Inpatient facilities
There are 40-50 adult acute neurosurgical beds, 6 neurosurgical high dependence beds in addition to paediatric neurosurgical beds and intensive care beds as required in PWH. The neurosurgical beds are concentrated and managed by a team of nurse trained in neurosurgical nursing. There are on average 60 neurosurgical patients in the SH. There are also neurosurgical beds in NDH for elective operations.

Outpatient facilities
There are 3 sessions in the neurosurgical outpatient clinic per week in the Li Ka Shing specialist clinic in the Prince of Wales Hospital.

Operative facilities
There are regular elective operation lists per week in PWH and NDH, and emergency operation facilities in PWH and NDH.

Endovascular neurosurgery facilities
There is weekly session of endovascular neurointervention under general anaesthesia and local anaethesia in PWH. The hospital is equipped with 2 biplanar and 2 monoplanar digital subtraction angiography (DSA) machines.

Radiosurgery facilities
PWH has one of the most sophisticated linear accelerated-based conformal radiosurgery facilities. The computer-controlled micro-multi-leaflet collimator (mMLC) provides high precision conformal radiation delivery. Radiosurgery is performed once or twice a week. The case selection, treatment planning and follow-up are conducted with collaboration between radiotherapists and neurosurgeons.

Functional neurosurgery / Neurology services
There are well established collaborations between neurology, neurosurgery, clinical psychology, neuroradiology, and occupational therapy for the workup and perioperative management of epilepsy, Parkinson's Disease, dystonia, and other movement disorders.

Pain services
There is a combine pain clinic conducted by neurosurgeons and anaesthetists with special interest in pain management. After evaluation of the patient in the outpatient clinic, selected patients are admitted to the neurosurgical ward for intervention procedures.

Pituitary tumour services
There is a combine pituitary clinic conducted by the endocrinologist and neurosurgeon for perioperative evaluation of the endocrine function, preoperative workup, and postoperative follow up.

Neuro-otology
There is extensive collaboration between the Division of ENT and Neurosurgery in the assessment, work-up and operation for patient with acoustic neuroma. The division of ENT and the associated audiology services provides the screening of patients with hearing loss and assessment of patients with acoustic neuroma. When appropriate, excision of acoustic neuroma through the trans-labyrinthine approach is performed by both the ENT surgeon and the neurosurgeon. We have also pioneered in the providence of auditory brainstem implant in Asia.

Neuro-rehabilitation facilities
Neuro-rehabilitation facilities are available in the Shatin Hospital. There is a team of rehabilitation therapists in SH. Weekly rehabilitation conferences are conducted in SH with the active participation of our neurosurgical staff.

The Division of Neurosurgery is active in researches in various areas of neurosurgery. The results were published in renowned international journals including Journal of Neurosurgery, Neurosurgery, and Stroke. Current research projects include clinical and translational studies in subarachnoid hemorrhage, stroke, stem cell treatment, brain tumours, and traumatic brain injuries.

There are regular academic meetings in the Division and the Department. Meetings include mortality and morbidity meetings, neuroradiology meetings, neuropathology meetings, neurooncology meetings, combine neurology-neurosurgery-neuroradiology meetings, research meetings, and grand rounds.

Hong Kong Minor Head Injury Study

Training in Basic Surgical Skills:

The division of neurosurgery provides training of basic surgical skills for basic surgical trainees. The training is recognized by the College of Surgeons of Hong Kong and the Academy of Medicine of Hong Kong. Basic surgical trainees may attach to our Division for a period of 6 to 12 months. The trainees are provided with education on the basic management of neurosurgical patient, interpretation and understanding of basic neuro-imaging. The trainee should participate in at least 50 neurosurgical operations in a six-month period. During the training, it is expected that the trainee will be able to perform simple operations such as burrholes for ventricular drain insertion, muscle biopsy and tracheotomy.

Training in Neurosurgery:

The Division of neurosurgery is accredited by the College of Surgeons of Hong Kong and the Academy of Medicine of Hong Kong for training of higher surgical trainee specialized in neurosurgery.

All candidates must fulfill the following requirement in addition to the training in basic surgical skills required by the College of Surgeons of Hong Kong for accreditation of intermediate degree.

Each residence must complete a minimum of sixty (60) months of training in neurosurgical. A minimum of 6 months and a maximum of 12 months of the neurosurgical training should be completed before the passing of the entry examination for higher neurosurgical training (i.e. FRCS, AFRCS (Edinburgh) or equivalent degree). Hence, a minimum of 48 months of neurosurgical training is needed before qualifying for the exit examination leading to the accreditation of the degree of Fellowship of the Hong Kong Academy of Medicine (FHKAM).

The training is conducted in modular format and a general guideline on the progression of training over different years of training which includes (A) General neurosurgical management, (B) Operative neurosurgery, (C) Neuroradiology and Pathology, (D) Neuro-critical care and applied neurophysiology.

The modules include (I) Adult neurosurgery, (II) Neuro-critical care and paediatric neurosurgery, (III) general neurosurgery in a district hospital, (IV) overseas neurosurgical training.

• Annemijn M. Algra, Jacoba P. Greving, Jordi de Winkel, Arttu Kurtelius, Kamil Laban, Dagmar Verbaan, René van den Berg, William Vandertop, Antti Lindgren, Timo Krings, Peter Yat Ming Woo, George Kwok Chu Wong, Bob Roozenbeek, Adriaan C.G.M. van Es, Ruben Dammers, Nima Etminan, Hieronymus Boogaarts, Tristan van Doormaal, Albert van der Zwan, Irene C. van der Schaaf, Gabriël J.E. Rinkel, Mervyn D.I. Vergouwen.
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• Chan DYC, He OY, Poon WS, Ng SCP, Yeung JHH, Hung KKC, Mak WK, Chan DTM, Cheung NK, Griffith JF, Graham CA, Wong GKC.
  Univariate and Multivariable Analyses on Independent Predictors for Cervical Spinal Injury in Patients with Head Injury.
  World Neurosurg. 2022 Aug 1:S1878-8750(22)01060-9. doi: 10.1016/j.wneu.2022.07.105. Epub ahead of print. PMID: 35926701.
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  Risk of Rupture After Intracranial Aneurysm Growth.
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• Zheng ZV, Lyu H, Lam SYE, Lam PK, Poon WS, Wong GKC*.
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• So HY, Chen PP, Wong GKC, Chan TTN.
  Simulation in medical education.
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• Zheng ZV, Cheung CY, Lyu H, Chan HY, Li Y, Bian ZX, Wang KKW, Poon WS*.
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• Jiang R, Zhao S, Wang R, Feng H, Zhang J, Li X, Mao Y, Yuan X, Fei Z, Zhao Y, Yu X, Poon WS, Zhu X, Liu N, Kang D, Sun T, Jiao B, Liu X, Yu R, Zhang J, Gao G, Hao J, Su N, Yin G, Zhu X, Lu Y, Wei J, Hu J, Hu R, Li J, Wang D, Wei H, Tian Y, Lei P, Dong JF, Zhang J*.
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• Jaja BNR, Saposnik G, Lingsma HF, Macdonald E, Thorpe KE, Mamdani M, Steyerberg EW, Molyneux A, Manoel ALO, Schatlo B, Hanggi D, Hasan D, Wong GKC, Etminan N, Fukuda H, Torner J, Schaller KL, Suarez JI, Stienen MN, Vergouwen MDI, Rinkel GJE, Spears J, Cusimano MD, Todd M, Le Roux P, Kirkpatrick P, Pickard J, van den Bergh WM, Murray G, Johnston SC, Yamagata S, Mayer S, Schweizer TA, Macdonald RL; SAHIT collaboration.
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• Tsang KS, Ng CPS, Zhu XL, Wong GKC, Lu G, Ahuja AT, Wong KSL, Ng HK, Poon WS*.
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• Lam PK, Wang KKW, Lo AWI, Tong CSW, Ching DWC, Wong K, Yang Z, Kong T, Lo KKY, Choy RKW, Lai PBS, Wong GKC, Poon WS*.
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• Li Y, Li J, Woo YM, Shen Z, Yao H, Cai Y, Lin MC, Poon WS*.
  Enhanced expression of Vastatin inhibits angiogenesis and prolongs survival in murine orthotopic glioblastoma model.
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• Zhu H, Poon W, Liu Y, Leung GK, Wong Y, Feng Y, Ng SC, Tsang KS, Sun DT, Yeung DK, Shen C, Niu F, Xu Z, Tan P, Tang S, Gao H, Cha Y, So KF, Fleischaker R, Sun D, Chen J, Lai J, Cheng W, Young W*.
  Phase III Clinical Trial Assessing Safety and Efficacy of Umbilical Cord Blood Mononuclear Cell Transplant Therapy of Chronic Complete Spinal Cord Injury.
  Cell Transplant. 2016 Nov;25(11):1925-1943.
• Mak CH, Ho JW, Chan KY, Poon WS, Wong GK*.
  Intra-arterial revascularization therapy for basilar artery occlusion-a systematic review and analysis.
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• Yu SC, Lee KT, Lau TW, Wong GK, Pang VK, Chan KY.
  Intravenous C-Arm Conebeam CT Angiography following Long-Term Flow-Diverter Implantation: Technologic Evaluation and Preliminary Results.
  AJNR Am J Neuroradiol. 2016 Mar;37(3):481-6. doi: 10.3174/ajnr.A4558. Epub 2015 Nov 19. PMID: 26585252.
• Chan DY, Abrigo JM, Cheung TC, Siu DY, Poon WS, Ahuja AT, Wong GK*.
  Screening for intracranial aneurysms? Prevalence of unruptured intracranial aneurysms in Hong Kong Chinese.
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• Dorhout Mees SM, Algra A, Wong GK, Poon WS, Bradford CM, Saver JL, Starkman S, Rinkel GJ, van den Bergh WM; writing groups of MASH-I, IMASH, MASH-II, MASH and FAST-MAG, van Kooten F, Dirven CM, van Gijn J, Vermeulen M, Rinkel GJ, Boet R, Chan MT, Gin T, Ng SC, Zee BC, Al-Shahi Salman R, Boiten J, Kuijsten H, Lavados PM, van Oostenbrugge RJ, Vandertop WP, Finfer S, O'Connor A, Yarad E, Firth R, McCallister R, Harrington T, Steinfort B, Faulder K, Assaad N, Morgan M, Starkman S, Eckstein M, Stratton SJ, Pratt FD, Hamilton S, Conwit R, Liebeskind DS, Sung G, Kramer I, Moreau G, Goldweber R, Sanossian N.
  Early Magnesium Treatment After Aneurysmal Subarachnoid Hemorrhage: Individual Patient Data Meta-Analysis.
  Stroke. 2015 Nov;46(11):3190-3. doi: 10.1161/STROKEAHA.115.010575. Epub 2015 Oct 13. PMID: 26463689.
• Etminan N, Brown RD Jr, Beseoglu K, Juvela S, Raymond J, Morita A, Torner JC, Derdeyn CP, Raabe A, Mocco J, Korja M, Abdulazim A, Amin-Hanjani S, Al-Shahi Salman R, Barrow DL, Bederson J, Bonafe A, Dumont AS, Fiorella DJ, Gruber A, Hankey GJ, Hasan DM, Hoh BL, Jabbour P, Kasuya H, Kelly ME, Kirkpatrick PJ, Knuckey N, Koivisto T, Krings T, Lawton MT, Marotta TR, Mayer SA, Mee E, Pereira VM, Molyneux A, Morgan MK, Mori K, Murayama Y, Nagahiro S, Nakayama N, Niemelä M, Ogilvy CS, Pierot L, Rabinstein AA, Roos YB, Rinne J, Rosenwasser RH, Ronkainen A, Schaller K, Seifert V, Solomon RA, Spears J, Steiger HJ, Vergouwen MD, Wanke I, Wermer MJ, Wong GK, Wong JH, Zipfel GJ, Connolly ES Jr, Steinmetz H, Lanzino G, Pasqualin A, Rüfenacht D, Vajkoczy P, McDougall C, Hänggi D, LeRoux P, Rinkel GJ, Macdonald RL.
  The unruptured intracranial aneurysm treatment score: a multidisciplinary consensus.
  Neurology. 2015 Sep 8;85(10):881-9. doi: 10.1212/WNL.0000000000001891. Epub 2015 Aug 14. PMID: 26276380; PMCID: PMC4560059.