医学科研究紹介_2017-2018_英語版
34/47

33Intraaxial brain tumor is treated with latest technology in NeurosurgeryIntraaxial brain tumor(Chief: Senior Assistant Prof. Tetsuya Goto)NeurosurgerySummary of ActivityThe intraaxial brain tumor is one variety of the brain tumors. The intraaxial tumor gradually invades the brain. Treatment is surgical resection followed by radio-chemotherapy, in which surgical resection rate mostly affects the clinical result. The extensive resection sometimes causes postoperative permanent neurological deficits. The tumor should be resected maximally while preserving patient’s neurological function.・ Intraoperative electrophysiological monitoring・ Awake craniotomy・ Development of intraoperative supporting device, surgical deviceThe technique to judge the neurological function intraoperatively and to manipulate more accurately and safely contributes maximum resection of the brain tumor, which improve sur-gical result. We are developing new operation room for neurosurgery, in which many surgical devices and surgery supporting devices including intraoperative MRI are concentrated and managed through the internet. It will be installed in 2018.You can choose the neurosurgery after a 2-year early registration program after getting Japanese Medical License. Japanese Neurosurgical Board can be applied after a 4-year program of neurosurgery. You can choose the treatment of brain tumor as your subspecialty of neurosurgery.Research subjectOutlook for researchOutlook for students after graduationFunctional neurosurgery is neuro-science managed by neurosurgeon(Chief: Senior Assistant Prof. Tetsuya Goto)NeurosurgerySummary of ActivityOnce the neurological function is disturbed, the treatment of the disease itself is required. On the other hand, the recovery of the disturbed function and/or maintaining the neurological function, which is sometimes a different way to treat the disease, is functional neurosurgery. Parkinson disease is a neurological intractable disease. Deep brain stimulation surgery for Parkinson disease, in which the particular area of the brain is continuously stimulated with the inserted electrode in the brain, is more effective to improve patient’s life and activity than drug administration. Epilepsy is also treated by drugs. If the focus of epilepsy is determined epilepsy attack can be reduced or ceased by resectioning the focus. ・ Involuntary movement, akinesia・ Neurogenic pain, spasticity・ Epilepsy・ Trigeminal neuralgia, hemifacial spasmTo learn functional neurosurgery, the knowledge of the physiology and electrical physics is necessary. The knowledge is utilized not only in clinical investigation but also in the basic research. Functional neurosurgery is comparable to brain science. To study the human brain function is necessary for development of brain science. The neurosurgeon only can touch the human brain directly. You can choose the neurosurgery after a 2-year early registration program after getting Japanese Medical License. Japanese Neurosurgical Board can be applied after a 4-year residency program of neurosurgery. You can choose functional neurosurgery as your sub-specialty of neurosurgery.Research subjectOutlook for researchOutlook for students after graduationHyper SCOT operation room in Tokyo woman’s medical university: collaboration re-search sponsored by AMED.Awake craniotomy operation in glioma removal. A patient watches monitor and an-swers some questions. The resection area is checked by Navigation system.The deep brain stimulation (supplied by Medtronic Co.)Motor evoked potentialThe electrode placed on the brain surface. The electrical stimulation on the motor cor-tex elicits the extremity muscle. Electrical stimulation of the extremities reaches to the particular brain.Sensory evoked potentialThe surgery of deep brain stimulation. The electrode is inserted through a burr hole.Brain surface electrode

元のページ  ../index.html#34

このブックを見る