Neurosurgery The left paraclinoid aneurysmafter clipping◆ Clipping surgery for internal carotid artery aneurysm ◆ Revascularization for acute ischemic stroke ◆ Development of new surgical approaches There are two kinds ofThe other one is the endovascular surgery. Both treatments are important.Direct surgery will be further developed due to advanced neuroimaging andinstruments. This laboratory rears vascular neurosurgeons.treatments for stroke. One is the direct surgery.Many patients have been involved in stroke. Therefore, basic knowledges ofstroke are very useful for medical doctors especially for neurologist, emergencyphysician, and psychiatrist.In the Department of Neurosurgery, Shinshu University School of Medicine, surgical treatment for cerebrovascular disorder,brain tumor, spinal cord disease, etc. is performed as a treatment policy consistent with “minimally invasive surgery and functionpreservation neurosurgical treatment with full use of advanced medical technology. In collaboration with each affiliated hospital,we are performing a high-level neurosurgical treatment to develop excellent neurosurgeons.For each neurosurgical disease, we are conducting research on the following themes:◆Minimally invasive surgical approach: Development of surgical methods and safer surgical approach for the skull base lesion◆Surgical instrument: Development of surgical instruments to make surgery safer and more reliable ◆Surgical simulation: Development of surgical simulation with three dimensional neuro-images◆Microneurosurgical anatomical study: Understanding and study of focal brain anatomy for more precise neurosurgical operation◆Intraoperative neural function monitoring: Research on evaluation of neural functions using electrophysiological techniques during surgery for function preservation◆Epilepsy surgery: Surgical approach and robot assisted stereoelectroencephalography and analysis◆Development of surgical robotics: Development of robot-assisted surgery system for minimally invasive neurosurgery◆Genetic analysis of malignant brain tumor: Genetic analysis, optimal chemotherapy of the malignant brain tumorDivision2. Extra axial brain tumor3. Intraaxial brain tumor4. Epilepsy surgery5. Neuroendoscopic Surgery6. Endovascular TreatmentCerebrovascular disorder is a disease that was previously knownas stroke. Stroke suddenly induces speech disturbance, hemiparesis,cognitive dysfunction, etc. It divides into two groups (ischemic andhemorrhagic types).In our laboratory, we are energetically researching & developingsurgical treatment methods to reduce the morbidity & mortality thatattribute to cerebrovascular disorders. We are focused on aneurysmclipping.Research subjectOutlook for researchOutlook for students after graduation 1. Cerebrovascular neurosurgery【写真またはイラスト（図）】・サイズ：横幅７㎝程度・レイアウトは自由・上下2つエリアに分けるThis figure indicating the cover of Journal of Neurosurgery. Paraclinoid aneurysm is one of our interesting topics .The left paraclinoid aneurysmbefore clipping23Minimally invasive and function preservation neurosurgical treatment with an advanced medical technologyVascular surgery is the basic and important subspecialty 脳神経外科学脳神経外科学NeurosurgeryCerebrovascular Neurosurgery脳血管障害治療 班Chief：prof. Tetsuyoshi Horiuchi（チーフ：教授 堀内哲吉）
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