Description
by Dr Nobuhiko Aoki (Author)
Clinical practice in neurosurgery is always very stringent. It is not uncommon for even a slight
misjudgment to result in the occurrence of a permanent neurological deficit in a patient. The author
believes, therefore, that neurosurgeons must be accountable for their patients on an emergency
basis, being on call duty for twenty-four hours. The author has learned many clinical practices,
including diagnostic examinations, surgical techniques, and postoperative management from the
patients at the Neurosurgical Ward in Tokyo Metropolitan Fuchu Hospital since December 1971.
The author devoted himself exclusively to duties in clinical practice during the initial ten years as
a resident in this hospital. I suffered from duodenal ulcers repeatedly due to mental and physical
stress, culminating in advanced pylorus stenosis, for which gastrectomy was performed in July
1981. Soon thereafter, considering that I had already been a neurosurgeon for ten years, I began to
plan various experimental studies.
