国立研究開発法人 国立成育医療研究センター National Center for Child Health and Development

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患者・ご家族の方へ Patient & Family

患者・ご家族の方へ Patient & Family

Division of Neurosurgery

Our division performs surgical procedures of the developing central nervous system, the brain and spinal cord. We have the highest number of surgical cases in Japan and as a leading institute of pediatric neurosurgery, we stand by the following policies:
  1. We perform surgery using the latest in advanced and safe technology.
  2. We strive to deliver the best possible treatment for all patients.
  3. We pursue a high level of activity in both the clinical and academic aspects of the field.

Medical services

Our team is made up of two board-certified neurosurgeons and two fellows/residents who work together in the operating theater, the outpatient clinic as well as on the wards. Surgical indication is decided based on clinical guidelines and procedures are tailored to suit patient needs. Preoperative conferences are held for craniofacial
surgery procedures, neurological treatments for epilepsy, and rehabilitative medicine to treat spasticity. Postoperative management is supported at the intensive care unit (ICU) and by general pediatricians on the ward. Our interdisciplinary team, directed by oncologists, holds a Tumor Board conference twice a month, in which we discuss the treatment plans for children with malignant tumors.

Number of surgeries performed

In 2013, we performed 461 surgical procedures, as listed below by type of surgery.Hydrocephalus: 111; congenital anomalies: 193; brain and spinal cord tumors: 58; epilepsy, spasticity: 26; vascular disease: 19; trauma: 12; others: 42.

Specialties

  • Neuroendoscopic surgery for hydrocephalus and intracranial cystic lesions;
  • Pediatric skull base surgery, including surgical procedures of the basal encephalocele and decompression of the complex craniovertebral junction lesion;
  • Deep-seated brain tumor surgery, including the brainstem region, radical resection as well as minimally invasive stereotactic or endoscopic biopsy;
  • Indirect bypass surgery with bifrontal revascularization for Moyamoya disease. Arteriovenous malformations (AVMs) are treated in collaboration with interventional neuroradiologists;
  • Direct repair of complex lumbosacral spina bifida and related anomalies;
  • Rhizotomy or intrathecal baclofen infusion therapy for hypertonia/spasticity, depending on the neurological condition;
  • Intraoperative neurophysiological procedures for ‘eloquent’ and ‘critical’ regions of the brain