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School Of Medicine
Clinical Medicine
Department of Neurosurgery
The Department of Neurosurgery has founded in 1982 by Namio Kodama, M.D., Ph.D., the first professor and chairman of the department. Since then, our department has continued to grow and evolve. Professor N. Kodama has stressed that patients and their suffering problems must be approached and resolved from both scientific and humanistic points of view.

We strive to provide more effective and lower risk treatments for a wide variety of disorders affecting the nervous system, especially involving cerebrovascular disease. Also we provide the newest and the best management for patients. Our department can be contacted 24 hours a day, and neurosurgeons are standing by for emergency cases.

Our clinical and research results are highly regarded not only in Japan but also in the world. Our department has held several national meetings and will hold the 7th International Workshop for Cerebrovascular Surgery at Kyoto in September 2002.
Basic research and clinical research projects are an integral part of our faculty and trainee activities. We believe that the results of research should be fed back to patients in the actual clinical setting. Various studies are ongoing in our department.
1. Prevention of vasospasm after subarachnoid hemorrhage
  Cisternal irrigation therapy with urokinase and ascorbic acid was applied to over 200 patients for preventing vasospasm after subarachnoid hemorrhage. We succeeded to reduce the rate of manifestation of the symptomatic vasospasm to 2.8%, although vasospasm is usually observed at the rate of 30-40% in SAH patients without this treatment.
2. Three-dimensional (3D) CT angiography
  We developed a less invasive 3D diagnostic modality using the helical CT scan. We published that the diagnostic accuracy of the 3D-CT angiography was superior to that of conventional angiography in detecting cerebral aneurysms. On the basis of these results, we have operated on more than 100 patients with acutely ruptured aneurysms only by the 3D-CT angiography. Our study is the first trial of its kind in the world. The 3D-CT angiography is also useful to evaluate cerebral veins in cerebrovascular and brain tumor surgery. This modality has great potential in various fields of neurosurgery.
3. Development and clinical application of various intraoperative monitorings
  To reduce intraoperative and postoperative neurological damage, we applied electro-neurophysiological monitoring procedures during operation. Our department has developed intraoperative monitoring procedures, including olfactory nerve evoked potentials, medullary trigeminal evoked potentials, etc. Recently we developed a novel monitoring procedure for the motor function in aneurysm surgery. These monitorings are contributing to the safety of operations.
In addition, fundamental research, such as pathological studies of arteriovenous malformation, dural arteriovenous fistula, and dissecting aneurysms in the vertebral artery, is still under way.
1. Student education
  In Bed Side Learning (BSL), our department has a two-week program. In the first week, students experience the medical scene at the front line of patient care in several of our affiliated hospitals and clinics. In the second week, students learn clinical skills (neurological examinations, etc.) and knowledge from the faculty and residents in a man-to-man system at Fukushima Medical University Hospital. Students learn how to attend to and communicate with patients through this program. They also learn neuroanatomy and neurosurgical techniques through observing operations.
2. Residency program
  The neurosurgical residency at our department is a six-year program that provides a broad exposure to all facets of clinical neurosurgery. The philosophy of the program is to provide graduated and increasing surgical experience and clinical responsibility as the resident progresses through his/her training. The first five years are divided into a series of six- month rotations. During this time the resident alternates among some affiliated hospitals and Fukushima Medical University Hospital. The last year of training is spent as chief resident at Fukushima Medical University Hospital.
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