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How Japan tends to approach it

Condition guides

Plain, sourced explanations of how each condition is typically thought through in Japan — written by the neurosurgeon you’d be talking to, not a content team. They are general information, not a diagnosis: the aim is to help you ask better questions of the doctor who examines you.

Bypass surgery

Moyamoya disease

Where Japan’s long experience with bypass surgery genuinely shapes the decision — and when watchful waiting is the honest answer.

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Watch or treat

Unruptured brain aneurysm

How size, location and the UCAS‑Japan data feed a decision that is rarely as urgent as the fear it creates.

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Microvascular decompression

Trigeminal neuralgia

When medication has stopped working, and what the surgery that treats the cause actually involves.

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Microvascular decompression

Hemifacial spasm

The involuntary twitch that starts around the eye — and the operation that addresses its cause.

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Diagnosis to decision

Brain tumor

How type, location and grade shape whether to watch, operate, or combine treatments.

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Rupture risk

Brain AVM

Weighing the risk of a bleed against the risk of treatment, with the ARUBA debate in plain view.

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Drainage pattern

Dural arteriovenous fistula

Why the drainage pattern, not the name, is what decides how urgently a dAVF is treated.

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Stroke prevention

Carotid artery stenosis

Symptomatic versus asymptomatic, and how surgery and stenting are chosen in Japan.

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Inside or outside the cord

Spinal cord tumor

How intramedullary versus extramedullary changes almost everything about the plan.

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Common in older adults

Chronic subdural hematoma

A slow bleed after a minor knock — often very treatable, sometimes recurrent.

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Recovery & rehabilitation

Life after stroke

What the months after a stroke can look like, and how Japan’s rehabilitation system carries a patient through.

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