Emergency (24-hour) service available for the treatment of adult and paediatric head and spine injury, including simple and compound skull bone fractures, concussions and its sequelae, severe injuries requiring craniotomy for haematoma evacuation, intracranial pressure (ICP) monitoring and neuro-intensive care, chronic subdural haematoma, and spinal column and cord injury, causing paralysis.
Elective surgical treatment for reconstruction of skull defects (cranioplasty) using custom-made titanium mesh or polymer-biocompatible implants for adults and children.
Emergency (24-hour) service for the treatment of brain hemorrhage - acute haemorrhagic stroke (intracerebral haematoma, subarachnoid haemorrhage) - and ischaemic stroke (infarct).
Elective stroke risk assessment, by evaluating the carotid arteries and intracranial vasculature, using CT and MR angiogram techniques. Assessment and treatment of arteriovenous malformations, aneurysms and cerebral ischaemia.
Secondary tumours from breast, lung, colon, etc.
The operating theatres are fully-equipped with micro-neurosurgical equipment, intra-operative nerve stimulation and monitoring, stereotactic image-guidance system (IGS) equipment for biopsy and image-guided surgical resections. Treatment using adjuvant radiotherapy - (gamma-knife and LINAC), is available – chemotherapy and immunotherapy, will be recommended where appropriate.
Together with pediatric oncologists and neurologists, children with neurological conditions can be treated surgically with the latest microinstruments and endoscopic equipment, in a minimally invasive manner.
Emergency treatment of spinal trauma, fractures and acute prolapsed intervertebral discs, including surgical decompression and internal fixation.
Elective treatment of degenerative spine conditions, such as cervical spondylosis, disc prolapse, neural foraminal stenosis and spondylolisthesis. Surgical management includes nucleoplasty, microdiscectomy, minimally invasive neural foraminotomy, artificial disc replacement, pedicle screws and various fusion techniques, and vertebroplasty.
The treatment team includes a certified pain specialist, neurologist and anaesthetist who will evaluate the patient together with the neurosurgeon. Apart from tailoring medication to the patient’s needs, the pain specialist is also able to administer injections, nerve blocks and acupuncture.
In certain cases, such as cancer patients with widespread disease, spinal cord pumps can be placed to administer pain-relief drugs (morphine) intra-thecally. In addition, implantable nerve stimulators can also be placed in the spinal cord or the brain for intractable neuropathic pain.
Trigeminal neuralgia is one condition that is treated by gamma-knife radiosurgery, or sometimes microvascular decompression. 80% of patients report good-to-excellent pain relief after gamma-knife treatment, with significant reduction in medication.