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Neurosurgery Overview

The Department of Neurosurgery comprises a team of highly trained specialists, nurse clinicians, physical and occupational therapists who are all equipped to provide patients with care in the field of neurosurgery.

Our highly trained specialists offer extensive expertise in areas such as treatment of brain tumours, neurovascular disorders, spine disorders and head injury.

We have achieved status as a tertiary regional referral centre and we aim to establish international reputation for both clinical and academic excellence.

Our institute faculty includes 10 full time academic clinicians each with highly developed clinical subspecialisation geared toward providing care for patients in various major neurosurgical subspecialties.

Neurotrauma

Neurointensive care is a subspecialty discipline within neurosurgery that deals with application of critical care principles to patients with critical neurologic illness. Principles of basic ventilator and airway management as it applies to neurologic patients, critical care of neuromuscular disease, invasive monitoring in the intensive care unit, types of and uses of neurophysiologic monitoring, and applications of cerebral blood flow monitoring are employed daily. Timely management of critical events and close attention to brain function and the interaction of the brain and rest of the body are important aspects of neurocritical care which we employ to manage our patients.

For patients with post-traumatic cognitive and behavioral deficits, long-term care is coordinated with the traumatic brain injury rehabilitation services.

Neuro-oncology

The neuro-oncology team is made up of highly trained neurosurgeons, physicians, nurses, and personnel dedicated to the compassionate, multi-disclipinary treatment of patients with brain tumors. As a regional referral center our neurosurgeons have expertise in the treatment of various types of brain tumor. The latest technology is used in order to perform the safest most effective surgery possible. With the upcoming set up of the intraoperative MRI ,our neurosurgeons will be able to obtain high-resolution MRI scans during the course of an operation. For brain tumor surgery, this can potentially increase the extent of resection of such tumours.

We are also able to use the complementary information obtained from PET imaging, functional MRI brain mapping and spectroscopic MRI imaging of brain tumors and these images can then be fused for use with our advanced neuronavigational systems in the operating room.

Neurovascular

We provide the highest level of care for patients with aneurysms and arteriovenous malformations (AVMs) as well as other neurovascular problems of the brain and spinal cord. Our highly experienced staff includes physicians specialising in neurosurgery, neurology and interventional neuroradiology. Utilizing advanced neurologic technology, this multidisciplinary team works together to prevent or minimise the neurologic impact of an aneurysm or AVM and maximize the patient's recovery.

Recent advances in MRI, CTA, and angiography allow more precise anatomic localization of the aneurysm or AVM and greatly aid treatment planning. Superselective injection of intracranial vessels can better define the relationship of the aneurysm neck or identify feeding vessels to the AVM. After careful analysis of the vascular studies and factors such as the patient’s age, clinical presentation and natural history, the multidisciplinary team develops a treatment plan. The goal of treatment is complete obliteration of the aneurysm or AVM.

For stroke therapy, a variety of new techniques are now available. Surgery for carotid endarterectomy provides protection front stroke if carotid artery narrowing is found in an, asymptomatic or symptomatic patient. In addition, if a stroke has occurred, new endovascular techniques of thrombolysis (clot disruption) are now available.

Skull base

Skull base surgery is one of the most challenging and technically demanding subspecialities in the field of neurosurgery. Our experienced skull base surgeons together with multidiscplinary surgical specialities from plastic surgery, head and neck surgery, ear/nose/throat surgery and opthalmology are able to deal with complex aspects of skull base tumour resection and reconstructive surgery.

Disorders of the cranial base which our center has vast experience and is prepared to treat include:

Anterior and Middle Cranial Base

  • Neoplasms of the nasal and sinus cavities and nasopharynx
  • Meningiomas involving the orbit, frontal fossa, sphenoid wings and cavernous sinus
  • Other tumors of the orbit and cavernous sinus
  • Bone tumors including chordoma, chondrosarcoma and fibrous dysplasia
  • Pituitary and other tumors of the sella
  • Craniofacial vascular malformations
  • Traumatic or neoplastic compression of the optic nerve

Posterior and Lateral Cranial Base

  • Acoustic neuromas
  • Other tumors of the cerebellopontine anglc and jugular foramen including meningiomas, schwannomas and glomus tumors
  • Lesions of the petrous apex including cholesterol granulomas and cholesteatomas
  • Cranial nerve neoplasms
  • Osteoradionecrosis
  • Developmental and congenital abnormalities including basilar impression, Chiari malformation.

Entire Cranial Base

  • Vascular lesions including aneurysms, angiomas and artcriovenous malformations
  • Cerebrospinal fluid leak
  • Post-traumatic reconstruction

Functional Neurosurgery

Functional neurosurgery is directed to correct poor function of the central or peripheral neurosystem. The interventions are planned in advance to disconnect and stimulate pathways and, most recently, transplantation of tissue and engineered cells are under study. These surgical procedures correct movement disorders such as Parkinson's Disease, tremor, dystonias, spasmodic torticollis, spasticity, rigidity related to cerebral palsy and spasticity related to spinal cord injury. Functional neurosurgical procedures are also applied for treatment of severe intractable chronic pain secondary to nervous tissue compression or damage by trauma, surgery, or cancer, (i.e. trigeminal neuralgia).

Movement Disorders and Parkinson’s Disease

As Singapore's population continues to age, the number of people with Parkinson's Disease and Movement Disorders, such as essential tremor, dystonia, chorea and myoclonus will rise. As with many other medical conditions, these diseases currently do not have a cure. However, there are effective treatments available to control symptoms and improve daily function. Minimally invasive surgery is also available to treat patients with advanced disease.

The Parkinson's Disease and Movement Disorders Programme emphasises the provision of excellent comprehensive clinical services coupled with strong research initiatives. A multi-disciplinary neurologists, neurosurgeons and therapists work together to provide the care that is currently accepted widely as most effective care.

Spine Surgery

Spinal disorders include abnormalities of the spinal column, intervertebral discs, nerve roots, spinal cord and the adjacent structures. They represent the most common problems encountered in general neurosurgery and are often related to degenerative disc disease and nerve compression that require specialized diagnosis and treatment. Less common disorders of the spine include vascular, neoplastic and congenital anomalies and syringomyelia that require a highly specialized approach with precise diagnosis and treatment for optimal outcome.

Our experienced spine surgeons specialise in cervical, thoracic, lumbar, and lumbosacral intervertebral disc removal, treatment of spine fractures and other spine injuries, spinal synovial or ganglion cysts, spinal cord herniation syndromes, Arnold Chiari-Malformation, syringomyelia, vertebral hemangiomas, schwannomas (neuromas), neurofibromas, gliomas (including astrocytoma, olgiodendroglioma, ependymoma, and ganglioglioma) chordomas, spinal chondrosarcomas, other spine tumors, and surgery for spinal stenosis.

Our unit comprises a comprehensive multidiscplinary spine service and provide complete care for all aspects of spinal disorders – imaging studies, nerve conduction studies, full neurological consultations, operations by experienced spinal neurosurgeons, intra-operative microscope and intra-operative spinal monitoring.

Nurse clinicians, rehabilitation physicials, physiotherapists and occupational therapists are available to facilitate all areas of pre and post operative care.

Peripheral Nerve Surgery

The Peripheral Nerve Program is available to provide and coordinate a full range of services for the evaluation and surgical care of individuals suffering from peripheral nerve pathology. Diagnostic services such as evaluation by EMG and nerve conduction studies are supplemented by the use of specialized Magnetic Resonance Neurography imaging techniques that are applicable to suspected peripheral nerve tumors, traumatic injury, post-irradiation neuritis, chronic compression, and pain syndromes where an anatomic lesion is suspected. Lesions involving any part of the peripheral nervous system can be dealth with by our experienced neurosurgeons. These include the surgical therapy of nerve entrapment such as carpal tunnel syndrome.

Staff MembersSub-Specialty
Senior Consultant; Medical Director NNI
Assoc Prof Ng Wai Hoe MBBS, MD (NUS), FRACS (Neurosurgery), FAMS (Neurosurgery)Neuro-oncology (Director, Neuro-oncology Programme), Functional Neurosurgery, Epilepsy Surgery, Neurotrauma
Unit Head & Senior Consultant
Assoc. Prof Ang Beng Ti Christopher MBBS, FRCSEd (Gen Surg), FRCSGlasg(Gen.Surg), FRCSEd (Neurosurgery), FAMS (Neurosurgery)Endoscopic Pituitary & Skull Base Surgery , Neurotrauma, Radiosurgery
Senior Consultant
Dr Chumpon Chantharakulpongsa MBBS, FRCSEd (Gen Surg), FAMS (Neurosurgery)Neuro-oncology, Skull Base Surgery, Neurotrauma
Assoc. Prof Ivan Ng Hua Bak MBBS, FRCSE, FRCS(Surgical Neurology), FAMSCerebrovascular Surgery, Skull-Base, Neurotrauma, Neuro-Oncology
Dr Ong Peck Leong MBBS, FRACS (Neurosurgery), FAMS (Neurosurgery)Radiosurgery, Stereotactic Radiotherapy
Assoc Prof Seow Wan Tew MBBS, FRACS (Neurosurgery), FAMS (Neurosurgery)Paediatric Neurosurgery, Neurotrauma
Dr Tan Kheng Kooi MBBS, FRCSEd (Gen Surg), FRCSGlasg(Gen.Surg), FAMS (Neurosurgery)Skull Base Surgery, Spine Surgery, Transphenoidal Surgery, Neurotrauma
Dr Wang Chee Meng Ernest MBBS, FRCS(Glasg), FRCSGlasg(Neuro.Surg)Cerebrovascular Surgery, Spine Surgery, Neurotrauma
Consultant
Asst. Prof David Low Chyi Yeu MbbCH.(Ireland), MRCS (Ed), M.Med Surgery (S’pore)Pediatric Neurosurgery, Neuro-Oncology
Dr Hwang Ying Khai MBBS, FRACS, FRCSEd (Gen Surg), FRCS (Glasg), FAMSSkull Base Surgery, Cerebrovascular Surgery, Neurotrauma
Dr Jai Prashanth Rao MBBS, MRCSEd, MMed (Surg), FRCSEd (Neurosurgery)Cerebrovascular Surgery, Skull Base Surgery, Neurotrauma
Dr Keong Chwee Har Nicole MBBS, MPhil (Cantab), MRCS (Eng), FRCS Neuro.Surg (Eng)Cerebrovascular and Hydrocephalus, Neurotrauma
Dr Krishan Kumar MBBS, FRCS (Gen Surg) (Edin), FRCS (Neurosurgery) (UK), FAMSSpine Surgery, Neuro-Oncology & Pituitary Surgery
Dr Ng Yew Poh Vincent MBBS (S’pore), MMED (Surg), MCI (S’pore), MSC (Oxford, Endovascular), FRCS (Edin), FAMS (Neurosurg)Cerebrovascular Surgery, Skull Base Surgery, Neurotrauma
Dr Nicolas Kon Kam King MB ChB, MRCS (England), PhD-DIC (London), FRCS (Neurosurgery) (Edin)Neuro-oncology, Functional Neurosurgery
Dr Nolan Colum Patrick MB BCh BAO LRCPSI, MRCSI, FRCSI (Neurosurgery)Spine Surgery, Paediatric Neurosurgery, Neurotrauma
Associate Consultant
Dr Low Yin Yee Sharon MBBS, MRCSEd, MMed (Surg)General Neurosurgery
Senior Registrar
Dr Irfan Nawaz MBBS, FRCSEdGeneral Neurosurgery

Neurosurgical Conditions and Treatments

There are numerous neurosurgical conditions which can be complex and daunting. This page is designed and written to provide simplified information for patients and their loved ones looking for answers to common neurosurgical conditions and problems.

Neurotrauma

  • Head Injury
  • Glasgcow Coma Scale
  • Subdural Hematoma (SDH)
  • Chronic Subdural Hematoma (SDH)
  • Acute Subdural Hematoma (SDH)
  • Intracerebral Hematoma (ICH)
  • Skull Fracture
  • Craniotomy
  • Cranioplasty

Skull Base

  • Meningioma
  • Pituitary Tumours
  • Acoustic Schwannoma

Neurooncology

  • Brain Tumours
  • Glioma
  • Astrocytomas
  • Glioblastoma
  • Stereotactic Biopsy
  • Surgery for Tumours
  • Radiotherapy
  • Chemotherapy
  • Meningioma
  • Metastatic Tumour

Functional Neurosurgery

  • Movement Disorders
  • Parkinson's Disease (PD)
  • Trigeminal Neuralgia
  • Glossopharyngeal Neuralgia
  • Hemifacial Spasm
  • Sweaty Palms (Palmar Hyperhidrosis)

Neurovascular

  • Carotid Artery Disease
  • Carotid Endarterectomy

Spine and Peripheral Nerve

  • Spine Disorders
  • Degenerative Disease of the Spine
  • Disc Herniation
  • Cervical Radiculopathy
  • Tumours of the Spine
  • Spinal Trauma
  • Carpal Tunnel Syndrome

 

Appointments

To make or change appointment:

Location

Department Office:


Academia, Level 5

Tel: 6326 5575
Fax: 6226 3824
(for departmental matters only)


Latest News

Last Modified Date :21 Jan 2015