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Public interest incorporated foundation
Tsukuba Medical Center

305-8558-1 Amakubo, Tsukuba City, Ibaraki Prefecture 3-1

Opinion / Inquiry Page

TEL.029-851-3511(representative)

FAX. 029-858-2773(representative)

Introduction of each part

Neurology

Doctor introduction

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 Title, etc.ExpertiseGraduation year Qualifications/Licenses
Masahiko Hirokispecialized manager
Head of medical department
Stroke/cerebrovascular accident
central nervous system disease
brain imaging
1987Japanese Society of Neurology Specialist / Preceptor
Japanese Stroke Society Specialist / Preceptor
Physician certified by the Japanese Society of Internal Medicine

Efforts of neurology

The Department of Neurology focuses on emergency neurological diseases and intractable neurological diseases, based on the functions of our hospital's Emergency and Critical Care Center and home support.The five most common neurological emergencies are severe stroke, meningitis, encephalitis, epilepsy, and myasthenia gravis crisis.Among these, tPA treatment is particularly important in the hyperacute phase of cerebral infarction (within 5 hours of onset) for the most frequent stroke. Science has shown that tPA treatment improves the prognosis for patients, and that the sooner treatment is started, the better.Our department carefully determines whether tPA treatment is indicated in accordance with the guidelines of the society, and strives to ensure that as many patients as possible can benefit from this treatment.In addition, our hospital performs treatment with a catheter (thrombectomy therapy) for cases where tPA treatment is not effective or where tPA administration is difficult.This is done by a neurosurgeon.With this treatment, the number of cases showing dramatic improvement in the acute phase of cerebral infarction has increased.
Our department is promoting the development of an ambulance equipped with a head CT device and a demonstration research project with the aim of increasing the number of patients eligible for cerebral infarction tPA treatment and thrombectomy therapy and shortening the time required for ambulance transport for stroke patients.On the other hand, regarding the treatment policy for stroke other than cerebral infarction tPA treatment, especially the selection of medical treatment or surgical treatment, we hold joint conferences with neurosurgeons every day and carefully decide.

Besides stroke, cases of viral or immune-mediated encephalitis/encephalopathy, myelitis, and peripheral neuropathy are increasing year by year.These diagnoses require accurate neurological, electrophysiological, immunological and neuroradiological diagnoses.Immunotherapies such as steroid pulse therapy, immunoglobulin therapy, plasma exchange therapy, and immunosuppressive therapy are the main treatments.Myasthenia gravis crisis is an important neuroemergency disease, and our department provides prompt and appropriate treatment centered on respiratory management and immunotherapy in cooperation with intensive care unit staff and respiratory medicine department.Regarding epilepsy, we are using a video electroencephalogram monitor to improve the quality of epilepsy medical care, making it possible to respond to all epileptic diseases.
Regarding intractable neurological diseases, a certain percentage of patients with intractable neurological diseases such as multiple sclerosis and ALS also visit our department.In our department, we perform immunological examination or genetic diagnosis as much as possible for all intractable neurological diseases to clarify the pathology and provide treatment.In addition, we work closely with medical consultations, nursing departments, and home care, and we have established a network of cooperation with other hospitals.Many patients with degenerative dementia such as Parkinson's disease and Alzheimer's disease also come to the hospital.Regarding Parkinson's disease and Lewy body disease, we perform MIBG myocardial scintigraphy, dopamine stretcher (DAT) SPECT, and cerebral blood flow SPECT as appropriate.Our department has a specialized outpatient department to accommodate many dementia patients.For many of the above neurological diseases, our department obtains the latest information and provides the best diagnosis and treatment.In addition, our hospital is an associate educational facility of the Japanese Society of Neurology, and our department also has the function of producing specialists in neurology.

To local teachers

Strokes sometimes have precursors.It's called a transient ischemic attack (TIA).In this condition, stroke can be prevented.It is important to respond quickly, so if you experience temporary hemiplegia, numbness on one side of the body, or speech impediment, please see our department as soon as possible.If symptoms persist, cerebral infarction or intracerebral hemorrhage may be possible.Cerebral infarction requires tPA treatment and thrombectomy therapy, and cerebral hemorrhage requires antihypertensive therapy as soon as possible.We ask that you urgently transport the patient to our hospital.
On the other hand, in various neurological diseases, the mode of onset and neurological symptoms are quite different.It can range from rapid onset to years of onset.Neurological symptoms include weakness and numbness in the limbs, slurred speech, difficulty swallowing, dizziness, decreased vision, double vision, drooping eyelids, headache, tremors and convulsions in the limbs, and gait disturbance. , forgetfulness, etc.If any of these apply to you, please feel free to visit our department.We would be very grateful if you could contact us directly by phone.

Medical Statistics (2022)

Inpatient breakdown

* Side-scrolling is possible

2022 2021
cerebral infarction 27 18
Transient cerebral ischemic attack 1 2
cerebral hemorrhage 8 3
encephalitis encephalopathy 8 15
epilepsy/convulsions 11 17
Amyotrophic Lateral Sclerosis/Motor Neuron Disease 1 4
Other neurodegenerative diseases 2 2
Peripheral neuropathy, Guillain-Barre syndrome 3 10
spinal cord disease 2 3
Inflammatory demyelinating disease 4 5
Parkinson's disease, Parkinson's syndrome 2 4
Meningitis 2 2
Prion disease 0 0
muscle disease, neuromuscular junction disease 2 3
Others 7 12
meter 80 100

Main Outcomes of Hospitalized Patients

* Side-scrolling is possible

2022 2021
Antithrombotic therapy 28 22
Neuroprotective therapy (edaravone, cerebral infarction/ALS) 16 17
Steroidal pulse therapy 7 12
Immunoglobulin therapy 4 13
Plasmapheresis 3 2
Other immunotherapies (immunosuppressants, immunomodulators, disease-modifying therapies, antibody therapies) 4 15
antiviral therapy 2 2
meter 64 83

Inquiries to Tsukuba Medical Center Hospital

*We cannot answer questions about medical treatment.

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