The Hong Kong Minimally Invasive Brain & Spine Neurosurgery Centre

Neurosurgeon - Dr Pang Ka Hung, Peter

Dr Pang Ka Hung, Peter 彭家雄醫生

MBBS(HK)
FCSHK
FRCS (Edin)
FHKAM (Surgery)

Neurosurgeon Hong Kong - Dr Pang Ka Hung Peter
Neurosurgeon Hong Kong – Dr Pang Ka Hung Peter
 
  • Specialist In Neurosurgery
  • Brain and Spine Neurosurgery
  • Subspecialised in skull base, neuro-vascular and spine
  • High dependency unit critical care
  • Licensed to operate DSA (Digital Subtraction Angiogram) machine for Endovascular therapy

Languages Spoken: English, Cantonese

Facebook - Dr Pang Ka Hung Peter
Facebook – Dr Pang Ka Hung Peter
 

Medical Procedure and Surgeries:

Brain:  
 Stroke: 
 Prevention Stroke Risks Screening and Assessment 
 
  • Medical Risks: Chronic headache, Obesity, Hypercholesterolemia, DM, HT, Family History, Renal disease, Blood disease, Atrial Fibrillation, Drug related (e.g. Warfarin), Soft drug related.
  • Surgical Risks: Heart disease (valvular disease, mural thrombus in AF), Carotid / Vertebral artery stenosis, intracranial arterial stenosis, cerebral aneurysm, Arterio-venous malformation AVM, Arterio-venous Fistula AVF, cavernous haemangioma).
  • Prophylactic Treatment (Interventional Therapeutic Neuroradiology = Endovascular therapy)
  • Conventional Carotid endarterectomy for carotid artery stenosis
  • Endovascular Therapy for Wall Stent over carotid / vertebral artery stenosis
  • Endovascular Pipeline stent +/- coiling for unruptured Cerebral Aneurysm
  • Endovascular Wingspan Stent +/- Balloon Angioplasty for intracranial arterial stenosis
  • Endovascular coiling /Onyx Glue Therapy or Microsurgery for cerebral Arterio-venous malformation AVM/ Dural arterio-venous fistula AVF.
  • Endovascular coiling for Carotico-Cavernous Fistula CCF presented with protruded red eye
  • Microsurgery for clipping unruptured cerebral aneurysm (those not suitable for endovascular therapy)
 
 
  • Acute Ischaemic Stroke Care: Tele-expert opinion, 2nd Medical Opinion in fast- track care Including Inter-hospitals Medical Escort
  • Golden 3 hours: Intravenous iv. rTPA thrombolysis for brain re-vascularization to minimize neurological deficit and mortality.
  • Golden 8 hours: Mechanical Thrombolysis +/- (Intra-Arterial) I.A rTPA (Endovascular Therapy) for brain re- vascularization to minimise neurological deficit and mortality.
  • Golden 8 hours Emergency EC-IC Arterial bypass surgery for brain re-vascularisation in to minimize neurological deficit and mortality.
  • Decompressive craniotomy and duroplasty for infarct brain swelling.
 
 
  • Acute Haemorrhagic Stroke: Tele-expert opinion, 2nd Medical Opinion in fast-track care Including Inter-hospitals Medical Escort
  • Emergency external ventricular drain (intracranial pressure monitoring) for hydrocephalus or intraventricular haemorrhage
  • Emergency Craniotomy for blood clot evacuation
  • Decompressive craniotomy and duroplasty for brain swelling
  • Subarachnoid Hemorrhage due to ruptured cerebral aneurysm:
 
 
  • Microsurgery for clipping of aneurysm
  • Endovascular Therapy for coiling or stenting embolisation of aneurysm
  • Haemorrhagic stroke due to vascular dissection: Endovascular Therapy for coiling or stenting of the vascular dissection
  • Emergency Endovascular Therapy for Carotid blow out in NPC patients

Brain / Skull Bone tumour: Supratentorial, infratentorial and Skull Base tumour (Primary: meningioma / glioma, secondary or metastatic brain tumour)

 
 
  • Minimally Invasive Navigational Microsurgery for tumour Excision
  • Minimally Invasive Endoscopic Excision of Ventricular tumour
  • Minimally Invasive Transphenoid Surgery for Pituitary tumour
  • Minimally Invasive Supra-Orbital Eyebrow Approach for Anterior Skull Base tumour or Aneurysm
  • Function Preserving Glioma Surgery
  • Facial nerve preserving Acoustic Neuroma Surgery
  • Intra-orbital tumour Surgery
 
 
  • Functional Neurosurgery
  • Microvascular decompression for Trigeminal Neuralgia
  • Microvascular decompression for Hemi-facial Spasm
  • Chronic Headache, Migraine and other Neuropathic Pain Treatment
  • Medical and Surgical Treatment for Epilepsy
 
 Others Head / Brain: Trauma (Brain injury, Subdural Haematoma), Infection, congenital abnormality, degeneration (VP Shunt for Normal pressure Hydrocephalus, Subdural Effusion,etc)
Radiosurgery: X-knife for brain tumour and Arterio-venous malformation AVM.
Neuro-endoscopy for 3rd ventriculostomy in obstructive hydrocephalus, tumour excision and vascular microsurgery.
 
Spine:  
 Degenerative disease: 
 

Conventional Open Procedures:

  • Anterior Cervical Discectomy and Fusion
  • Cervical Artificial Disc Replacement
  • Cervical Laminoplasty
  • Cervical Foraminotomy
  • Thoracotomy and Anterior Apinal Fusion
  • Lumbar Laminectomy, Foraminotomy and instrumented Fusion
  • Anterior Lumbar Spinal Fusion
  • Tarlov Cysts Surgery
 
 

Minimally Invasive Spine Surgery:

  • Endoscopic Spine Surgery
  • Microdiscectomy
  • Microscopic Posterior Decompression
  • Minimally Invasive Spinal Fusion Surgery
 
 

Non-Operative Spine Treatments:

  • Facet Joint Injections
  • Transforaminal Epidural Injections
  • Selective Nerve Root Blocks
  • Medial Branch Block
  • SI Joint Injection
 
 

Spine tumour:
Intradural spinal tumour: Neurilemmoa/ Schwannoma, meningioma. Hemi-laminectomy for microsurgery excision under intra-operative neural monitoring

  • Congenital Anomaly of Spine
  • Spinal Bifida Repairing
  • Tethering Cord Syndrome Release
  • Chiari Malformation Decompression
  • Spinal Syringomyelia Decompression
 

Vascular Anomaly of spine:

  • Spinal Arterial Venous Fistula/ Malformation: Microsurgical excision or Endovascular Therapy
 

Cerebral Palsy

  • Selective Dorsal Root rhizotomy for gait Improvement

Spine Infection

  • Spine Trauma
Investigations:   
 
  • X-Ray Spine
  • CT Scan Of Spine
  • Bone Scan
  • Standing/Weight Bearing MRI Spine
  • Dynamic MRI Spine Discogram
  • Diagnostic Nerve Blocks
 
Rehabilitation:  
 
  • Multi-Disciplinary Team Approach for Brain and spine Rehabilitation +/- Acupuncture
 
Other Services:  
 
  • Medico-Legal Expert Assessment
  • Labour Injury Expert Assessment
 
   
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