Department of Surgery, CUHK


Neurosurgery is a discipline of medicine and that specialty of surgery which provides the operative and non-operative management (i.e. critical care, prevention, diagnosis, evaluation, treatment, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify the function or activity of the nervous system, including the hypophysis; and the operation and non-operative treatment of pain. As such, Neurosurgery encompasses treatment of adult and pediatric patients with disorders of the nervous system: disorders of the brain, meninges, and the skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland, disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.


Organisation of Neurosurgical Services:

The Neurosurgical services are provided by the Division of the Neurosurgery of the Department of Surgery of the Chinese University of Hong Kong (CUHK), the Prince of Wales Hospital (PWH) and the Northern District Hospital (NDH). The medical staffs consist of academic staff (employed by the CUHK) and the non-academic staff (employed by Hospital Authority of Hong Kong).

Currently, the academic staff included a professor and an assistant professor in Neurosurgery. There are a number of experienced neurosurgeons serving as adjunct associate professors for teaching of the undergraduate medical students and post-graduate neurosurgical trainees.

Our mission is to serve the public with high quality services, improves the neurosurgical development with research and to educate medical students and surgical trainees on the specialty of neurosurgery.

The main activities are conducted in three hospitals and their outpatient clinics: the Prince of Wales Hospital (PWH), the Nothern District Hospital (NDH) and the Shatin Hospital (SH). The PWH is the teaching hospital of the CUHK. It serves as secondary for the East New Territory region that has a population of 1.2 million and tertiary referral center for patient from all regions of Hong Kong. The NDH is a major district hospital serving the North New Territory. NDH serves a population of 0.5 million. Both PWH and NDH have 24-hour CT scan services, emergency operation theatre for neurosurgical operation and on-site neurologist for consultation of neurological problems. In addition, the PWH also has neuronavigation facility and radiosurgery facility. SH is our rehabilitation hospital. It has a comprehensive rehabilitation team (including physiotherapists, occupational therapists, speech therapists and medical social workers etc.) and facility for both neurosurgical in-patient and a day hospital. SH also have infirmary beds and mid-way house to facilitate the return of patient back to the society. Our medical staff serves directly in the above hospitals to manage the acute and rehabilitation care of the neurosurgical patients.


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.

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.


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.

Academic Staff
Dr CHAN David Yuen Chung Assistant Professor
HA Staff
Dr CHAN Tat Ming Danny Consultant
Dr ZHU Xian Lun Consultant (Part-Time)
Dr NG Yuen Ting Rebecca Consultant
Dr WOO Yat Ming Peter Consultant
Dr CHAN Kit Ying Emily Associate Consultant
Dr YEUNG Kam Tong Leo Associate Consultant
Dr HUI Ka Ho Victor Associate Consultant
Dr LU Yeow Yuen Gabriel Service Resident
Dr CHEUNG Wing Lok Resident
Dr XIAO Xiao Resident
Dr LAW Him Pui Tiffany Resident
Dr KU Chun Fo Clement Resident
Dr FOK Allison Margo Resident
Dr WANG Huishan Catherine Resident
Dr MA Kan Yik Ian Resident
Dr LEE Sze Wing Brooke Resident
Dr WONG Queenie Hoi Wing Resident


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    Development of the SAFETEA Scores for Predicting Risks of Complications of Preventive Endovascular or Microneurosurgical Intracranial Aneurysm Occlusion.
    Neurology. Sep 2022. doi: 10.1212/WNL.0000000000200978.
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    Univariate and Multivariable Analyses on Independent Predictors for Cervical Spinal Injury in Patients with Head Injury.
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    Risk of Rupture After Intracranial Aneurysm Growth.
    JAMA Neurol. 2021 Oct 1;78(10):1228-1235. doi: 10.1001/jamaneurol.2021.2915. Erratum in: JAMA Neurol. 2022 Mar 1;79(3):312. PMID: 34459846; PMCID: PMC8406207.
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    Single-Dose Intraventricular Nimodipine Microparticles Versus Oral Nimodipine for Aneurysmal Subarachnoid Hemorrhage.
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    Topically applied adipose-derived mesenchymal stem cell treatment in experimental focal cerebral ischemia.
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    Common Data Elements for Unruptured Intracranial Aneurysms and Subarachnoid Hemorrhage Clinical Research: A National Institute for Neurological Disorders and Stroke and National Library of Medicine Project.
    Neurocrit Care. 2019 Jun;30(Suppl 1):4-19. doi: 10.1007/s12028-019-00723-6. PMID: 31087257.
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    Common Data Elements for Unruptured Intracranial Aneurysm and Subarachnoid Hemorrhage Clinical Research: Recommendations from the Working Group on Long-Term Therapies.
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    Simulation in medical education.
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    Safety and Efficacy of Atorvastatin for Chronic Subdural Hematoma in Chinese Patients: A Randomized Clinical Trial.
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    Forward and reverse mutations in stages of cancer development.
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    Circulating MicroRNAs in Delayed Cerebral Infarction After Aneurysmal Subarachnoid Hemorrhage.
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    Phase I/II randomized controlled trial of autologous bone marrow-derived mesenchymal stem cell therapy for chronic stroke.
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    Interactome and reciprocal activation of pathways in topical mesenchymal stem cells and the recipient cerebral cortex following traumatic brain injury.
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    Enhanced expression of Vastatin inhibits angiogenesis and prolongs survival in murine orthotopic glioblastoma model.
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    Phase III Clinical Trial Assessing Safety and Efficacy of Umbilical Cord Blood Mononuclear Cell Transplant Therapy of Chronic Complete Spinal Cord Injury.
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    Intra-arterial revascularization therapy for basilar artery occlusion-a systematic review and analysis.
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    Intravenous C-Arm Conebeam CT Angiography following Long-Term Flow-Diverter Implantation: Technologic Evaluation and Preliminary Results.
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    The unruptured intracranial aneurysm treatment score: a multidisciplinary consensus.
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C O N T A C T   U S

Hong Kong Minor Head Injury Study
(CT Rule for Decision Making)


Please select all the options:

Patient's Age > 60   Yes No
Glasgow Come Score (GCS) 15 14 13
Danagerous Mechanism   Yes No
Presence of Loss of Consciousness   Yes No
Amnesia of the Injury   Yes No
Vomiting   Yes No
Signs of Basal Skull Fracture   Yes No
Closed Skull Fracutre   Yes No