical residency at our department
is a six-year program that provides a broad
exposure to all facets of clinical neurosurgery.
The philosophy of the program is to provide
graduated and increasing surgical experience
and clinical responsibility as the resident
progresses through his/her training. The
first five years are divided into a series
of six- month rotations. During this time
the resident alternates among some affiliated
hospitals and Fukushima Medical University
Hospital. The last year of training is spent
as chief resident at Fukushima Medical University
Hospital. |
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Publications |
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Detailed Information |
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| http://www.fmu.ac.jp/home/ns/index.htmliJapanesej |
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To Contact Us |
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| neuro-s@fmu.ac.jp |
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