( ! ) Deprecated: 從 2.8.0 版開始,Elementor\Scheme_Typography <strong>已淘汰不用</strong>,請改用 Elementor\Core\Schemes\Typography。 in /var/www/vhosts/neurosurgeon.hk/httpdocs/wp-includes/functions.php on line 5401
Call Stack
#TimeMemoryFunctionLocation
10.0005364736{main}( ).../index.php:0
20.0008366088require( '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-blog-header.php ).../index.php:17
31.222473110888require_once( '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-includes/template-loader.php ).../wp-blog-header.php:19
41.253174049688apply_filters( $hook_name = 'template_include', $value = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php' ).../template-loader.php:104
51.253174050096WP_Hook->apply_filters( $value = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php', $args = [0 => '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php'] ).../plugin.php:189
61.329477215776ElementorPro\Modules\ThemeBuilder\Classes\Locations_Manager->template_include( $template = '/var/www/vhosts/neurosurgeon.hk/httpdocs/wp-content/themes/hello-elementor/index.php' ).../class-wp-hook.php:303
71.332177245320Elementor\Core\Base\Base_Object->get_settings( $setting = 'page_template' ).../locations-manager.php:148
81.332177245320Elementor\Core\Base\Base_Object->ensure_settings( ).../base-object.php:40
91.332177245320Elementor\Controls_Stack->get_init_settings( ).../base-object.php:142
101.332177245320Elementor\Controls_Stack->get_data( $item = 'settings' ).../controls-stack.php:2049
111.332177245320Elementor\Controls_Stack->sanitize_settings( $settings = ['eael_ext_toc_title' => 'Table of Contents', 'background_background' => 'classic', '__globals__' => ['background_color' => 'globals/colors?id=0e03762'], 'preview_type' => 'single/page', 'preview_id' => '408'], $controls = ??? ).../controls-stack.php:1061
121.332177245320Elementor\Controls_Stack->get_controls( $control_id = ??? ).../controls-stack.php:2302
131.332177245320Elementor\Controls_Stack->get_stack( ).../controls-stack.php:286
141.332277245320Elementor\Controls_Stack->init_controls( ).../controls-stack.php:480
151.332277245360ElementorPro\Modules\ThemeBuilder\Documents\Single_Base->register_controls( ).../controls-stack.php:2215
161.332277245360ElementorPro\Modules\ThemeBuilder\Documents\Theme_Page_Document->register_controls( ).../single-base.php:93
171.332277245360ElementorPro\Modules\ThemeBuilder\Documents\Theme_Document->register_controls( ).../theme-page-document.php:33
181.332277245360Elementor\Core\Base\Document->register_controls( ).../theme-document.php:270
191.332577249016do_action( $hook_name = 'elementor/documents/register_controls', ...$arg = variadic(class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = []; protected $post = class WP_Post { public $ID = 231; public $post_author = '1'; public $post_date = '2021-02-28 11:11:44'; public $post_date_gmt = '2021-02-28 03:11:44'; public $post_content = 'Previous\n\t\t\t\t\t\t\tNext'; public $post_title = 'BaS Page'; public $post_excerpt = ''; public $post_status = 'publish'; public $comment_status = 'closed'; public $ping_status = 'closed'; public $post_password = ''; public $post_name = 'bas-page'; public $to_ping = ''; public $pinged = ''; public $post_modified = '2021-04-19 10:49:30'; public $post_modified_gmt = '2021-04-19 02:49:30'; public $post_content_filtered = ''; public $post_parent = 0; public $guid = 'https://neurosurgeon.hk/?post_type=elementor_library&#038;p=231'; public $menu_order = 0; public $post_type = 'elementor_library'; public $post_mime_type = ''; public $comment_count = '0'; public $filter = 'raw' }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = ['id' => 231, 'settings' => [...], 'post_id' => 231]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = ['tab' => 'style', 'condition' => [...], 'section' => 'eael_ext_table_of_content_header_style']; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = []; private ${Elementor\Core\Base\Base_Object}settings = NULL }) ).../document.php:585
201.332577249392WP_Hook->do_action( $args = [0 => class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = [...]; protected $post = class WP_Post { ... }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = [...]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = [...]; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = [...]; private ${Elementor\Core\Base\Base_Object}settings = NULL }] ).../plugin.php:470
211.332577249392WP_Hook->apply_filters( $value = '', $args = [0 => class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = [...]; protected $post = class WP_Post { ... }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = [...]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = [...]; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = [...]; private ${Elementor\Core\Base\Base_Object}settings = NULL }] ).../class-wp-hook.php:327
221.335277385296Essential_Addons_Elementor\Extensions\Table_of_Content->register_controls( $element = class ElementorPro\Modules\ThemeBuilder\Documents\Single_Page { private ${Elementor\Core\Base\Document}main_id = 231; private ${Elementor\Core\Base\Document}is_saving = FALSE; private ${Elementor\Core\Base\Document}elements_iteration_actions = []; protected $post = class WP_Post { public $ID = 231; public $post_author = '1'; public $post_date = '2021-02-28 11:11:44'; public $post_date_gmt = '2021-02-28 03:11:44'; public $post_content = 'Previous\n\t\t\t\t\t\t\tNext'; public $post_title = 'BaS Page'; public $post_excerpt = ''; public $post_status = 'publish'; public $comment_status = 'closed'; public $ping_status = 'closed'; public $post_password = ''; public $post_name = 'bas-page'; public $to_ping = ''; public $pinged = ''; public $post_modified = '2021-04-19 10:49:30'; public $post_modified_gmt = '2021-04-19 02:49:30'; public $post_content_filtered = ''; public $post_parent = 0; public $guid = 'https://neurosurgeon.hk/?post_type=elementor_library&#038;p=231'; public $menu_order = 0; public $post_type = 'elementor_library'; public $post_mime_type = ''; public $comment_count = '0'; public $filter = 'raw' }; private ${Elementor\Controls_Stack}id = 231; private ${Elementor\Controls_Stack}active_settings = NULL; private ${Elementor\Controls_Stack}parsed_active_settings = NULL; private ${Elementor\Controls_Stack}parsed_dynamic_settings = NULL; private ${Elementor\Controls_Stack}data = ['id' => 231, 'settings' => [...], 'post_id' => 231]; private ${Elementor\Controls_Stack}config = NULL; private ${Elementor\Controls_Stack}current_section = ['tab' => 'style', 'condition' => [...], 'section' => 'eael_ext_table_of_content_header_style']; private ${Elementor\Controls_Stack}current_tab = NULL; private ${Elementor\Controls_Stack}current_popover = NULL; private ${Elementor\Controls_Stack}injection_point = NULL; private ${Elementor\Controls_Stack}settings_sanitized = FALSE; private ${Elementor\Controls_Stack}render_attributes = []; private ${Elementor\Core\Base\Base_Object}settings = NULL } ).../class-wp-hook.php:303
231.336577431416spl_autoload_call( $class_name = 'Elementor\\Scheme_Typography' ).../Table_of_Content.php:594
241.336677431512Elementor\Autoloader::autoload( $class = 'Elementor\\Scheme_Typography' ).../Table_of_Content.php:594
251.336677431632Elementor\Utils::handle_deprecation( $item = 'Elementor\\Scheme_Typography', $version = '2.8.0', $replacement = 'Elementor\\Core\\Schemes\\Typography' ).../autoloader.php:336
261.336777432512_deprecated_file( $file = 'Elementor\\Scheme_Typography', $version = '2.8.0', $replacement = 'Elementor\\Core\\Schemes\\Typography', $message = ??? ).../utils.php:569
271.336777432832trigger_error( $message = '從 2.8.0 版開始,Elementor\\Scheme_Typography <strong>已淘汰不用</strong>,請改用 Elementor\\Core\\Schemes\\Typography。', $error_type = 16384 ).../functions.php:5401
仁心解碼 – 香港微創腦及脊椎神經外科手術中心

仁心解碼 - 腦神經外科

腦神經外科手術涉及範圍非常廣泛。
微創顯微鏡下的神經外科手術,適用於大腦,脊柱,中風和疼痛治療。

這些手術是用於治療人體中樞和周圍神經系統,以及其周圍血管和相關脊柱的疾病。

腦神經外科手術主要包括:

  1. 經蝶竇手術來治療腦下垂體的腺瘤
  2. 在導航系統指導下,進行腦腫瘤切除的微創開顱手術。
  3. 微血管減壓術(MVD):用於釋放受擠壓的顱底神經線,來治療三叉神經痛,或舌咽神經痛的慢性神經性痛症。

中風黃金小時內的急救和中風預防,包括:

  1. 顯微腦外科手術:用於出血性中風或腦血管動脈瘤夾閉。
  2. 內血管導管式的微創腦血管外科手術,例如:緊急機械式血栓淸除術,用以打通缺血性中風被阻塞的大腦血管,來搶救大腦細胞。
  3. 植入血流導向性的支架,或金屬線圈,用以閉塞大腦血管的動脈瘤,以達到預防中風之目的。

但是在衆多神經外科手術中,微創脊柱手術(MIS)反而是腦神經外科醫生最常做的顯微鏡微創手術。 他們運用腦神經外科的知識、顯微鏡手術的技巧和儀器,在高標準下,就可以確保病人在脊柱手術中獲得良好神經康復之效果。

微創脊椎手術涵蓋:

  1. 脊椎注射和射頻痛症治療,來醫治坐骨神經痛。
  2. 脊柱腫瘤 。
  3. 脊柱創傷 。
  4. 脊柱椎間盤突出症:微創椎間盤切除及神經壓術。
  5. 脊椎神經管道狹窄症:微創神經減壓術。
  6. 脊柱退化及不穩定的疾病:
    微創脊柱融合手術:
    a. 經椎間孔腰椎椎體間融合術(TLIF)或
    b. 斜腰椎體間融合術(OLIF)

以下部分就是提供有關:腦、脊柱、中風及痛症治療的常見腦神經外科手術之相關健康信息,以供參考。

主題相關標題簡介PDF下載

頭痛不要忍
找出原因對症治療

  • 常見的頭痛類型
  • 頭痛持續不應掉以輕心
  • 危險的腦疾可用MRI、CT診斷
很多人都有頭痛的經驗,世界衞生組織更將頭痛列為最常見疾病的第三名。究竟是甚麼原因引發頭痛的?頭痛有根治的方法嗎? 

臉歪嘴斜未必是中風

  • 中風誘發中樞型面麻痺
  • 病毒感染損及神經
  • 提升免疫力避免病毒趁虛而入
王先生早上梳洗時,突然發現嘴角肌肉不受控制、口水會不自主從嘴角向下流,再看到鏡中自己臉部表情不對稱,他嚇壞了以為自己中了風! 

淺談頭部創傷

  • 頭部創傷的評估分類
  • 頭部創傷檢查及處理
  • 頭部創傷的注意事項
不小心頭部撞到櫃子或開玩笑的推撞,導致頭部遭遇搖晃或受傷,往往被人忽略忘記。病人 常於事後三週至三個月才察覺不適,向腦神經外科醫生求診。 

細談手腳麻痺背後原因

  • 麻與痺是兩種不同症狀
  • 引起手腳麻痺的病因
  • 是中風或是糖尿病其中一個先兆
大家應該都有過手腳麻痺的經驗,有的是因長時間姿勢不正確所致,只要調整姿勢即可緩解手腳麻痺,但有的人是因為疾病導致手腳麻痺,必須透過醫生診症及治療才能緩解手腳麻痺的情形。 

像火燒、針刺的三叉神經痛

  • 痛楚驟發沒有預兆
  • 易與他症混淆、誤診時有發生
本港每年約有800多宗三叉神經痛新症,但由於港人對此症認知不足大部分個案仍未被確診。甚麼是三叉神經痛? 

認識腦下垂體腫瘤

  • 腦下垂體的腺瘤症狀
  • 診斷至少需經兩項測試
  • 腦下垂體腫瘤治療方法
腦下垂體(Pituitary Gland)位於腦底部的中央位置,是身體中激素的主要控制中心。如果腦下垂體有腫瘤會出現甚麼問題? 

頸椎前路椎間盤切除及椎體融合術

  • 頸椎病變的成因及症狀
  • 手術個案分享
  • 何謂「頸椎前路椎間盤切除
    及椎體融合術」
  • 人工椎間盤的種類及作用
  • 首要任務是保護中樞神經
在接着幾期的專欄中,筆者將分享一系列的腦神經外科手術,包括頸椎、腰椎、腦部以及腦血管的微創手術。本期就先向讀者講解頸椎的前路椎間盤切除及椎體融合手術。 

頸椎後路微創脊髓神經外科減壓手術

  • 以外科手術治療頸椎神經管道病變
  • 傳統手術與新式手術的區別甚大
上期已向讀者講解頸椎前路椎間盤切除及椎體融合手術,本期就向大家講解頸椎的後路神經外科微創減壓手術。

天氣轉冷提升中風危機

  • 小中風是中風先兆
  • 從日常習慣預防小中風
  • 溫差大小與中風息息相關
王先生是專職股票經紀,每天工作超過16小時承受極大壓力。在這樣忙碌又緊張的生活中,某日王先生突然覺得暈眩、肢體無力、麻木,但不久後又恢復正常,幸好王太警覺硬是要陪他到醫院就診,經檢查後醫生表示他有可能是暫時性腦缺血。 

及早求醫腦腫瘤並非不治之症

  • 腦腫瘤可分為兩種
  • 腦腫瘤的成因及階段
  • 腦腫瘤並非不治之症
  • 腦腫瘤的常見症狀及診斷
腦部大致可分為大腦、小腦、腦幹,大腦扮演人體機能總指揮,由兩個橢圓形半球組成,每個半球有四個組成部分,包括腦葉、額葉、頂葉、顳葉及枕葉,各自控制身體不同的機能。當局部腦組織發生不正常的分裂增殖便會形成瘤塊,有機會是良性腫瘤,但也有可能是惡性腫瘤,即俗稱的腦癌。 

腦血管動脈瘤隨時引爆的定時炸彈

  • 動脈瘤破裂 – 兩至三成人送院前已失救
  • 手術過程猶如拆彈的情節
  • 保持血管健康是第一要務
腦血管動脈瘤(Celebral Aneurysm)一直被喻為沉默的殺手,靜靜地埋藏在顱底血管深處,無明顯病徵卻可殺人於無形,不少患者因腦血管動脈瘤爆破出血致急性中風或劇烈頭痛,才赫然發現患病。 

腦膜腫瘤的開顱手術

  • 屬良性腫瘤 完全切除便能根治
  • 個案一:腦下垂的顱底良性腦硬膜瘤
  • 個案二:3厘米的左側巖骨斜坡
    良性腦膜腫瘤
本期向讀者講解腦膜腫瘤的開顱手術。腦膜瘤(Meningioma)是排名第二常見的原發性顱內腫瘤,僅次於神經膠質瘤,佔顱內腫瘤約15至24%。 

微血管減壓手術
一解長年神經痛症

  • 個案分享:
    飽受三叉神經痛之苦的張婆婆
  • 微血管減壓手術
    解除張婆婆長年痛苦
繼上期腦膜腫瘤的開顱手術篇後,筆者這次要和讀者談的是根治三叉神經痛(Trigeminal Neuralgia)、 舌咽神經痛(Glossopharyngeal Neuralgia)和半邊面肌痙攣症(Hemifacial Spasm)的微血管減壓手術。 

腰背痛 莫非椎間盤突出?

  • 確認疼痛點 鑑別診斷
  • 急性期側重緩解炎症及疼痛
  • 接受另類療法務必謹慎
相信每個都市人都試過腰痠背痛,但只有少數人會積極接受治療。一旦出現腰背痛,最重要的就是尋求診治設法緩解症狀,而且要預防再次發作。 

腰射頻治療
抑制三叉神經痛、頸椎及坐骨神經痛

  • 個案一:三叉神經痛已有3年多
  • 個案二:3年多來出現頸及左肩膀、左上手臂麻痛的徵狀
  • 個案三:背痛及右腳痠麻、疼痛,徵狀持續了4個多月
  • 何謂射頻治療
頸部痠痛、腰痠背痛、三叉神經、頸椎及坐骨神經痛等,都是腦神經外科醫生日常接觸的病人徵狀。當所有保守治療方案療效不彰時,醫生就會建議使用「脈動式射頻電磁波」進行治療,以減輕病人的疼痛。 

易被誤診的腦腫瘤:
聽覺神經瘤

  • 聽覺神經和前庭神經
  • 三叉神經
  • 顏面神經
  • 第9、10、11腦神經
聽覺神經瘤(Acoustic Neuroma)又稱為聽神經許旺氏細胞瘤(Schwannoma),或前庭神經鞘瘤(Vestibular Schwannoma),是許旺氏細胞瘤沿第8條腦神經線生長所致。聽覺神經瘤佔了所有顱內腫瘤(Brain Tumour)總數約8%。不過在區域性劃分上,聽覺神經瘤在小腦腦橋角(Cerebral – pontine Angle)是常見的腫瘤,大約佔了所有小腦腦橋角區域腫瘤(Cerebral-pontine Angle Tumor)的80 至90%。 

非一般的眼眉跳: 半邊臉肌抽搐痙攣症
(Hemifacial Spasm)

  • Hemifacial spasm/ HFS
  • 三叉神經
  • 顏面神經
  • 半邊面肌痙攣症
半邊臉肌抽搐痙攣症是一種神經肌肉失調的疾病,病人一邊眼簾或面部肌肉會有不規律、非自主的收縮和抽搐現象。由於通常只是半側面部,左邊或右邊抽搐,故又稱為「半面痙攣」,但兩邊面同時抽搐亦偶有出現。
人體的面部肌肉是由我們腦部,由頭顱底部腦幹起始的第七條腦神經,即面部神經(facial nerve)所控制。而面部神經於顱骨耳部下側分為五束去控制不同位置的面部肌肉。
 

腦血管外科談中風三部曲(下篇)

  • 腦血管結構退化是後天性腦血管病變主因
  • 案例一:39歲健康女性
  • 案例二:52歲運動健將

腦血管結構退化是後天性腦血管病變主因 –

導致後天腦血管病變的成因很多,大多數與腦部血管結構的退化有關。以筆者經驗,青年因後天性血管結構病變導致中風的年齡低至28歲,所以中風並非中年人或長者的專利。肥胖、三高和吸煙等因素均會加速腦部血管結構退化,然而所謂三高亦和家族遺傳有關,所以部分中風病人有家族史。