The Hong Kong Minimally Invasive Brain & Spine Neurosurgery Centre has top specialists who treat complex neurological conditions caused by stroke, tumors, hernias, injuries, and traumas. Each day our skilled neurosurgeons perform dozens of complicated surgeries, saving people’s lives and helping them to restore their health. Thousands of patients go through the doors of our neurosurgery center every year which gives our excellent team of surgeons unparalleled expertise and ability to guarantee exceptional results to all of the patients.
If you are looking for an excellent neurosurgery clinic in Hong Kong, you have come to the right place. Fill in the online form to make an appointment with one of our specialist and start your journey to a healthy and happy life!
Initial stage of treatment is drug therapy for one or two months. The effectiveness of drugs in controlling the pain can help clinical diagnosis. But medications can only be a temporary solution, not a permanent cure for the true cause of trigeminal neuralgia that is: external factors compressing on the nerve and make it short-circuit.
Brain tumors can be subdivided into non-cancerous benign tumor and malignant cancerous tumor. If a tumor is originated within brain compartment ......
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......
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 tumors grow and compress normal brain tissue. Both benign and malignant tumors can cause swelling of the brain and raised intracranial pressure. Headache, dizziness....
Physiotherapist plays a very important role in achieving the success of stroke rehabilitation and recovery. Physiotherapy is very important in acute stroke care as well as in stroke rehabilitation. In order to maximize the chance of stroke recovery as well as to reduce lethal stroke related complications e.g. pneumonia, deep vein thrombosis and decubitus ulcers etc, physiotherapy should be started immediately after a stroke; even for patients suffering from severe stroke with gross disability or remaining unconscious
Physiotherapy helps in assisting drainage of bronchial secretion and thus minimize sputum retention, so as to preventing lethal pneumonia. Weeks after a stroke, the muscle tone of the paralysed limbs may be building up to form spastic muscle. Immobilized stroke patients are thus have high risk of developing deep venous thrombosis (DVT) as lethal stroke complication. Pressure stockings and regular muscle massage or limbs stretching help in preventing DVT. For some high-risk patients, oral anti-coagulant drug may be required for DVT prophylaxis.
In order to treat muscle spasticity and to prevent permanent joint stiffness, physiotherapist may regularly stretch the limbs of stroke patients within their normal joints ranges. Physiotherapist will also assess the stroke patient according to the severity of stroke, the affected parts of the body, the lifestyle patterns of the patients and the progress of the initial stroke rehabilitation. Targets and goals of the stroke rehabilitation will then be set. To allow patients for easy practicing and to skill every movement, walking motions are broken down into a few simple actions, stroke patients may relearn walking as a child does.
Stroke physiotherapy starts at bedside, begins with pulling the paralysed muscle and passively stretching the paralysed limbs. This helps to reduce muscle spasticity and joints stiffness. Later on, physiotherapist will guide the patients for body balancing during sitting up and standing up, and teach them how to move back and forth between bed and chair. The next step will be teaching patient how to stand, how to use aids, how to shift their weight from one leg to the other leg. Once physical therapy rehabilitation program begun, intensive treatment schedule will follow. During the initial stages, patients may feel difficult, frustrated, tired and fatigue; however, these movements are essential for long-term stroke rehabilitation. Thus supports and encouragements from medical staffs, relatives and friends are very important to the disabling stroke survivors. Besides, adequate rest and good quality of sleeping at night is also crucial for brain cells recovery.
At last, stroke rehabilitation physiotherapy will not end after hospital discharge. On the contrary, patients should regularly attend physical therapy at hospital, clinic or home for ongoing stroke rehabilitation in order to achieve a sustainable and complete recovery of their impaired neurological functions.
When stroke occurs, brain cells are damaged excessively and some of our brain function is lost.
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Stroke Rehabilitation should begin as soon as the patient's medical condition has been stabilized. The first aim is to prevent such secondary problems as stiff joints, falls, bedsores and pneumonia. Stroke patients may suffer from disabilities in different areas depending on the part of the brain affected and the severity. |
The first six months after stroke is the Golden-Months for greatest neurological recovery and improvement. From six months onward, recovery progress will begin to slow down over the other 18 months. Therefore it is crucial to grasp the first six months of Golden Rehabilitation Period. Significant neurological improvement at limbs power, awareness and consciousness are expected in most patients if adequate clinical care are provided.
The goal of stroke rehabilitation is to help patients reacquire the ability to carry out the basic activities of daily living, so that they can achieve maximum functionality and independence. After rehabilitation, patients are expected to return to an active and productive lifestyle.
Even though stroke rehabilitation cannot reverse the brain damage, a carefully directed, systematic rehabilitation programme can substantially help patients to reach their maximum potential to live normal lives.
HKBSSP provides quality stroke care and assists patients and their relatives with rehabilitation arrangements. Stroke Rehabilitation team involves doctors, nurses, physical therapists, occupational therapists and speech therapists. Depending on the situation of the patient, individualised programmes are set up specifically suited to the patient's needs in order to regain body functions, mobility, memory, cognitive function, communication skills, and self-care ability.
Rehabilitation can also be arranged to take place at hospitals, sanatorium or home if needed. Depend on individual's need, Traditional Chinese Medicine i.e. acupuncture, Chinese massage, herbal medicine will be part of the rehabilitation programmes.
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 treatments in emergency setting; we actually want to prevent stroke by promoting stroke risks screening program & stroke prophylactic treatments. 
Is stroke survivor prone to more strokes in future life?
Yes— The risk of stroke for someone who has already had one is many times that of a person who has not. If you've had a heart attack, you're also at higher risk of having a stroke, too.
Search and Treat the Real Cause of Stroke to Prevent Further Stroke within short period of time:
With traditional stroke treatments, most treatments were just empirical medications, without searching for the real cause of stroke; nowadays Stroke Neurosurgeons prefer high quality MRI angiogram or cerebral angiogram to search for the real cause of stroke and treat accordingly; so as to prevent stroke from recurring within short period of time.
Stroke prophylactic treatments
Ischaemic Stroke
Acute Ischaemic Stroke (AIS) accounts for about 70% of stroke cases in Hong Kong. Though its presenting symptoms are not as serious as haemorrhagic stroke, its acute treatments demand a much more urgent time-frame. Being a serious medical emergency, rapid intervention for acute ischemic stroke is crucial. With right treatments performed within Golden-8-Hours to unblocked the brain arteries, ischemic brain cells can be revascularized. Thus the degree of brain cells damage can be minimized and patients has a higher chance of being cured and enjoy full recovery. Thus a short time to treatment is absolutely critical to increase the probability of a good recovery. Some stroke survivors even live like a normal person without suffering from any permanent neurological disability.
Stroke Hotline and Allied Hospitals
HKBSSP provides comprehensive emergency stroke care services 24 hours a day, 7 days a week. Our Stroke Neurosurgeons, our Stroke nurses work with a team of specially trained medical practitioners under standardised protocols to optimize the management of acute stroke care. Once our Stroke Hotline being activated, our centre manages the logistics of emergency on-site clinical assessment, inter-hospitals transferral, hospital admission, quick medical imaging, timely diagnosis and treatments, and subsequent stroke rehabilitation services.
By enabling a fast and efficient response, smooth communication and logistics, patients are able to receive timely evaluation and diagnosis, immediate organized treatment within the critical therapeutic time frame.
The Deficiency of the Old Golden-3 to 4.5-Hours Regimen
The traditional treatment for acute ischemic stroke (AIS), the Golden-3 to 4.5- Hours Regimen, is the injection of recombinant tissue plasminogen activator (iv rtPA or ‘Activase’) within 3 to 4.5 hours after symptoms onset. However, more than 95% of the AIS patients do not benefit from this due to late presentations to emergency room, or delayed diagnosis, or patients falling into the exclusion criteria of iv rtPA. Furthermore, recombinant tissue plasminogen activator iv rtPA (The Golden-3 Hours Regimen) may not work efficiently for some strokes caused by large vessel occlusions, by long segment blood clots occlusion or by occlusive arterial dissection or injury.
A fine Catheter at Brain, Golden 8 Hours for Brain Revascularization
HKBSSP introduces the new ‘Golden 8 Hours’ concept for emergency treatments for acute ischemic stroke: minimally invasive endovascular procedure (namely Mechanical Thrombectomy) for Brain Revascularization, it precisely fills the gap and deficiency of The Old Golden-3 to 4.5- Hours Regimen of ivrtPA.
Patients can be treated within 8 hours after symptoms onset with minimally invasive endovascular procedure (namely Mechanical Thrombectomy) for Brain Revascularization. The minimally invasive treatment can salvage brain cells by breaking and aspiring the blood clot in the brain. Similar to cardiac percutaneous intervention (Cardiac PCI), Stroke Neurosurgeons will use a micro-catheter device that is passed through the vessels from the groin. Mechanical Thrombectomy treats at the exact point of clot, monitors with guidance of Cerebral Angiogram to ensure high accuracy in blood clot resolution.
Sometimes if there is an underlying diseased and narrowed brain artery that is causing the stroke, our Stroke Neurosurgeons will implant a soft metallic stent for reconstructing the brain artery.
Endovascular Mechanical Thrombectomy for Brain Revascularization.
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1. The micro-catheter device passed through the vessels |
2. The device breaks the blood clot |
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3. The device sucks up the blood clot |
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4. Blood flow is restored |
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Stroke can be Cured and Stroke Survivor can be a normal person:
Endovascular Mechanical Thrombectomy minimise the volume of damaged cells in the brain, which directly reduces the morbidity and mortality of ischaemic stroke. If being treated within Golden 3 to 8 Hours, all stroke symptoms may be reversible, patients may have a chance of being cured and enjoy full recovery. Some stroke survivors even live like a normal person without suffering from any permanent neurological disability s.
Extended to over Gold-24 Hours
For some posterior circulation ischemic strokes (vertebral-basilar thrombosis causing brainstem stroke) and for some patients with good cerebral collateral blood supply and blood flow , since their ischemic brain can withstand a much longer duration of blood deprivation, the Golden Hours Therapeutic Window can be even extended to beyond 24 hours.
Stroke is formed as a result of cerebral vascular deficits, its incidence increases exponentially from 30 years of age. In fact, the signs of stroke are traceable through risk screening, in which we can identify the health status of the cerebral vessels, intervention can be taken to lower the risk of strokes.
It is advised to conduct a regular brain check up, and the frequency depends on your age group as follow:
| Age | Frequency | ||
| 30-40 years old | 5 - 8 years | ||
| 40-60 years old | 5 years | ||
| over 60 years old | 3 - 5 years |
HKBSSP offers a comprehensive Stroke Screening Programme, screening individuals for known risk factors of stroke and implementing management of modifiable risk factors, the programme includes:
Our vascular neurosurgeon will evaluate the test results from the above items, and will recommend further neuro-radiological imaging, electro-neuro-physiological study & any related tests if necessary.
For further information of what each item includes and price, please contact us via +852 2367 6116 or make booking now.
Address:
Kowloon Centre: Unit 1107, Grand Centre, 8 Humphreys Avenue, Tsim Sha Tsui, Kowloon (MTR T.S.T. Station A2 Exit)
Hong Kong Centre: 18/F, Euro Trade Centre, 13-14 Connaught Rd Central, Central, Hong Kong (MTR Central A Exit)
Contacts:
Tel:2367 6116
Fax:2682 5216
Hotline:
Tel:8107 1616
E-mail:
info@brainandspine.com.hk
Website:
https://www.brainandspine.com.hk
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Consultation Hours (By appointment)
Monday - Friday:
10:00 a.m. to 13:00 p.m.
15:00 p.m. to 18:00 p.m.
Saturday:
10:00 a.m. to 14:00 p.m.
Sunday & Holidays: Closed
