Department of Neurosurgery

Corresponding:noz@belle.shiga-med.ac.jp
Link to the detailed department page:http://shiga-neurosurgery.com/

Staff and specialities

Professor:  Kazuhiko NOZAKI
   Cerebrovascular disease, Brain tumor surgery, Skull base surgery, Spine surgery
Associate Professor:  Takuya NAKAZAWA
   Intravascular surgery, Cerebrovascular disease
Associate Professor:  Atsushi TSUJI
   Cerebrovascular disease, Intravascular surgery, nuclear medicine
Associate Professor:  Tadateru FUKAMI
   Brain tumor surgery, Endoscopic surgery
Assistant Professor:  Naoki NITTA
   Epilepsy, Endoscopic surgery, Monitoring
Assistant Professor:  Kenji TAKAGI
   Spine surgery, Pediatrics, Imaging
Assistant Professor:  Yayoi Yoshimura
   Cerebrovascular disease, Intravascular surgery, Endoscopic surgery
Assistant Professor:  Keiichi Tsuji
   Cerebrovascular disease, Intravascular surgery, Brain tumor surgery

Outline of the department

<Clinical activities>
  There are nine regular posts for staffs at Department of Neurosurgery. All staffs have Japan Neurosurgical Society Board, and each staff has his own speciality board. We had 6996 out-patients, 411 admissions and 297 operations in 2017. In-patients are mainly with cerebrovascular diseases, neoplasms of the central nervous system, functional disorders, spinal cord diseases and congenital malformations. Cerebrovascular diseases include complex and/or large aneurysms, arteriovenous malformations, carotid stenosis/occlusion. Tumor resection is conducted considering maximum preservation of neuronal functions under image guidance and monitoring including awake surgery. Endoscopic surgery is actively introduced in brain tumor surgery particularly in pituitary surgery. Endovascular surgery is also actively introduced as a main or adjunct treatment modality in patients with cerebral aneurysms, arteriovenous malformations, cerebral arterial stenosis, acute ischemic stroke, brain tumors. Congenital Malformation includes spina bifida and hydrocephalus. Acute brain hemorrhage/ischemia and severe head trauma are aggressively treated in collaboration with Emergency Service and Radiology Department and Intensive Care Unit. Intrathecal baclofen therapy for severe spastic paresis is also performed.
Equipments and available modalities:
 Microscopes with ICG videoangiography and flow analysis, Intraoperative DSA
 Navigator system, Intraoperative monitoring system
 Endoscopic system
 Biplane flat-panel angiographic system
 3T MRI, 320- row multidetector CT
 SPECT, FDG-PETCT etc
<Research activities>
  Main research projects include molecular mechanisms of brain ischemia; pathogenesis of cerebral aneurysms; molecular and immunohistochemical analysis of brain tumors; magnetic resonance imaging and magnetic resonance spectroscopic studies of cerebral ischemia, brain tumors, dementia and normal pressure hydrocephalus; functional brain mapping; hemodynamic studies in cerebral ischemia using magnetic resonance, computed tomography and single photon emission computed tomography; histological and pharmacological studies of experimental epilepsy.

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