Neurosurgery

If you have undergone a head MRI or CT scan and are found to require further testing, or if you are concerned about stroke (cerebral infarction, cerebral hemorrhage, subarachnoid hemorrhage), unruptured cerebral aneurysm, cerebral arteriovenous malformation, moyamoya disease, or carotid artery stenosis, please consult the Department of Neurosurgery.

First visit

Please make a reservation in advance by phone and bring your health insurance card.

Revisit

Please make an appointment in advance by phone and bring your health insurance card and patient registration card.

Neurosurgery (Reservation Required)

The patients should be at least 16 years of age.

Specific care for each disease condition

Headache

• These are the symptoms
  • Sudden headaches may be a sign of subarachnoid hemorrhage or cerebral artery dissection, which require immediate treatment. There are various types of chronic headaches, such as migraines, cluster headaches, and tension headaches, and they may be a sign of serious illnesses, such as brain tumors and cerebrovascular disorders.
• Diagnostic methods
  • Consultation by a neurosurgeon
  • Questionnaire on the timing, frequency, and severity of headaches
  • Imaging tests such as MRI and CT scans
  • Blood tests
• Suspected cases
  • Brain tumor, subarachnoid hemorrhage, cerebral hemorrhage
• Treatment Examples
  • Prescribing painkillers and preventative medications
  • Removal of brain aneurysms and brain tumors
  • Nerve block injections using local anesthetics and nerve disrupting drugs

Dizziness

• This is the disease
  • If the dizziness is transient, it may be due to a disturbance in the sense of balance or autonomic nervous system, but it may also be a sign of a serious brain disease such as cerebral hemorrhage, cerebral infarction, brain tumor, or arterial dissection.
• Main symptoms
  • Dizziness, nausea or vomiting, loss of hearing, or impaired vision
• Suspected cases
  • Cerebral infarction, cerebral hemorrhage, brain tumor
• Diagnostic methods
  • Interview and physical examination
  • Hearing test
  • Imaging diagnosis (MRI, CT scan, head MRA)
  • Balance Test
• Treatment options and examples
  • Drug treatment according to the underlying disease (e.g., Meniere's disease, cerebrovascular disorder)
  • Surgery such as tumor removal and endolymphatic sac decompression
  • Improve balance through vestibular rehabilitation etc.

Forgetfulness

• This is the disease
  • It can appear as a sign of dementia caused by brain disease or as a precursor to dementia. Early testing and necessary treatment and prevention are important.
• Main symptoms
  • I can't remember recent events
  • Repeating the same question
  • Losing things more often
  • Loss of understanding of routine tasks
• Suspected cases
  • Alzheimer's disease, vascular dementia, cerebral infarction, cerebral hemorrhage, cerebral arteriosclerosis
• Diagnostic methods
  • Interview, family and acquaintances
  • Simple cognitive function test
  • MRI examination
  • Blood tests
• Types of treatment
  • Drug therapy according to symptoms such as Alzheimer's disease and vascular dementia
  • Cognitive rehabilitation, lifestyle rehabilitation

Vision and visual field impairment

• This is the disease
  • Vision may become difficult due to a narrowed area of ​​the carotid artery, or the field of vision may become narrower due to pressure on the optic nerve caused by a brain tumor or cerebral aneurysm. Symptoms may also be caused by cerebral infarction or cerebral hemorrhage.
• Main symptoms
  • Decreased vision, visual field defects, color blindness, eye movement disorders
• Suspected cases
  • Brain tumors, intracranial aneurysms, compression or rupture of aneurysms, optic canal fractures due to head trauma
• Diagnostic methods
  • Vision test, visual field test, fundus test
  • Head CT or MRI scan
  • Blood tests
• Types of treatment
  • Surgery such as tumor removal and aneurysm clipping
  • Drug therapy for inflammatory and ischemic diseases
  • Radiation therapy for brain tumors and aneurysms

Stroke

• This is the disease
  • This is a general term for conditions in which cerebral blood vessels are damaged. It can be roughly divided into three types: cerebral infarction, in which cerebral blood vessels become blocked; intracerebral hemorrhage, in which a small blood vessel in the brain breaks and causes bleeding inside the brain; and subarachnoid hemorrhage, in which a cyst forms in a large blood vessel on the surface of the brain, which then ruptures and causes bleeding. It is said that the risk increases from the age of 40 onwards.
• Main symptoms
  • Unilateral limb weakness or facial paralysis
  • Slurred speech, unable to speak
  • Decreased level of consciousness or coma
  • Severe headache or vomiting
• risk factors
  • Have hypertension, dyslipidemia, or diabetes
  • Have a history of angina, myocardial infarction, arrhythmia, etc.
  • Increased visceral fat and obesity
  • Smoking, excessive alcohol consumption, and lack of exercise
• Diagnostic methods
  • Head CT, MRI, MRA, blood tests
• Types of treatment
  • Thrombolytic therapy and thrombectomy
  • Blood pressure management and intracranial pressure control
  • Surgery such as craniotomy and hematoma removal
  • Preventing relapse with drug therapy
  • Rehabilitation

Doctor’s Profile

Tatsuya Sugiyama

Tokyo Midtown Clinic

Department of Neurosurgery

                       

Certifications and Affiliations

Certified Specialist and Consultant by Japan Neurosurgical Society
Technical instructor for the Japanese Society of Cerebrovascular Surgery
Certified Specialist and Consultant by the Japan Stroke Society
Certified Neurosurgeon by the Japanese Society of Neuroendoscopy
Certificed Specialist by the Japanese Society of Pediatric Neurosurgery

Biography

Graduated from Saitama Medical University School of Medicine
Saitama Medical University Hospital, St. Mary's Hospital, Chichibu Municipal Hospital,
Engaged in clinical practice at Saitama Medical University International Medical Center and Tama General Medical Center
Currently, Associate Professor of Neurosurgery at Showa University

Daisuke Tanioka

Tokyo Midtown Clinic

Department of Neurosurgery

                       

Certifications and Affiliations

Certified Specialist and Consultant by Japan Neurosurgical Society
Certified Specialist and Consultant by the Japan Stroke Society
Certified Doctor and Instructor of the Japanese Society of Neuroendoscopy
Certified Specialist and Consultant by Japan Endocrine Society (Neurosurgery Division)

Eisuke Hirose

Tokyo Midtown Clinic

Department of Neurosurgery

                       

Certifications and Affiliations

Certified Specialist and Consultant by Japan Neurosurgical Society
Certified Specialist and Consultant by the Japan Stroke Society
Japanese Society of Neuroendovascular Therapy Specialist

Other medical departments

Reliable inspection system

①High-resolution imaging detects even small lesions

We have multiple 3.0 Tesla MRI machines. Tests take about 20 minutes, leading to early detection of cerebrovascular disease risk.

②A wide range of detailed examinations are carried out in-house

We have specialized staff and testing equipment for blood test, urine test, electrocardiograms, X-rays, ultrasound tests, and more, to investigate the cause of symptoms in a comprehensive manner.

③General blood test results will be given to you on the same day.

We have an in-house laboratory, and therefore, we can provide testing and explanation of general blood test results, excluding tumor markers, can be otained within about an hour.

Comprehensive support on one floor

We work in cooperation with each department of our clinic and external medical institutions to provide appropriate treatment and support as a team. On the same floor, you will also find Tokyo Midtown Dermatology and Plastic Surgery Noage, Tokyo Midtown Dental Clinic, Healthcare Shop TMMC Plus, and a dispensing pharmacy.