Dr. Foo-Chiang LEE

Consultant Neurosurgeon

Qualifications:  MBBS (Malaya), FRACS

Contributing Author, Textbook of Stereotactic and Functional Neurosurgery, 2nd Ed, 2009, Springer (Eds: P. Gildenberg, R. Tasker and A. Lozano)

Member of Organizing Committee, 3rd Annual Conference of the International Association of Neurorestoratology (IANR), Beijing April 2010 http://www.ianr.org.cn/English/index.asp

Dr. Lee Foo Chiang is currently a full time Senior Consultant Neurosurgeon at Sunway Medical Centre.  He graduated from the University of Malaya, Faculty of Medicine with Bachelor of Medicine and Bachelor of Surgery (MBBS) in 1977. He joined the Department of Neurosurgery, Institute of Neuroscience, General Hospital Kuala Lumpur in 1978.  From 1981 to 1985 he underwent Neurosurgery Fellowship Training of the Royal Australasian College of Surgeons at the Royal Adelaide Hospital and Adelaide Children’s Hospital, South Australia and was awarded Fellowship of Royal College of Surgeons in Neurosurgery (FRACS-Neurosurgery) in 1985.

Upon return to Malaysia in 1985, he held the position of Consultant Neurosurgeon at the Department of Neurosurgery, Institute of Neuroscience, General Hospital Kuala Lumpur until 1988 when he commenced private practice as Consultant Neurosurgeon in various premier private hospitals in the capital city of Kuala Lumpur, including Subang Jaya Medical Centre (now renamed Sime Darby Medical Centre), Tung Shin Hospital, Tawakal Specialist Hospital and Sentosa Medical Centre.  In December 1999, he was among the pioneer doctors at Sunway Medical Centre, the tertiary care hospital which he helped to plan and get started.

Over the last 31 years of his Neurosurgical career, he has been to Karolinska Hospital, Stockholm; University of Southern California Medical Centre, Los Angeles; Pitié-Salpêtrière Hospital, Paris; Mannheim Hospital; University of Heidelberg; Free Berlin University; University of Dusseldorf, Germany; Queen Elizabeth Hospital (QEH) Hong Kong; and many hospitals in China e.g. Tiantan Hospital; Beijing Neurological Institute; Shanghai Huashan Hospital; in various capacities including visiting fellow or exchange scholar.

His works on movement disorder surgery (DBS) have been presented in international meetings in Vienna, Amsterdam, and Beijing.  He has been a congress speaker for ASEAN Congress of Neurosurgery, as well as national Neurosurgery meetings, and Academy of Medicine of Malaysia meeting.  He attends regularly international meetings like the Congress of Neurosurgery USA, ASIAN Congress of Neurosurgery, European and World Stereotactic and Functional meetings.  He is also involved in post-graduate teaching and has been invited as a speaker for the Education Course November 2009 for Master of Neurosurgery (MS-Neurosurgery), University Sains Malaysia.

He is an active member of Australasian College of Surgeons, Congress of Neurosurgery USA, World Society of Functional and Stereotactic Neurosurgery and Neurosurgical Association Malaysia.

Dr Lee is a contributing author for the Textbook of Stereotactic and Functional Neurosurgery by Springer, 2nd Edition 2009, and Edited by Gildenberg P, Tasker R, and Lozano A.

Apart from routine Neurosurgery, his special clinical interests include:

Cerebrovascular Surgery including cerebral revascularization (EC/IC Bypass) for cerebral occlusive strokes, Moya-Moya disease using the latest Indocyanine Green ICG Vascular Fluorescence

Functional Neurosurgery for movement disorders like Deep Brain Stimulation for Parkinson’s Disease which he introduced into Malaysia together with fellow Functional Neurosurgery team members, Neurosurgeon Dr. C.P. Chee and Neurologist Dr. M.K. Lee in 2003 with the help of Professor Jamie Henderson of Cleveland Clinic USA.

Minimally Invasive Neurosurgery: Stereotactic Image Guided Neurosurgery and Frame based Surgery which he pioneered in early 1990s in the country.

Fluorescence Guided Tumour resection with 5- Amino-Levulinic Acid (5 ALA), a first among private hospitals in Malaysia.

Motion Preservation Spine Surgery: He is a leading surgeon employing cervical arthroplasty and other minimally invasive spine surgeries.

Clinical Experimental Research Treatment of Neuro degenerative disorders and strokes using Stem Cells as a leading member of the Neural Transplant Team comprising Drs. F.C. Lee, C.P. Chee and M.K. Lee, who were also co-signatories of the 2008 Beijing Declaration on Neurorestoratology.

  1. Rami Talib Almushcab
    25 December, 2020 at 3:27 PM

    Dear Dr.Lee,
    This is Rami the son of Talib Almushcab from Saudi Arabia who you have operated on at Subang Jaya Hospital (SJH) back in 1990. He suffered from head injury resulted from a motorcycle hit and was in coma at government hospital in Kuala Lumpor for two weeks before he was transferred to SJH. All doctors advised that they could not do anything to save our father except you. You gave us hope and after months of treatment, my father did walk and carried normal conversation. My father lived happily after until he passed away in 1998. On behalf of Almushcab family, we would like to thank you for you efforts and special attention that you have provided to our father. To us, you are the best doctor who we know when it comes to neurosurgeon…

    Best regards and God bless you wherever you are.

  2. Bernice
    12 March, 2018 at 6:42 AM

    Dear Dr. Lee,
    I am an 18 year old female who was recently diagnosed with Chiari 1 malformation with Syringomyelia about 2 years ago and would like to know what treatment is usually recommended for this condition. Is surgery the only option? And roughly how long is the recovery period?
    Thank you very much.

    • 16 March, 2018 at 1:40 PM

      Dear Bernice
      Surgery is generally the most appropriate treatment for Chiari malformation. You are advised to discuss your clinical condition and scan results with the neurosurgeon. Recovery depends on the extent of surgery.
      You can get in touch with Dr Lee at the contacts on this website.
      Best wishes, Webmaster

      • Bernice
        22 March, 2018 at 4:51 PM

        Hi, thank you for the prompt reply and contact details. Would also like to know is this procedure safe?

        Thanks and regards,

    25 February, 2018 at 1:28 PM

    Dear Dr. Lee,

    Firstly, thank you for your time reading this message.
    Recently my husband is diagnosed with likely Pontine Carvenoma. His condition is worsening as he now has poor control of his right side of his body. At the moment he is seeking treatment at HSAJB. However, the doctor there mentioned that there is no medication and surgery is not recommendable. Yet, from my reading surgery is the only way to handle the situation.
    Please advice us. what should we do?

    Thank you for your time.

    • 4 March, 2018 at 11:12 AM

      Dear Puan Baizura
      If diagnosis is confirmed to be Pontine Cavernoma, this is a complex situation and treatment has to be individualised. Your husband needs to have a detailed clinical assessment together with study of his brain scans. Do consider a second opinion by consulting with a neurosurgeon. Dr Lee can be reached via the contacts on this website.
      Best wishes.

  4. Lee heng boon
    22 February, 2018 at 7:45 PM

    Hi…Dr lee…i am Mr lee….my mom had a sickness of trigeminal nerve…and always suffer painful on the left bottom face…she took cabamasifin….and seems like no effect …and tried lamotrigine with painkiller….but doesn’t get better too….i want to get consultation from your expert advise… thanks…

    • 23 February, 2018 at 1:21 PM

      Dear Mr Lee
      Trigeminal neuralgia is managed with medications for neuropathic pain. There are a number of combinations which are effective. In case of medication failure, nerve block and microvascular decompression surgery are considered.

  5. Diana
    22 February, 2018 at 6:20 PM

    Hii Dr Lee. I wish to seek your advice on my condition. I am 50 yo woman who has had a cavernoma in my left brain. I had an operation to move the tumour in 2004, but not all can be removed totally. The doctor has prescribed me with daily dose of dilantin (3 capsules at night). Recently my condition is not stable, I had many blackouts events, almost one or two times on weekly basis, each lasted 5 minutes. Can I seek your advice on this? Thank you very much and I’m waiting for your reply.

    • 23 February, 2018 at 1:19 PM

      Dear Diana
      You are advised to refer to your neuro specialist to check whether you are having minor seizures. If so, your medication needs to be adjusted.
      Best wishes.

  6. Ain
    7 February, 2018 at 11:03 PM

    Good day.

    Dear Dr Lee,

    My MRI result showed that i am having two tavlov cysts at the sacral level. Right side cyst measures at 1.0cm x 0.8cm x 1.7cm (AP x W x CC) while the left side measures at 0.9cm x 0.9cm x 1.7cm. My sympthoms are: shock pain at my left buttock whenever i walk or try to change my sleeping position and constant headace. What is the best treatment to cure this disease? Is it possible to remove the cyst permanently through surgery?

    • 8 February, 2018 at 4:12 PM

      Dear Ain,
      Your condition requires thorough study of your clinical status as well as the MRI scans, in order to determine whether the Tarlov cysts are indeed the cause of your symptoms. Only then is it possible to make appropriate treatment recommendations. You are advised to have a consultation with the Neurosurgeon. The contacts are listed on this website.
      Best wishes,

  7. Irene Chua
    10 January, 2018 at 10:01 PM

    Dr Lee, my brother is diagnosed with brain AVM at HUKM. Does he need to redo his MRI if he is keen to consult you on his illness?

    • 11 January, 2018 at 5:11 PM

      Dear Irene,
      Your brother’s initial scan needs to be reviewed by the neurosurgeon. Thereafter, you will be advised whether there is need for any further tests.

  8. Chan Gaik Lan
    3 January, 2018 at 2:18 PM

    Dear Lee
    Recently my MRI showing that i am having syringomyelia. It is from C1 to T1. Now my clinical presentation showing
    1. numbness both hands n slight both feet
    2.sometimes having difficulty in swallowing even drinking water
    3. Abnormal gait when walking
    4. Unable to balance when turning n walking
    5. Frequent urine cos having residual urine – unfinished urine
    6 .body feel so heavy to lift up
    7. I can’t run and walk fast – will fall down

    What is your opinion if i go for a surgery? As i know the outcome are usually not as good after operation. Hope u can give me your expertise opinion. Thank you in advance hope u can solve my problem

    • 11 January, 2018 at 5:58 PM

      Dear Madam Chan
      In general, the definitive treatment for syringomyelia is indeed surgery. Results are very satisfactory and symptoms should improve. Furthermore, it should prevent further neurological damage. Results are of course affected by the severity of the condition, the patient’s general health status and the surgeon’s expertise.
      Do arrange for a consultation with the neurosurgeon for better understanding, in order to give yourself the best chance for recovery.
      Best wishes,
      Advanced Clinical Neuroscience Associates

  9. Mariah
    20 November, 2017 at 11:06 AM

    Dear Dr.Lee

    My husband need to check Keppra level on his blood.Can you suggest a hospital in Malaysia that have it?because i can not find it.
    He have AVM di his right brain,and usep keppra 1000mg twice a day.


    • 26 November, 2017 at 11:15 AM

      Dear Mariah,
      Levetiracetem, LEV (Keppra) drug level is not routinely tested in Malaysia (recommended therapeutic level is 20-40mg/L). LEV is prescribed based on dosage guidelines of 1,000 – 3,000 mg per day, adjusted according to seizure response.
      Blood levels were found to be diminished in cases of polytherapy (use of multiple antiepileptic drugs in combination).
      Best wishes.

  10. hamizah mohd hassan
    1 November, 2017 at 9:01 AM

    Hi Dr Lee.
    Do you do microvascular decompression (MVD) surgery. I have mild to moderate right hemifascial spasm. Being a doctor and administartor in the government agency, this disease is debilitating and distressing. I could not tolerate the side effects of botox injection as everyone seem to notice the semiparalysis of my eyelids not to mention the side effects due to the incomplete closure of the eye.
    If you do MVD, may I know your experience in it and the success rate.
    Tahnk you for your time.


    • 26 November, 2017 at 11:24 AM

      Dear Madam,
      Microvascular decompression (MVD) surgery is indeed an option for refractory hemifacial spasm. Results are rewarding in good hands. As you know, it is a delicate procedure so you are advised to consult the neurosurgeon for a thorough in-depth discussion of the risks/benefits for your situation. You may get in touch with the neurosurgeons at the contacts listed in this website.
      All the best, Webmaster

  11. TBL
    23 October, 2017 at 1:35 AM

    Dear Dr Lee,

    I was diagnosed with Cushing disease and agromegaly and was told that this is a rare condition. Is there any statistical datas available For this condition in Malaysia?

    As surgery has been adviced as the best option, I noticed that there are 2 approaches namely endoscopic transnasal transsphenoidal and microscopic – What are the differences btw both techniques and Which will be your preferred method?

    Lastly, would like to know how many pituitary surgery have you performed thus far and is there any which is similar to my condition. Looking forward to your early reply.

    • 26 November, 2017 at 11:35 AM

      Dear TBL
      Your clinical situation requires a detailed analysis of the tumour size, encroachment on to neighbouring structures, its hormonal output and your general medical condition. Based on these, a treatment recommendation will be made on choice of medication, radiotherapy or surgery. The next step will then be decision about surgical approach, such as transphenoidal vs. open surgery. Occasionally, technical obstacles may mandate the latter in the interest of patient safety (e.g. risk of massive haemorrhage not controllable via endoscopic method).
      You are advised to consult the neurosurgeon for a thorough discussion prior to making an informed decision.
      Best wishes for a good outcome.

  12. Fransisca Dekarta
    14 October, 2017 at 11:27 PM

    Dear Dr. Lee,

    My father (56 years old) had a brain surgery due to cerebral aneurysm on November, 2014. After going through some months of recovery, my father now is able to do simple daily routines by himself even driving car and riding bike.

    However, there has been a significant degradation on his memory, changes in sleeping quality and some of his behavior:
    – He keeps repeating same topic over and over again before changing to other topics and repeating them again.
    – He can’t have a real focus on what people are saying.
    – He can’t have a good sleep without taking this medicine called Riklona, he takes only half of the suggested dosage though (after consulting with the Neurosurgeon who operated him of course) and it’s enough to keep him sleep for like 4-5 hours at night. But his sleep is very easily distracted even by small voices.
    – It seems like he always feels restless and he gets hungry so easily, like after having a quite big portion of meal, he’ll get hungry a few hours later which never happened under his normal condition before.

    We’d like to ask for suggestion, is there any medical or non-medical treatment that can help my father gaining back his normal condition or at least make it better?
    If Doctor find it’s necessary to meet the patient in personal for further checking, we will try our best to arrange a visit. We really hope this is not a permanent and non-curable effect of post-brain surgery. We really appreciate your respond.


    • 26 November, 2017 at 11:43 AM

      Dear Fransisca
      If you are certain that your father is getting worse after the initial stabilisation, you are advised to consult the neurosurgeon to assess whether your father may have a delayed complication from the aneurysm. Hydrocephalus and seizures are some possibilities. Other issues may be the side effects of medication.
      Once physical causes have been ruled out, do consider depression due to this life changing event, as well as post-traumatic stress disorder.
      Best wishes.

  13. 3 August, 2017 at 10:19 AM

    Hi Dr, im a 29yr old practicing dental surgeon. I had gone for a bamboo massage on tuesday evening, the very next morning i started getting a sharp pain on the left back side of my head that lasts for approx 1-2sec and a tingling/numbing sensation disperses after. It comes every 1 to 2 min and lasted for the past 24 hours already. Ive gone for the massage before and never had this problem. Ive taken some antiinflammatories but to no avail. This is the first time im experiencing such symptom. Is this something to worry about? Or an immediate appointment is necessary? Thank you for your advise.


    • 11 August, 2017 at 6:42 PM

      Dear Dr Lou
      Your symptoms are noted. It is not feasible to arrive at any diagnostic formulation based on the information given.
      Before you consult a neurosurgeon, why not have a preliminary check-up by your family doctor, who would be in a position to evaluate and assess the need for specialist consultation.
      Best wishes,
      on behalf of Dr. Lee

  14. Ai Lian
    28 June, 2017 at 8:46 AM

    Dear Dr Lee,

    Good morning.

    Last Jan 2016, i was diagnosed to (I’m not sure) cervical spondylitis or degeneration. Which effected C2-C7.

    Last Oct 2016, i went to see a doctor without knowing him as a chiropractor. He twisted my neck in 4 different angles and over since i started to feel more awful and since then every time when i turn my head left and right, there are noises. And don’t really feel right. So i went to see my doctor in Sunway again and second MRI was done in beginning of Nov 2016.It seems it’s a bit worsen and the new problem is the base of skull is not in one piece. Not like what i see in my first MRI.

    Everyday have discomfort from neck till fingers, and funny pain from shoulder, arm, elbow till fingers.

    Always feel like to crack at point of my elbow and also fingers just to feel better for just a second.

    I am thinking to go to see you at Sunway. Maybe go for another MRI if possible and hope can claim from insurance. Don’t know still can claim insurance because i did 2 MRI last year.

    May i know, with my problem, can i take speedboat as i am thinking to go to Perhentian Island. 😦

    Please advice.

    Thank you very much for your time and hope to hear from you soon.

    Warm regards,
    Ai Lian.

    • 28 June, 2017 at 10:15 AM

      Dear Ai Lian

      You have listed a number of issues in your post. Given this limited information, it is uncertain what is the degree of your neck problem (if any). Thus it is not likely any appropriate advice could be formulated.
      Do consider a proper consultation with the neurosurgeon to get a comprehensive assessment of your condition, and be advised what sporting activities are permissible.

      Best wishes

  15. Nicole Kow
    25 May, 2017 at 2:41 PM

    Hi Dr. Lee,

    i am suffered from serious synkinesis during the recovery of bell palsy, currently i can’t smile and blink my eye properly, may i ask is there any treatment for me? Thank you very much!


    • 29 May, 2017 at 3:19 PM

      Dear Nicole
      It is not clear whether you still have residual paralysis of the facial muscles or indeed there are unwanted movements, i.e. synkinesis, which are caused by incorrect re-innervation.
      Treatment depends on the actual causation.
      Do consult your doctor about the appropriate treatment.
      Best wishes,

  16. YY
    16 May, 2017 at 10:51 AM

    Dear Dr. Lee,

    I am aged 32 and have diagnosed that there is meningiomas in my right brain after MRI scan. The tumor protrude the skull bone, but did not implicate nerve tissue, and have no impact to me now.
    Please advise is it necessary for me to go for a brain surgery to remove it? or I could have other options?

    • 12 July, 2017 at 10:22 AM

      Dear YY

      Your neurosurgeon would be able to advise on the necessity for surgery. There are many factors to consider, including size of the growth, its characteristics and whether there is any structure at risk in its vicinity.
      Do consider a second opinion if in any doubt.
      Best wishes.
      on behalf of Dr Lee

  17. Md. Fazla Rabby
    13 May, 2017 at 11:27 PM

    Hello Dr. Lee,

    My daughter is now 3 years old. She is suffering from delayed development. She does not have her neck control yet and can not sit independently. Doing physio, occupational and speech therapy.

    Her development is very slow, but her other social activities are normal. Earlier at 8 months of her age she diagnosed with CMV and treated with medication.

    At the age of 3/4 months she was as like as normal and roam on the bed, and also fall from the bed twice. At that time she had high fever and after that she became very calm.

    Kindly seeking your valuable guide for her further treatment.

    Best regards,


    • 15 May, 2017 at 4:31 PM

      Dear Rabby
      From the info provided, your daughter is receiving all the modalities of treatment needed to maximise her recovery.
      If you would like her to benefit from further medical expertise, referral to a developmental paediatrician is the next step.
      Best wishes for your daughter’s future.
      on behalf of Dr Lee

      • Md. Fazla Rabby
        17 May, 2017 at 6:32 PM

        Thank you very much!

  18. LT
    12 May, 2017 at 11:06 AM

    Dear Dr Lee,

    I’ve hemifacial spasm few years ago, is no pain but recently the twitching become frequent, May I know any risk and side effect of microvascular decompression surgery?
    Thank you Dr.

    • 15 May, 2017 at 4:49 PM

      Dear M Ong
      Risk-benefit discussion on any major form surgery needs to be conducted in a face to face consultation, taking into consideration the severity of the condition and the general health of the patient.
      If you would like to explore this surgical option, do consider meeting up with the surgeon for detailed discussion.
      Best wishes, Webmaster

  19. Michelle Chang
    5 May, 2017 at 2:43 PM

    Dear Dr Lee

    I am 49 years of age and have been suffering migraine attacks for about 2 weeks. My right side of my head vibrates when i move or tilt my head. Had taken actifast, Fenagesic and even Avril to stop the pain but it comes back after 2-3 hours. The pain wakes me up every single day around 4am and it vibrates. i also realised that when i touched my neck on my right side, it is painful. What should i do.

    Fyi, I’ve had a major ops sometime back in 2010 for L4/L5/S1 wherein i have 6 screws on my back. Am also in menopausal stage as well. Hope these info helps. Thanks.

    • 9 May, 2017 at 12:03 PM

      Dear Michelle
      If your diagnosis has been confirmed to be migraine, you should consult with your GP on the need to escalate from pain-killers to more specific medications for control of acute attacks. There are a number of choices for Level 2 medications.
      As for back surgery, this is not likely to be relevant, unless it causes pain and discomfort which could provoke migraine.
      Finally, migraines might indeed get worse during the hormonal fluxes of menopause. Managing the symptoms of menopause would definitely be helpful.

      Best wishes, Webmaster

  20. Ally
    13 April, 2017 at 11:52 PM

    Replied by email

    Dear Dr. Lee,
    My name is Ally and I am from Penang. My father, aged 76 is suffering Trigeminal Neuralgia and currently is taking Carbamazepine. He has taken this medicine for many years, but now the medicine has no effect in reducing the pain any more.

    I heard there is a surgery called “micro vascular decompression” can leads to permanent cure of Trigeminal Neuralgia. May I know how much will the surgery cost? Because my dad has high blood pressure, high cholesterol and he is also taking daily medicine for heart problem, can he takes the surgery?

    Looking forward earliest response.

    Thank you

    • 24 April, 2017 at 12:45 PM

      Dear Ally,

      Please refer to your reply sent via email.

      • Grace Leong
        7 January, 2018 at 3:34 AM

        Do you mind share me the information as about inquiry ?
        Actually my mother in law, she is 61 year old and is suffering Trigeminal nerve, she had been took carbamazepine 2 months plus but have sign effect issue…. very worst….. now change to taking gabapentin but become skin allergic…..
        She have diabetes and taking medicine, does she suitable to surgery micro vascular decompression ?
        May i know how much is the charge ?
        Thank you.

  21. Mdm Chan Kum Pheng
    12 April, 2017 at 1:57 PM

    My friend has acoustic neuroma 2.1x 1.3x 1.1
    Which specialist should he see ? Pls advise

    • 13 April, 2017 at 10:49 AM

      Dear Madam Chan

      Your friend should consult with neurosurgeon. She can contact Dr Lee at the addresses listed on this website.

      Best wishes.

  22. Ooi bee hong
    14 March, 2017 at 4:57 PM

    I am enquiring for my mother who is now in her advanced age of 88. She has been suffering from trigeminal neuralgia for more than a decade, and lately the pain has become unbearable. What would be the cost for MVD and if this surgery option is at all possible for her? Would you suggest gamma knife instead if MVD not recommended due to her age ?

    • 13 April, 2017 at 10:59 AM

      Dear M Ooi

      Treatment options for trigeminal neuralgia have to be tailored to the patient’s specific condition and general health.
      Your mother should consult with the neurosurgeon to assess whether she has exhausted all medication options.
      If indeed surgery is recommended, you will be guided on the merits of the various surgical techniques applicable in her case.

  23. MR Ho
    28 February, 2017 at 2:57 AM

    Hi Dr Lee, i have Lipoma (size 3cm) on my neck (right hand side) just below my chin…and because its near the neck and many nerve over the neck so i thinking of choosing Neurosurgery. Hope you can assist me with my problem.

    • 14 April, 2017 at 12:47 PM

      Dear Mr Ho

      Apologies for this late reply – your enquiry was caught by the filter. Indeed, the tumour may implicate nerve tissue or may itself arise from nerve tissue (e.g. nerve sheath tumour). Do contact Dr Lee to arrange for a consultation. If indicated, tests can be done to determine if nerve tissue is at risk.

  24. Jenn Niee
    21 January, 2017 at 12:48 PM

    Dear Dr Lee,

    I was diagnosed with a DNET Brain Tumor in 2014 in my left temporal lobe. I am having blankness of my mind, loss my sense of thoughts and memory for few minutes everyday. I have done the brain surgery in 2014 but only part of the tumor can be removed as it is too close to the memory and speech area. I was taking Keppra till the maximum dose but still having seizures once or twice a week. Doctor was added Tegretol on top of it. My seizures was increased to around 20 times per day & i have stopped Tegretol. I have done my 2nd operation in 2016 after the MRI, EEG & Functional MRI. According to the Functional MRI result, there was 2 cm gap to the speech area and therefore i can choose not to be awaked during the brain surgery. However, based on the latest 2017 MRI scan, the tumor is still leftover around my speech area. Doctor suggested me to do 3rd operation & this time must be done awake. Should i try this awake operation in 2017 again as i am still having seizures nowadays & i am worrying it will still affect my speech in future if i choose not to do the operate now?


    • 14 April, 2017 at 12:43 PM

      Dear Ms Jenn

      Your situation requires detailed assessment of both your clinical status and imaging results. Do consult with Dr Chee at the addresses on this site.

  25. Fei
    18 January, 2017 at 4:31 PM

    Hi Dr. Lee Foo Chiang,

    My aunt is 72yrs old and attacked by celebral aneurysm 3 days ago.
    She is now in hospital.
    Doctor advised brain surgery on her.
    I would like to check what other options my aunt have now.
    We are worried on brain surgery.

    • 19 January, 2017 at 8:17 PM

      Dear Fei

      You are advised to contact Dr Lee at the addresses provided on this site.
      A detailed evaluation of the patient’s condition and pre-morbid health status is needed in order to formulate an appropriate treatment recommendation.

      Best wishes,

  26. Fariha
    23 December, 2016 at 7:49 PM

    Dear Dr. Lee,
    I am 27 years old female and I have been suffering from Trigeminal Neuralgia (on the right side of my face CN V2). It started two years back and I was prescribed with prednisolone and some vitamins. I had no pain for one year in between but it came back a month ago. I again started the same medication few days back and the excruciating pain is not subsiding. I am looking for a permanent solution. I live in Bangladesh. Please suggest me the most beneficial but an economical option I can have so that it becomes easier for me to decide a visit at your Medical Centre. Thank you.


    • 16 January, 2017 at 5:22 PM

      Dear Miss Fariha,
      Trigeminal neuralgia can be treated satisfactorily with Microvascular decompression (MVD) which is a microneurosurgery. Long term complete relief of pain is expected in most cases after surgery. It is a safe operation that takes 90 minutes of operating time and about four days of hospitalization (includes ICU/HDU and normal ward).

      Thank You.
      Dr Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon International Specialist Centre

      • Sham
        28 July, 2017 at 9:04 AM

        Dear Dr Lee/Web Master,

        How could I get a consultation on the costs for diagnosing TN and MDV treatment at your facility?

      • 28 July, 2017 at 2:54 PM

        Dear Sham

        Thank you for your enquiry. Costing for medical treatment needs to be individualised according to the patient’s condition and general medical status.
        Do contact Dr Lee’s office at the address on this website and arrange for the patient to consult him.
        Best wishes, Webmaster

  27. Dicky
    21 December, 2016 at 6:01 PM

    Dear Dr. Foo-Chiang LEE

    My daughter is suffering from spina bifida since birth. Is there any treatment that can cure his nervous system? whether stem cell treatment can cure it?

    Below are quick medical records of my daughter:


    Sex: Female
    Age: 7 years

    Spina bifida
    Hydrocephalus on VP shunt
    Post untethered cord 4 months
    CDH pelvis sinistra
    CTEV bilateral

    Chronological course of the disease
    32 weeks’ gestation: Hydrocephalus is diagnosed when the ANC, reconfirmed by USG Fetomaternal. When it has not detected spina bifida.
    34 weeks’ gestation: it was decided for the termination of pregnancy through elective sc in the hospital, because based on serial ultrasound brain parenchyma are depleting. The existence became known as spina bifida at birth. My daughter was born with a birth weight of 1750g, with hydrocephalus, spina bifida, and bilateral CTEV.
    Age 0 – ± 20 days: being treated in hospital. Minimum 1 day surgery hospital closed defect in the hospital, was not done earlier imaging studies, only blood tests.
    In monitoring the size of head circumference showed a progressive, age 8 days a CT scan of the head (9/25/2009), aged 9 days to do the installation of VP Shunt.
    Minimum ± 20 days: be patient.
    Age 30 days: consulted the Orthopaedic, showed bilateral CTEV and their CDH left hip, pelvis radiograph done three positions (29/10/2009).
    Ages 2 months – 1 year: Do spica casts installation action as much as ± 3-4 times, each 6-8 weeks, by 2 Orthopaedic different, but no improvement.
    Ages 6 years and 11 months: action untethered cord in RS M, based on the results of routine MRI lumbosacral (08/03/2016).

    Current complaints
    – The nervous system is not perfect
    o Both soles of the feet can not feel the stimulation
    o BAB / BAK can not be controlled

    – Condition of the bone
    o CDH (dislocation) left hip
    o bilateral CTEV
    There are currently able to walk with the help of AFO shoes.

    • 5 January, 2017 at 6:30 PM

      Dear Dicky
      Spina bifida is a structural defect of the nervous system caused by development anomaly. Stem cell treatment is not indicated.
      If you wish to have thorough reassessment of your daughter’s treatment by neurosurgeon, you are advised to have her undergo evaluation of her clinical status as well as her scan results.
      Do consider arranging consultation with Dr Lee Foo Chiang at the contacts listed on this site.
      Best wishes,

  28. 1 December, 2016 at 1:27 PM

    Dr.Lee Foo Chiang,
    I have 4.5*3.5*5 cm midline non-communicating posterior fossa arachnoid cyst that is per Dr assessment of CT scan eroding the occipital bone and constant pressure on cerebellum and No hydrocephalus. My main symptoms are breathing difficulty, head ache and left eye and ear pain. I have good ekg , stress test results and exercise regularly inn gym, though am slightly overweight at(5.7 ht 80 kg wt).
    I do not find any good articles in the web demonstrating Malaysia capability and experience in endoscopic fenestration and treatment. I live in Indonesia and I have opted to either treat myself in Malaysia or india. Can you shed guidance on what facilities and expertise are available for this treatment. Per Dr assessment, I would be better off with surgery as any trivial fall can lead to emergency, Although I feel if breathing, overall CSF circulation and pain improves that is worth taking the risk of this complex surgery.

    • 7 December, 2016 at 5:04 PM

      Dear Rob

      Even though endoscopic fenestration may sound less invasive, it has a significant reclosure rate of the openings created as compared to microsurgical excision of the cyst wall which is a definitive treatment with long term cure.
      Thank you
      Dr Lee Foo Chiang
      MBBS FRACS ( Neurosurgery)
      Consultant Neurosurgeon

  29. Shan
    14 November, 2016 at 2:49 PM

    Greetings Dr,

    My father is suffering from severe back pain due to the following reasons from his MRI report:
    1) Circumferential disc prolapsed at L4/L5 with left inferior posterior disc herniation. Moderate compression of right side caude equina
    2) Posterior L5/S1 disc prolapsed. Mild compression of caude equina (the L4/L5 disc prolapsed has increased in severity)

    I wish to find out the best treatment for this problem.

    Thank you

    • 16 December, 2016 at 4:43 PM

      Dear Shan

      Every case is unique. Your father needs a thorough assessment of his lumbar spine as well as his general health, followed by study of the MRI findings, in order to arrive at an appropriate treatment recommendation.
      Do get a proper clinical evaluation for your father.

      Best wishes,
      Webmaster on behalf of Dr Lee Foo Chiang

  30. SynYee
    3 November, 2016 at 3:56 PM

    Dear Dr Lee,

    I have trigeminal neuralgia pain a few month ago, i taken medician Nuerontin Gabapentin 300mg, but somtime still cannot control the painful, may i need to have gamma knife treatment for my trigeminal neuralgia?Thank You

    • 11 December, 2016 at 12:27 PM

      Dear Miss Syn Yee,
      While Gammaknife radiosurgery is an option for treatment of Trigeminal Neuralgia, it’s beneficial effect is delayed (4-6 weeks) and unpredictable compared to Microvascular decompression (MVD) which is well proven with long term cure without the radiation side effect of Gammaknife.
      Thank you.
      Dr Lee Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon

  31. Tiffany
    18 October, 2016 at 8:41 PM

    Dear Dr Lee,

    My mum has recurrent brain tumors on the side where she had gammaknife therapy months ago. May I ask could I send you some photos to ask your advice about the best treatment she could have to remove the tumors? If so, may you reply to my email and then I can send you some MRI photos? I will tell you more about the details there too.

    Thank you very much.

    • 3 November, 2016 at 10:26 AM

      Dear Ms Tiffany

      Recurrent brain tumour is a difficult and complex situation. This requires assessment of clinical as well as imaging data in order to formulate appropriate treatment recommendations.

      Do consult with Dr Lee for advice.

      Best wishes,

  32. Sabling
    14 October, 2016 at 8:42 PM

    Hi Dr Lee,

    I had a head operation 4 years back. It was due to sudden fell at home which caused blood clot in the brain. The operation went well. The thing is after time , the small pieces of skull cut from the first operation seems to be sinking over time. 3 weeks ago, the screw was appeared out of the skin. Few days later, the screw seems disappeared again.

    Appreciate your advice on this.

    Thank you.

    • 27 October, 2016 at 6:17 PM

      Dear M Ling
      You need a clinical assessment to determine the status of your skull bone and whether there is any protrusion of the screw. Your GP would be able to check this out. Alternatively, you may consult the Neurosurgery Department where your operation was performed.
      Best wishes, Webmaster

  33. 10 October, 2016 at 5:57 PM

    Dear DR. LEE,

    My father fell down from a staircase and his head swollen. After government hospital checked, there is no internal bleeding therefore they let him discharged after few hours observation. After come back home he vomitted~ I would like to know whether this is normal and how long should we observe before sending him to neuro surgeon? He is 60yrs old+

    • 12 October, 2016 at 5:15 PM

      Dear Ying

      Vomiting after head impact may be due to pain, indigestion or other some other benign cause.
      However, it could indicate worsening of your father’s brain injury.
      You are therefore advised to refer back to his hospital for further assessment.

      Best wishes, Webmaster

  34. Anuar
    9 October, 2016 at 5:51 PM

    My girl friend herpes 2in her virginity.doctor in jakarta check herblood test conform she has herpes2.my question is .is there a clinic in johor bahrugot a treatment for herpes .

    • 10 October, 2016 at 3:24 PM

      Dear Anuar

      We are not familiar with the clinical services in Johor Baru. You need to look for a specialist in Genitourinary Medicine.

      Best wishes, Webmaster

  35. Liong
    2 October, 2016 at 11:10 PM

    Dear Dr. Lee.
    My 9 year old nephew is diagnosed having brain tumour by local neurologist, and her mom is planning to consult with Malaysian specialist and decide the necessary according to diagnosis. To be more certain, and to clear all worries and doubt, would you be your comments by looking at this image https://goo.gl/photos/oTwhcRocJ2MUgyyCA and this analysis https://goo.gl/photos/27J7GtkAauyUPCXk6 . Thank you in advance.

    • 12 October, 2016 at 5:06 PM

      Dear M Liong
      This cerebellar tumor is quite amenable to surgical resection.
      The parents may arrange for the child to see me in Sunway Medical Centre as soon as possible.

      Thank you.
      Yours Truly
      Dr Lee Foo Chiang
      Consultant Neurosurgeon

  36. sharan
    27 September, 2016 at 9:19 AM

    dear doctor, good morning. i am sharanjit kaur, 35 year old woman from kl. since May, i knew i am some problem with my eyes, at the same time i went into very stress mode and fear, then i started realizing from my hips till my toes, i was vibrating from inside. beneath my toe it was poking slightly, but now its like my feet is in constant buzzing mode and my legs have this crunchy feeling (electric current) when i hit my back above my buttocks, there is like current movement throughout the legs. when i lie straight, at times the nerve will have pulling sensation. my finger tips do have some numbness too.
    I went to visit the neurologist in island hospital, did MRI (slight bulge which Dr said is normal), nerve test, blood test, all tests came out good God bless. the conclusion the dr said is I’m too stress. my mind wants to belief, yet my heart is fearful, i am doing acupuncture, taking neurobian and Ginkgo Baloba. please advice what is your expert opinion. Thank you.

    • 28 September, 2016 at 5:44 PM

      Dear Ms Sharan

      From the info provided, the necessary tests have been preformed, with the results being negative.

      Do consult your doctor if you are still unwell. If it is concluded that you are suffering from stress / anxiety, you can be referred for appropriate treatment which might involve stress management programme, relaxation therapy, talk therapy or medications.

      Best wishes, Webmaster

  37. Nabil
    13 August, 2016 at 1:47 PM

    Dear Dr Lee

    My son is a former 25 week gestation male, born on the 14th of April 2011, with a history of bilateral intraventricular hemorrhage (IVH) (grade III right, garde IV left) with 99 days in the Neonatal Intensive Care Unit, . His most recent CT showed left sided periventicular mild leukomalacia . He had delayed onset of ambulation (at 2years) with persistent toe walking and an inability to jump initially. He has no history of regression or development delay in other domains. At the age of 3, he was evaluated in the USA by a neurologist and physiotherapist. His neurological exam is significant for microcephaly, yet proportionate to other growth parameters. He has a decreased range of motion at the right ankle, increased reflexes on the right side and bilateral toe walking ( more prominent on the right ) with slight circumduction of the right leg. The physiotherapist assessment recommended physiotherapy and orthotic shoes. He has been wearing the orthotic shoes and undergoing physiotherapy sessions in Oman ever since. He is being follow up by orthopedics in Oman to date. On the 17th of January 2016 a lower limb x-ray showed no limb length discrepancy . He is currently 5 years and 2 months of age, he can walk and run normally and active at school but at his toe, he can jump slightly. The orthopedic Consultant in Oman feels the physiotherapy and Orthotic shoes were ineffective in treating his gait problem. Hence they are recommending Botex injections RT CALF.

    Can you please give us an advice ?

    • 15 August, 2016 at 7:11 PM

      Dear M Nabil

      Thank you for your enquiry. The expert recommendations provided for your son by your Orthopaedic Consultant are entirely in keeping with best practices. Do please proceed as advised, since he is not likely to require neurosurgical intervention at this stage.

      on behalf of Dr LEE Foo Chiang

  38. KC
    10 August, 2016 at 2:17 AM

    Dear Dr. Lee,
    My mom, 85, just got an MRI on her lumber because of her back back in Subang Jaya Medical center. The report impression show that the L3 vertebral body lesion if possibly hemangioma or Intraosseous lipoma. I am wondering you have any recommendation for path forward? Do you see patient with this kind of condition.

    My mom has a history of ovary cancer and her ovary was completed removed almost 30.

    Concern Son.

    • 10 August, 2016 at 7:34 PM

      Dear KC

      The MRI finding needs to be correlated with the clinical condition of your Mother in order to arrive at a appropriate therapeutic recommendation as to whether any action is needed, and if so which form it takes.
      Do consider bringing her to see Dr Lee at the contacts listed at this site.
      Best regards,

  39. era
    16 July, 2016 at 8:05 AM

    my dad is 72 years old, all normal, due to some research conducted by phd team on dimentia, they approached him for dimentia check in senior library, and they hadfree mri,he went for mri, not recommended by family doctor.
    and mri report came yesterday.saying
    along the midline and left paramidline cerebellum posteriorly. there is oval extra axial, arachnoid cyst that measures 3.6cm x 2.8 cm ap on axial flair sequence image 4/20.this cyst exerts mass effect upon the left posterior cerebellum, and compresses the inferior margin of the 4th ventricle. there is 9 mm of downward herniation on right cerebellar tonsil, below the foramen magnum.left celebellar tonsil is in normal position.

    moderate enlargemnet of the cerebral ventricles.with respect to normal size cerebral sulci.

    there is no intra-axial edema or midline shift of falx cerebri..there is no while matter lesions

    7th and 8th nerve complexes and pituitary fossa are normal

    there is no subdual and epidural hermatomas of fluid collection.
    Question is…….

    he is diabetic, fit and sound, walks for 1 hour everyday and he is on his own…no symthoms as i read online..
    i am confused.he is fit and sound, he has to go any shunt surgery…for removal of fluid…or keep as it is…since we have no symptoms….pls guide me i am worried for him…
    did we did mistake of doing mri….

    • 10 August, 2016 at 7:42 PM

      Dear Era

      Your father needs to be assessed as to whether the MRI findings are relevant or not, and if so, whether surgery is appropriate.
      Therefore, a thorough clinical-radiological correlation is needed.
      If in doubt, do consider a consultation with the neurosurgeon.

  40. Mariyana
    11 July, 2016 at 10:15 PM

    Dear Dr.Lee,
    On 28.jan.15 I undergo MRI LUMBOSACRAL SPINE which resulted :
    The lumbar vertebral bodies and end plates are normal.
    The lumbar spine shows normal alignment and curvature.
    There is a mild posterior bulge of the L4/L5 disc. Otherwise, the intervertebral disc are in their normal locations and return normal signal.
    The spinal cord is normal in appearance, returns normal signal and ends normally at the level of T12/L1.
    There are 2 Tarlov perineural cyst seen – one at the level of S2 measuring 1.8cm x 1.5cm and another at the level of S3 measuring 1.5cm x 1.1cm.
    The axial sections at L4/L5 reveal that there is a diffuse posterior disc bulge. No spinal canal stenosis. There are bilateral neural exit foramina hypertrophy or facet joint disease seen.
    The axial sections at L3/L4 and L5/S1 reveal that there is no disc prolapse/bulge. No spinal canal atenoses or neural exit foramina narrowing. The exiting and traversing nerve roots are not compressed. No ligamentum flavum hypertrophy or facet joint disease seen.
    1. What should i do?taking medicine or fisio?or any advice?
    2. Recently i always feel tired, back pain whenever i sit too long,bend my back or standing too long.if i lying down or sleep the pain is less or gone.
    3. I didnt take any medicine nor supplement currently.the last doctor gave me pain killer only.aftef that i didnt take any.
    4. Should I do again the MRI?
    Appreciate your reply in return with thanks.


    • 15 July, 2016 at 2:33 PM

      Dear Mariyana

      In order to provide proper medical advice on your condition, a thorough evaluation of your clinical status and scan images is necessary. You are advised to consult your doctor for your further management, as to whether it should be medications, physiotherapy, or any other modality of treatment.
      Best wishes,


  41. christine
    7 July, 2016 at 10:28 PM

    Dear Dr Foo,

    We just found out that my mom had tumor in her head, between brain and skull. We had PET Scan and CT SCAN.
    If surgery procedure is a must, what’s the low risk on procedure? As this is the top concern of us. I have the result of both test.
    Please advise.

    I can be reached via Whatsapp +628121080465.


    • 20 July, 2016 at 7:12 PM

      Dear Christine

      Your Mother needs a thorough assessment of her clinical status as well as the scans in order to arrive at a proper recommendation on treatment choices for tumour.

      Do consider a consultation with Dr Foo Chiang Lee at the contacts listed on this site.

      Best wishes,
      on behalf of Dr Lee

  42. Poh
    2 July, 2016 at 4:39 PM

    Dear Dr Lee,
    I have a tingling and pricking sensation near the jaw area for past few weeks. I had consulted a GP and was told to have peripheral neuropathy which required no treatment. I would like to seek your advice and recommendation on my condition. Appreciate your reply the soonest possible. Thank you

    • 4 July, 2016 at 8:06 PM

      Dear Poh

      It is unusual to have the jaw area affected in typical cases of peripheral neuropathy.
      The sensation may well disappear if it is due to muscle strain, stress or other self-limited condition. Do consult your GP again if it does not resolve.

      Best wishes,

  43. Ian
    22 June, 2016 at 5:49 AM

    Dear Dr. Lee,

    My father has these syndromes (speech impairment, headache, insomnia, balance problem – easily fall down and problem getting up). He had visited many doctors in Indonesia, mostly neurologist, cardiologist, also some internists, performed many lab tests and several CT Scan, and Colored CT Scan. However there has been no definitive diagnosis of the real problem from all the visit. Do you have any possible ideas and do you think it is a good idea to visit you in KL for consultation.


    • 23 June, 2016 at 9:58 AM

      Dear Ian
      It is not possible to make a diagnosis from the limited info available. One may hazard a guess that this could be a form of Parkinsonian Syndrome.
      Unfortunately, not all of these conditions have effective treatment other than balance therapy through physio, and medications for symptom relief.
      A consultation is needed to arrive at an accurate diagnosis.
      Best wishes.


  44. Lily
    15 June, 2016 at 11:32 PM

    Dear Dr.Lee
    My brother-in-law was diagnosed with Parkinson. His drug prescription is 200mg of stalevo taken 5 times per day and 1.5mg of pramipexole DIHCL one tablet per day only. The problem is the trembling only stop one and half hour after taking the drugs and later two hours later the trembling come back again. Is it normal?


    • 20 June, 2016 at 5:56 PM

      Dear Lily

      Your brother-in-law is taking two of the latest and more efficacious drugs for Parkinson’s disease.
      Dosage is guided by the patient’s response and must be tailored to the individual’s needs. He should refer to his doctor for measures to improve his status.
      Best wishes.


  45. Dennis Tham
    14 June, 2016 at 11:53 AM

    Dear Dr Lee,

    I’m diagnosed with Syringo Myelia in 2007 with C4-C5 affected. In a scan during 2009, it was captured for C3-C7. After then till now, I have not done any MRI scans to further check. May I know what are the best option I should take and if there’s surgery involved, what kind of surgery and are the surgery high risks and what are the costs of the surgery?

    Thanks a lot.

    • 28 June, 2016 at 11:16 AM

      Dear Dennis

      You are advised to consult your neurosurgeon on the necessity for follow up MRI scans. If scanning is needed, then advice would be based on the scan results.

      Best wishes.

  46. Shahirah Azman
    26 May, 2016 at 6:04 PM

    Dear Dr. Lee,

    My Dad has been diagnosed with nerve cancer this year and he is now at stage 4. He refused to tell me the details about it. But as far as I know he vomitted blood instead of bursting at brain. His doctor claimed it was a miracle for him to vomitted blood as it was supposed to be burst out at his brain. I am wondering how much does it cost for the surgery and what is your recommendation Dr Lee regarding on my father’s case? Looking forward to your feedback regarding on this matter.

    • 30 May, 2016 at 9:19 AM

      Dear Shahirah

      We are sorry to hear of this distressing disease. It is not possible to give any treatment guidance, let alone the costs, given this limited information. Why not discuss with your father what are his wishes, and then consult his doctor about the treatment options and costs. Once these have been ascertained, we are happy to offer suggestions.


  47. Tee
    25 May, 2016 at 7:27 PM

    Dear Dr Lee,
    I’m a mother of 10/12 old boy which is suffer from underlying hypoxic ischemic encephalopathy grade 3, SAH, congenital pneumonia due to birth delay at GH. My son been treated in GH since he was born for now only supportive treatment. Hospitalizations for 5 times due to same problem lung infection. He now is having global developmental delay, localised seizure ( on neurotine, pyridoxine, epilim and keppra), dystonia (benzhexol, chlorohydrate), bulbar dysfunction(glychopyrorate), gerd (maxolon, omeperazole), eeg done shows generalized seizure. I’m seeking another hope for my son as he is a survivor in fighting his disease. I as a mother never give up in giving hope. I wanna enquiry about any other option to make him recover and independent in future (avoid from been ▲ CP). I knew got stem cell treatment. Is he indication for it? If so, how much is the costs and the prognosis? I’m from kelantan.


    • 30 May, 2016 at 9:29 AM

      Dear Ms Tee
      Your child is receiving up-to-date therapy for hypoxic ischemic encephalopathy (HIE). You are worried he may develop cerebral palsy (CP).
      If so, then what are his options? Stem cells are under intensive investigation for CP caused by HIE and other brain insults. However, progress is slow, as the brain is a very complex organ system (with “hardware” and “software” portions) to repair. Reproduced below is our previous response on this topic:
      “Stem cell treatment is not yet approved for treatment of cerebral palsy. This paper http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3057381/ summarises the state of our knowledge, including lack of proven benefit and risks of treatment. The conclusion of the paper is below:
      Current clinical trials in the use of stem cells for cerebral palsy are on-going and incomplete. While there are a number of different cell types that are potential candidates as treatments, none have been shown to be effective in chronic animal models. Furthermore, available animal models do not adequately mimic cerebral palsy. Risks of the treatment are reported. More work on understanding the underlying beneficial biology of stem cells and the development and validation of more relevant animal models is required.
      Research centres are listed in the paper.”
      Finally, combination of parental love and medical support has enabled many children like yours to overcome tremendous hurdles and go on to lead meaningful lives.
      Best wishes.

  48. kumar
    10 May, 2016 at 11:41 AM

    Hello Dr.Lee.Im 20 years old male having severe trigeminal nuralgia.Im on tegretol 1200mg not helping me much on the pain and its making me drowsy all the time effecting my daily life.I did an mri which shows “right superior cerebellar artery is seen to indent upon distal cisternal segment of the right trigeminal nerve causing inferior deviation and thinning of the nerve at the point of contact -suggestive of a vascular loop.”.Now drs here are giving me 2 options either gamma knife therapy or MVD.Im aware that you are dong MVD and the success rate is high.Can i know the total cost of the surgery,duration of surgery and the duration of hopitalization neededtq.hope to hear soon.

    • 30 May, 2016 at 9:40 AM

      Dear Kumar
      Sorry to hear that you are suffering from severe trigeminal neuralgia at an unusually young age.
      Do consider making appointment to speak with Dr Lee before you make any decision.
      There are a number of other effective medications for neuropathic pain other than Tegretol.
      Both surgery and gamma knife radiosurgery are major undertakings in terms of medical risks and costs, hence you should exhaust lesser options before embarking on them.
      Best wishes.

  49. Fenn
    3 May, 2016 at 12:13 PM

    Dear Dr Lee,
    Appreciate your advise on my mother’s case. She’s 65 years old this year. Her health has been in good condition except for a pain that always strike on the nerve of her head. She told us that it was as if a sharp pain felt in her head when she bites or when she washed her face. When in contact with water, when washing her face, her head will have this feeling of ‘electrical shock’. We went to the general hospital and did a scan few years ago. The report shows all right. However the pain is still there until now.

    Recently, she can’t bear with the pain and she’s not been eating much, since munching will caused her nerve to be in pain too. She has been losing weight and even had gastric pain now. We are very worried and was wondering if what types of scan that she can do to check further on her issues? Shall she consult a neurologist? Thanks

    • 7 May, 2016 at 5:24 PM

      Dear Fenn

      From the information provided, it may be speculated that the pain is due to trigeminal neuralgia. Do request for referral to see neurologist for the appropriate treatment.

      Best wishes, Webmaster

  50. Winnie
    26 April, 2016 at 1:09 PM

    Hi Dr Lee,
    I’m having a herniated disc on my L4/L5. My back muscle feeling cramp and right leg having pain. Sometime the pain go until the toe. Nowadays, I feel my toe when trying to push up has no energy. When I sleep, I can’t sleep well. I’m not able to get a right position which feel no pain. Currently I’m using pain killer to control my situation.
    I did when to physio and swimming more than 6months but I feel not much progress. Do you recommand me to do Microdiscectomy Spine surgery? Do you think it helps my situation?
    Is this kind of surgery is low or high risk surgery? Please advice.

    • 30 May, 2016 at 9:45 AM

      Dear Winnie
      Back pain is a multi-faceted condition. The pain could arise from any or all of these spine components: bone, disc, ligament, joint, muscle, and tendon, together with super-added stress and strain (both physical and mental).
      You need a comprehensive evaluation, after which surgery may or may not be deemed to be appropriate.
      Do speak with your spine specialist. Alternatively, you could consult with Dr Lee at the contacts on this website.
      Best wishes for recovery.

  51. SL Chooi
    22 April, 2016 at 9:48 AM

    Dear Dr Lee,
    I am MS Chooi. My dad undergone a brain surgery and followed by tracheostomy surgery back in November 2015. He is 83 year old now. He is able to walk with minimum surpervision by now, but we suspected his memory is not fully recovered yet as he only can recognize my mum. However, he failed the swallowing test after a couple of follow up visit in KL hospital. Would appreciate your advice on how to improve his swallowing ability ? will swallowing therapy helps ? If yes, do you provide such services. If no, could you recommend a good therapist.

    Thank you.
    Ms Chooi

    • 26 April, 2016 at 6:58 PM

      Dear Ms Chooi,

      Super seniors like your Dad will require much longer time to recover from major surgery like craniotomy. There is also high risk of complications such as confusion and swallowing problem (which may occur even in the well elderly BTW). The speech and swallowing therapist will advise on appropriate jaw and oral exercises. Improvement may take weeks or months. In the interim, nasogastric tube feeding may be offered. If deemed to be permanent, Percutaneous Endoscopic Gastrostomy (PEG) will be needed for long term feeding.

  52. Jit
    16 April, 2016 at 11:05 PM

    Dear Dr Lee,
    I had a right eye inflammation last October 2015 and then the inflammation was cured by a medicine called Nevanac but then I started getting a stinging sensation just above the right eye near the eye brows. There were some rashes n after applying the fucidin cream..the rashes went off…but the stinging sensation was still there. The doc concluded it was a herpes zoster attack and put me on Valtrex. Now it has been 3 months since then and I don’t get any stinging sensation anymore..the eye is back normal..but I still have a sensation feeling around the right side just above the eye until d back of the ear. Looks like the nerve is causing it..what is your advise doc?Thank you.

    • 26 April, 2016 at 6:02 PM

      Dear Jit

      You need to consult your doctor whether the herpes zoster attack is confirmed to have healed, and to manage any leftover symptoms. Mild discomfort may be felt after healing of shingles but more persistent pain needs your doctor’s attention.

      Best wishes, Webmaster

      • Jit
        27 April, 2016 at 3:01 PM

        Thanks doctor, appreciate your advice here.

  53. Evon
    13 April, 2016 at 10:42 AM

    Dear Dr. Lee

    I am female and 42 years old. I have just finished a MRI test in last month due to sudden attack by hand and leg stiffness during driving and report mentioned that my pituitary gland appears enlarge and there is suprasellar extension. It measures 13 x 9 x 9mm. (Pituitary macroadenoma) Besides that a small retention cyst is seen in the left maxillary antrum measuring 4 x 9mm. I have been advised that I need to go for surgeon if pituitary gland growing in my next MRI test in July otherwise I will have visibility problem with my eyes.Currently I have been given a medicine Hydrocortisone tablet 10mg for daily intake till next MRI.
    I wish to have 2nd doctor opinion for my condition because I wish to have others solution apart of surgeon required later.
    I can seek for your treatment and advise in Sunway if you are interest to see my MRI film and report by face to face.
    Look forward your soonest reply, thanks.

    • 14 April, 2016 at 9:33 AM

      Dear Miss Evon,
      Feel free to call my office at Sunway Medical Centre 603-74919777 Miss Rose for an early appointment.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre/ Beacon Int Specialist Centre

  54. gaetan sew hee
    13 April, 2016 at 2:38 AM

    Dear doc,

    I have a close desperate friend who has a son of 25 years old with the following symptoms. His son is suffering from an acute migraine since one month and is on sick leave….. All tests (CT scan, MRI, MRA, EEG…)performed so far show no issues; yet the pain is constant, 24/24 hr with at least 2 daily acute strokes on head/brain leading to loss of memory, loss of vision, numbness…

    All Neurology Doctors still cannot find a solution…..

    Also consulting a Psycholoque and Hypno-Therapeute…..

    Any advice will be welcomed as parents do not know what to do with their son’s state

    Thanks you beforehand

    • 14 April, 2016 at 9:36 AM

      Dear Gaetan

      Your friend’s son does not appear to have a lesion which requires neurosurgery. The treatment of severe migraine consists of anti-migraine medications, relaxation and psychological management of all contributing stress factors.

      Best wishes,

      Webmaster, on behalf of Dr Lee

  55. KEE
    11 April, 2016 at 3:44 PM

    Dear Dr. Lee, my father (age of 72) was admitted to hospital for 4 days on 3 December 2015 due to stroke attack. It was caused by a blood vessel in the brain bursts (2cm). The doctor also discovered ‘bone disorder’ on his skull. Now, the doctor is asking him to do the contra CT Scan where they will inject the liquid into his body for the CT Scan. It seems the liquid is very harmful to the body, such as it might cause kidney failure, some even has breathing difficulty, itchiness etc.

    Would like get our advise on this CONTRA CT SCAN whether It is safe for a elderly person like my father to do??? Other than contra CT scan, is there anyway we can do any other type of scan that are safer??? Please advise

    • 12 April, 2016 at 11:00 AM

      Dear Kee
      Constrast injection is a routine procedure in CT scanning techniques. The Radiologist who is in charge of CT scanner in your hospital is responsible for ensuring safety of the procedure. This specialist is unlikely to put your father at risk. Do ask for a discussion with this doctor about your concerns before the planned CT scan.

      Webmaster, on behalf of Dr Lee

  56. Sharan
    30 March, 2016 at 2:15 PM

    Good noon Dr thnxs for your kind attention,

    My son is 22 this year doing his Engineering course here in K-Lumpur,

    Maybe its stress related ,

    Thanks alot Dr ,

  57. Sharan
    27 March, 2016 at 2:54 PM

    Dear Dr.,

    My son is complaining of frequent severe headaches. He have done CT Scans but doctors could not detect anything. What can you suggest Dr. , I suppose he needs to go through more thorough or specific test to check if there are any tumors or any other probelm. Please reply to my e-mail directly meeranir@yahoo.com

    • 30 March, 2016 at 1:50 PM

      Dear Sharan

      Your son’s age is not provided. In general, brain tumour is unlikely when the CT scan is normal.
      Depending on his age, you should consult the paediatrician or family doctor as to the possibility of other causes of headache. These include medical illness, infection (e.g. sinusitis), migraine and stress (tension) headache.

      Best wishes.

      Webmaster, on behalf of Dr Lee

  58. LEE
    23 March, 2016 at 10:30 PM

    Doctor, my wife having Thyroid Cyst symptom. Was there other way to cure other than having surgery ? I leave in Penang. Any recommendation treatment center that I can get advise in person as well ?

    • 24 March, 2016 at 11:35 AM

      Dear Mr Lee

      We are specialists in Neuro conditions. Do consult with your surgeon if you need an in-depth understanding about the treatment options. Your GP would be in a position to recommend another surgeon in Penang.

      Best wishes, Webmaster

  59. Puni
    23 March, 2016 at 1:51 AM

    Dear Dr Lee,

    What is your opinion on Tarlov Cyst?

    • 24 March, 2016 at 11:37 AM

      Dear Ms Punitha

      Your enquiry is too brief for us to offer any meaningful advice. We’ll try to help if more details are provided.

      Best wishes, Webmaster

  60. Nico Bunnawas
    21 March, 2016 at 12:51 PM

    Hi Dr.Lee,

    Would like to know whether you have done
    is micro vascular decompression (MVD) before? I stay in Batam (indonesia) ,and being diagnosed to have HFS. Base on research and your above comment definitive treatment
    is having MVD, hence would like your advise on the following :

    1. Whether your clinic have perform MVD and what is the success rate?
    2. Any recommendation on MVD surgeon in Johor (which nearer to Batam)?
    3, What will be the cost to have MVD surgery in Malaysia?


    • 19 April, 2016 at 7:42 AM

      Dear Nico,
      MVD for hemifacial spasm has been done by me in Sunway Medical Centre with excellent results, since 1999, and in my earlier practice since 1985. Currently total cost of surgical treatment is Rm 55-65K. This includes hospital charges as well.
      You may contact my office at Sunway MedicaL Centre 603- 73019777 Miss Rose for a consultation appointment.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  61. Ng Mei Lian
    17 March, 2016 at 4:23 PM

    Doctor, my sister’s new born baby has diagnosed with meningitis. He is in ICU for two weeks already. Even though several antibiotics was given, but still got fever. What can we do now? We really need yours advise.Thanks.

    • 21 March, 2016 at 4:00 PM

      Dear Ms Ng

      Meningitis in the newborn is a complex and serious condition. ICU support together with effective antibiotics are indeed part of best practices. Do consult with the infant’s doctors if you need information and explanation regarding the patient’s status.

      Best wishes.


  62. Dean Nadzri
    16 March, 2016 at 3:50 PM

    My baby boy suffered frm myelomeningocele at birth (only detected right after birth). He already went for operation (at 1mth old) to removed that excess sack at private hospital. But, after couple of days of operation (after discharged frm hospital) we noticed there’s a lil bit of liquid came out frm the stitch wound. During followed up check up, his neurosurgeon said it’s the CSF leakage, minor one. He prescribed us with antibiotics for further 10 days until next follow up appointment.He told us, that the wound still not heal 100 % and as time goes by, the wound will heal and the leakage will stop. So far, there’s no sign of hydrocephalus (touch wood). What’s ur advice doc?..really need 2nd opinion… Thx in advance…God Bless..

    • 24 March, 2016 at 11:40 AM

      Dear Dean

      From the information provided, it looks like your child is receiving all necessary and appropriate treatment. Do speak with the specialist about your on-going concerns.

      Best wishes, Webmaster

  63. mel
    9 March, 2016 at 10:24 AM

    Dear Dr Lee,

    I have been suffering with hemifacial spasm from last 2 years. I’m 32yrs, female. Been referring to neurologist in one of the private hosp in KL. Now he prescribed me with Espran to minimize the symptoms, before we go for Botox. This hemifacial spasm really annoying and disturbing, make me lose focus with my work and effect my interaction with people. May i know how much is the cost for the micro vascular decompression operation? Do any private hosp in KL perform this operation? I prefer permanent solution rather than temporary relief.

    • 24 March, 2016 at 11:31 AM

      Dear Miss Mel
      The definitive treatment for hemi facial spasm is by micro neurosurgery operation Microvascular decompression (MVD).
      This is a safe surgery and leads to long term cure if done by experienced neurosurgeon.
      Thank You
      Yours Truly.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon Int Specialist Centre.
      Tel: 03-74910777
      or 03 7787 2913

  64. Lim Chui Sim
    8 March, 2016 at 11:27 AM

    Dear Doctor,
    My name is Lim. I have a severe case of eye and facial twitching on my right side. I have done MRI and found nothing wrong. Other doctors suggested for Botox injection to overcome this problem. Now it seem it is only a temporary solution. Please advise me on what to do to resolve it permanently. Hope you can assist me with my problem.
    Thank you

    • 24 March, 2016 at 11:29 AM

      Dear Miss Lim
      The definitive treatment for hemi facial spasm is by micro neurosurgery operation Microvascular decompression (MVD).
      This is a safe surgery and leads to long term cure if done by experienced neurosurgeon.
      Thank You
      Yours Truly.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon Int Specialist Centre.
      Tel: 03-74910777
      or 03 7787 2913

  65. ivy
    19 February, 2016 at 9:53 AM

    Dear Dr. Lee,
    My sister’s baby 10mths currently in Kuching Sarawak. Last week had do the brain tumor operation. The Government Doctor suspect is AT/RT Tumor.
    Now still under discussion how to do the treatment. May i know baby suitable do chemotherapy or Radiotherapy?

    • 2 March, 2016 at 4:55 PM

      Dear Miss Ivy,
      It is not easy to advise you based on the very limited informations you provided about the 10 month old baby. Is it possible for you to forward the MRI brain report as well as histopathology report of the tumor?
      Thank you.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon
      Sunway Med Centre/ Beacon Int Specialist Centre

  66. Jaime
    18 February, 2016 at 10:48 AM

    Dear Dr. Lee,

    For nearly 2 weeks, I have been having this small but irritating pain on the top back of my head (right side to be specific). Is not a headache or migraine. Is not a bump or swollen. I didn’t fall down or bump my head. The pain is like a pregnant lady having a contraction pain. It comes and go every 1-2 minutes. I suspect it could be my nerves. I am not sure.

    Please advise.

    Thank you in advance.

    • 29 February, 2016 at 11:59 AM

      Dear Jaime

      The info provided is insufficient to come to a conclusion about the cause of the headache. If the pain persists, you are advised to consult your family doctor.
      Besides migraine, possible causes include heat/humidity, lack of sleep, muscle strain and medical conditions.

      Best wishes.

      on behalf of Dr Lee

  67. mgn
    12 February, 2016 at 9:17 AM

    Dear Dr. Lee,
    for the past few months i notice that my left upper lift has dropped at least 1/2 cm and my jaw bone is moving to the left side when i talk. i’ve been doing alot of reading and not sure if i’m having bell’s palsy, hemifacial spasm or facial paralysis thus seeking advise on what should i do next.

    • 12 February, 2016 at 6:03 PM

      Dear Morgan

      It is possible from your description that you might have weakness of either the facial or the jaw muscles on one side. Hemifacial spasm on the other hand causes the muscles to be actively pulled to the same (ipsilateral) side.

      Please do consult your GP for an initial assessment and guidance on the appropriate treatment.

      on behalf of Dr Lee

  68. Susan
    11 February, 2016 at 2:03 AM

    Hi Doctor, my son currently having Hemifacial spasm for years. We have consult a lot of doctors and their best treatment is Botulinum toxin injections which has to be done regularly for 3-6 months. My son is now 20 years old, is there any long term cure or treatment which does not require short time reliefs?

    • 17 February, 2016 at 4:03 PM

      Dear Ms Susan,
      The definitive treatment for hemifacial spasm is micro vascular decompression (MVD) which involves micro surgery. When done by experienced neurosurgeon this is a safe operation which leads to immediate relief of the hemifacial spasm. This operation was first introduced in the late 70s and popularised in the 80s by Dr Peter Janetta of USA and would have been the first treatment of choice before BOTOX was invented. Botox is useful in the early phase and as an interim measure. It has to be repeated every 4-6 months and there is a possibility of treatment failure if the body develops antibodies against Botulinum toxin.
      Thank You.
      Dr Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon Int Specialist Centre.

  69. 20 January, 2016 at 4:59 PM

    Hi Dr. Lee,

    This is Majid and I would like to discuss the case of my niece, now she is in Pakistan. The history overview is as under:

    She was born a normal child weighing 3.3 kg’s at birth. Her parents are inter family married. The first incident which she had, was falling from a height of 14′ feet, she was just an age of 10 months old at that time. She had her tests which were cleared and was deemed fine by the doctor at that time. As she grew, her speech was not clear as a healthy perfect growing child, she merely spoke very few unclear words. In the meantime, we consulted few speech therapists, and were advised for here IQ, which we did, and was summarized as,

    “Syeda Zainab Ali is 3.5 years old and was brought for her IQ/psycho diagnostic evaluation. Due to her limited speech formal IQ test couldn’t be administered, however informal observation suggested here LOW intellectual potentials. Reassessment of intelligence was recommended after one or two to know the exact range of IQ. An adaptive behavior (social IQ) seems to be low from her current age level. Her maturity and sensibility level regarding performing personal, domestic and daily tasks and making meaningful relationships, maybe swung between 11 months to 3 years old child”.

    Then we were advised to see a pediatric neurologist. We were advised for further tests (which included EEG and Blood Test). Then she suffered a very high fever, her seizure’s followed a week after. She was again taken to a neurologist who advised for further test (MRI and Blood Tests). She was under medications for seizure’s, during this time. She then went to Iran Where she fell ill and became very weak from then till now, she is unable to walk properly. The duration and frequency of seizures has also increased. The neurologists have advised us to see a genetic specialist and this is latest step in her medical history till now.

    On the meeting with the genetic specialist, we were advised to get the opinion from the doctors (Neurologist of Malaysia). Therefore, we are contacting you and I, undersigned her uncle is here at Kuala Lumpur, all the reports are available as soft and hard copy. Further, I can see you on your available time.

    Looking forward for your positive and earliest response.

    Best Regard,

    H/P: (+60) 10 263 4462

    • 22 January, 2016 at 5:34 PM

      Dear Mr Majid

      Thank you for your enquiry. We note your concern for your young relative. For info, Dr Lee is a neurosurgeon.
      This child needs to be managed by paediatric neurologist, who will request any relevant genetic studies.
      You are advised to consult the specialists in University of Malaya Medical Centre for such expertise.

      Best wishes,
      Webmaster, on behalf of Dr Lee Foo Chiang

  70. 18 January, 2016 at 10:16 AM

    Dear Ms Pei

    It is not possible to speculate as to what might be causing your friend’s problem without adequate medical information about the operative procedure and his clinical findings. He could request his doctors to refer to the appropriate specialist.

    Best wishes, Webmaster

  71. Cliff
    16 January, 2016 at 3:03 AM

    Hi Dr Lee,

    My friend’s sister are being diagnos and discover that she has blood vessel blockage at her brain. They got consulted a couple doctor and the feedback was that the changes are less than 10%. What’s your advise and would you recommend any good neurologist that they can refer to or perhaps you yourself can help out.

    • 18 January, 2016 at 10:11 AM

      Dear Mr Cliff,
      We need to assess the severity of the brain blood vessel narrowing and whether she is symptomatic from this. MR Angio with perfusion studies will be helpful. Do bring along these tests and scans when she sees a neurologist or neurosurgeon.
      You may want to consult Senior Consultant Neurologist Dr Lee Moon Keen or myself at Sunway Medical Centre.
      Thank you.
      Yours Truly.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre / Beacon ISC

  72. darren
    11 January, 2016 at 11:41 PM

    Dear Dr Lee,
    i have been suffering from HMS over the past 4 years. i had 3 botox injection done within that period but i understand that the effect will eventually wear off and resistance might set in. In your opinion is it advisable to have MVD surgery done? any medical complications post surgery? and how long does it take for one to fully be recuperated and be able to resume daily work?

    • 13 January, 2016 at 8:54 AM

      Dear Darren,
      Micro vascular decompression ( MVD) offers definitive, immediate and long term relief of hemifacial spasm. It is a safe micro neurosurgery if done by experienced neurosurgeons. The only possible morbidity if it occurs is hearing loss on the same side but this can be avoided by doing intraoperative brain stem auditory potential (BAEP) recording.
      After 4-7 days of hospital stay, you can anticipate to resume work after another 1-2 weeks.
      Thank You.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre / Beacon ISC

  73. Crayon Lim
    8 January, 2016 at 3:46 PM

    Hi Dr. Lee,

    Appreciate if you can give me some idea roughly how much is the charges the gore from the brain?

    It was happen to my uncle last 2 week he had suddenly fainted and injured his face. Then he went to UM for check up and did his MRI test. After the result it showed my uncle brain have bleeding sign which need to remove all the gore urgently.

    My uncle stay a bit far from Sunway therefore we would like to know roughly how much of the charges so that at least he can prepare it and did the operation as soon as possible.

    I got all the report with me if you would like to see it i can email to you.

    Waiting for your good news and reply.

    Thank You and have a nice weekend for you.

    • 13 January, 2016 at 8:56 AM

      Dear Crayon,
      You may like to e-mail the brain scan report to this website.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon ISC

  74. Karen Tee KB
    29 December, 2015 at 11:42 PM

    Hi Dr Lee, thank you for this blog. My name is Karen and my body easily get the static especially when using laptop and smart phone which I can feel the static goes into my body, and the worst part is I feel the pressure on my chest. I got the same problem 2 years back and it was ok after I wore the negative ion clothes, now it happened again but it doesn’t help even after I wore the negative ion clothes. Is this cause by nerve problem? If not what is the factor and any treatment to cure? Appreciate your advice. Many thanks.

    • 16 January, 2016 at 6:28 PM

      Dear Karen

      Heightened skin sensitivity is a common sensation which is not linked to any known medical condition. If in doubt, you may refer to your GP for a preliminary assessment.

      Best wishes.


  75. Ben
    29 December, 2015 at 10:57 AM

    Dear Dr Lee,

    My sister is sick. Symptoms are, constant hand shriving, unable to speak what she is thinking and having hullucintions. I want to know if Dr Lee is the right doctor to seek consultation.


    • 16 January, 2016 at 6:33 PM

      Dear Ben

      Your sister’s symptoms may be due to conditions such as medical disease, extreme stress or psychiatric illness. The features do not suggest a neurosurgical condition. Do get your family doctor to make a diagnosis so that she can receive appropriate treatment.

      Best wishes.


  76. Linda Ng
    28 December, 2015 at 12:40 PM

    Dear Dr Lee,
    I’m so blessed to have found your website. Firstly, wishing you a Merry Christmas and Happy New Year.

    My brother has numbness and stiffness in his left arm and weakness in his thumb and index fingers. Suspecting it to be a ministroke,he was recommended to go for acupuncture but it didn’t seem to help much. He can’t lift his arm and feels weak and has no use of his left arm now. This has been for almost 2 years already.

    Just a few days ago, he decided to see a doctor and was advised to go for a MRI and it showed cervical spondylitis with mild cord compression at L3-4 – L4-5. The attending physician had prescribed the following medications: Dexasone, Arcoxia, Neurobion, Omesec and Aspirin.

    His arm became totally stiff after taking the medication, with loss of movement in all fingers now. For fear of further stiffness, he discontinued taking the medications. He also had an angiogram done last week and found one artery heavily occluded. However he was advised to have the arm treated first and then angioplasty afterwards, due to medications which he will need to take after angioplasty.

    We are all worried and desperate to know which is more important to be treated first and whether he requires surgery for this nerve problem. What do you think is his ailment. Your professional advice is much valued and we thank you for your time and kindness.

    A million thanks and kind regards,
    Linda Ng

    • 30 December, 2015 at 7:55 AM

      Dear Miss Linda,
      Thank you for your e-mail.
      It is not easy to make a clinical judgement based on your description of his symptoms as a good history taking and thorough clinical examination is essential to elucidate the underlying cause of his problem.
      You may want to consider taking him to see a neurosurgeon or neurologist.
      Do bring along his MRI cervical spine films or CD. A nerve conduction study (NCS) may be necessary. Hopefully a correctable problem is identified and functional recovery is then attainable.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon

  77. Nur
    25 December, 2015 at 11:00 PM

    Dear Dr. Lee,

    I am Nur and i suffered trigeminal neuralgia and I’m 3 months pregnant. the pain is excruciating. i can’t sleep at night and it is also hard for me to open my mouth as the pain will attack me within minutes. thank you.

    • 28 December, 2015 at 9:59 AM

      Dear Miss Nur,
      Trigeminal Neuralgia responds well to medications like Carbamazepine, Lyrica or Neurontin, at least in the early stages. However your first trimester pregnancy complicates the issues, as we will have to take into consideration the potential teratogenic side effects of these drugs. They will be safer from 2nd and 3rd trimester onwards though not without risks to the fetus.
      You may want to consult your gynaecologist on the safety of usage of these medications in your pregnancy.
      Micro vascular decompression MVD leads to a long term cure in most cases. But again the same safety consideration with regards to anaesthetic and peri operative antibiotics and other drugs usage in pregnancy applies.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre/ Beacon International Specialist Centre

  78. anni
    25 December, 2015 at 3:57 PM

    Dr Lee

    My grandma now 68yrs now in hospital kuala lumpur. she has been coma using ventilator for 2weeks in HDU as she still can’t breathe on her own. She is diagnose as emergency hypertensive with CKD,AKI with dialysis and metabolic acidosis. my grandma creatinie and urea not control. after dialysis the urea down to 12-15 and creatinie down to 350-500 but after 24hours it raise up again to urea 20-25 creatinie 600-800. on the earlier stage she had pneumonia n now is recover. her BP and HGT also not really control and she need IV to stable the BP and HGT. recently her EEG report showing that she had “severe encephalopathy” and doctor telling us that she had a stroke that affect the back brain. So i would like to ask is there any chance that my grandma can transfer to Dr lee. my grandma this few day show a lot of reflect such as blinking eyes, open eyes, leg moving, mouth open. is this a good sign?

    ** doctor in hospital telling us that the condition is not that good and ask us to withdraw her.

    Hope to get a reply from Dr Lee.
    Thank you

    • 28 December, 2015 at 10:05 AM

      Dear Ms Annie

      From the information given, it looks like your grandmother is receiving the best available care for her multiple medical conditions. She does not appear to require neurosurgical treatment.
      As such, it would be advisable to continue with her current medical team who seem to be trying their best to support her.

      Best regards,
      on behalf of Dr Lee

    • 30 December, 2015 at 7:50 AM

      Dear Miss Annie,
      It looks as though your Grandma has a neuromedical rather than a neuro surgical problem. You may want to consult a neurologist. Thank you.
      Dr. FC Lee
      Consultant Neurosurgeon.

  79. Tina Arwin
    22 December, 2015 at 4:26 PM

    Dear Dr. Lee,
    Thank you for this blog.
    I have a question in regards with my father’s condition, 75 yrs old and had undergone HNP surgery around 4 years ago. However, about the last 6 months he’s been suffering from severe pain from the same spot from the surgery. The pain is very disruptive that it causes him lost of sleeps. Last month, he went to get another treatment from a pain clinic, in which the treatment requires him to be injected with needles on the place where he feels pain, and the needles were connected to cable with radio frequency. Again, this is also fails and still leaving him with lower back pain.
    My father is also a heart patient and has undergone ring surgery twice about 5 years ago. The situation right now is very much difficult as he is in constant back pain and consuming pain killer often raise his gastric problem.
    As an additional info, his movement is still ok, walking is not an issue except if climbing up stairs. He is now more hunchbacked than before the surgery and was not really good in wearing corset, or maybe it was not the correct model for his needs.
    Hopefully we could get explanation on what is the right treatment for him.
    Really appreciate your kind attention and response.

    Thank you

    • 28 December, 2015 at 10:09 AM

      Dear Ms Tina

      Your father requires a clinical assessment and review of imaging scans before any recommendation can be proposed. Do speak with his treating doctors for further clarification. If in doubt, you could request for referral to get a 2nd opinion.
      Best wishes,

  80. C.WEI
    9 December, 2015 at 9:27 AM

    Dear Doctor Lee ,

    I’m glad to found this page and i hope to hear from you very soon . He’s from Penang and having cavernous malformation now . There is a well defined “popcorn” lesion seen in the right frontoparietal region . It is of mixed signal on both T1W and T2W1 . On T1W1 , it is of intermediate signal with a high signal rim . On T2W1 is it of high signal with a low intensity rim . It measures about 9.2mm x 8.6mm . Following IV contrast , a small gentle ‘blush’ is seen at the region of earlier observed abnormally . No abnormal draining veins are noted coming out from this lesion . This is likely to represent a cavernous venous malformation .

    The interhemispheric fissure is centered in the midline . The cerebrum and cerebellum exhibit normal cortical sulcation . The ventricles are of normal size and symmetrical . The cortex and white matter show normal development and normal signal intensity .

    The brain stem and cerebellum show no abnormal changes in signal characterictics , The sella and pituitary are normal and para sellar structures are unremarkable . The cerebebellopontine angle area appears normal and each side . The internal acoustic meatus has normal width . The visible paranasal sinuses and mastoid air cells are normal .

    Changes are in keeping with a cerebral cavernous venous malformation in the right frontoparietal region , measuring about 9.2mm x 8.6mm .

    May i know the medical fees too ? Your professional advises and contributions are much appreciated please . Thank you Doctor Lee


    • 9 December, 2015 at 5:03 PM

      Dear C. Wei

      Cavernous malformation, also known as Cavernoma or cavernous hemangioma typically presents with either epilepsy or bleed from its rupture. In most cases, it lends itself to a safe micro surgical excision under stereotactic guidance by a neurosurgeon. Complete surgical excision is mostly achievable and leads to a cure.

      Please refer to your email for personal response.

  81. C.wei
    8 December, 2015 at 2:11 PM

    Dear Doctor Lee ,

    I’m glad to found this page and i hope to hear from you very soon . He’s from Penang and having cavernous malformation now . There is a well defined “popcorn” lesion seen in the right frontoparietal region . It is of mixed signal on both T1W and T2W1 . On T1W1 , it is of intermediate signal with a high signal rim . On T2W1 is it of high signal with a low intensity rim . It measures about 9.2mm x 8.6mm . Following IV contrast , a small gentle ‘blush’ is seen at the region of earlier observed abnormally . No abnormal draining veins are noted coming out from this lesion . This is likely to represent a cavernous venous malformation .

    The interhemispheric fissure is centered in the midline . The cerebrum and cerebellum exhibit normal cortical sulcation . The ventricles are of normal size and symmetrical . The cortex and white matter show normal development and normal signal intensity .

    The brain stem and cerebellum show no abnormal changes in signal characterictics , The sella and pituitary are normal and para sellar structures are unremarkable . The cerebebellopontine angle area appears normal and each side . The internal acoustic meatus has normal width . The visible paranasal sinuses and mastoid air cells are normal .

    Changes are in keeping with a cerebral cavernous venous malformation in the right frontoparietal region , measuring about 9.2mm x 8.6mm .

    Your professional advises and contributions are much appreciated please .
    May i know the medical fees too ? Thank you doctor

    Best Regards

    • 28 December, 2015 at 10:12 AM

      Dear Wei

      Your enquiry has been responded to by private email. Below is Dr Lee’s reply:

      Cavernous malformation, also known as Cavernoma or cavernous hemangioma typically present with either epilepsy or bleed from its rupture.

      In most cases, It lends itself to a safe micro surgical excision under stereotactic guidance by a neurosurgeon. Complete surgical excision is mostly achievable and leads to a cure.

  82. Ahmad Azim
    8 December, 2015 at 11:08 AM

    Hi Dr Lee,
    appreciate your professional opinion on my mom condition after 3 yrs survive from stroke attack.

    Health background;

    operation due to stroke attack. OP time 6 hrs. OP finding: Fragile of the neck of aneurysm, severe adhesion of the aneurysm. Operation: Right pterional craniectomy + Aneurysm clipping + Left EVD with ICP monitor.

    OP time 1.5 hrs. OP finding: High pressure of CSF drainage. Operation: V-P shunt.
    My mom fully recover from the attack since then.
    Recently in past 2 months my mom complaining about dizziness, it only happen when moment she lying down and wake up from bed. It’s just take about 5 second to disappear. Can Doctor briefly tell us what went wrong? Can we see you for the consultation or you prefer someone you know in northern region?

  83. Ting Sing Kok
    29 November, 2015 at 1:45 PM

    Dear Dr Lee,
    My father having back pain problem recently (2-3mth already). He has gone through MRI scan and suspecting having the diskitis at vertebral T1/T2. His health condition still good to running daily activities as normal (eg: driving, eat, normal walking), only night time back pain attack make him difficult to fall sleep. Now he is taking some medicine antibiotic.
    What is the treatment needed to overcome this illness?

    Thank you.

    • 1 December, 2015 at 8:11 AM

      Dear Mr Ting,
      Discitis is usually due to infection by a common bacteria (Staphylococcus aureus). Treatment with appropriate antibiotics is the mainstay of management. Surgery is needed only if spinal stability is threatened or there is pus formation from spread of infection to spaces around the spinal cord or nerve roots.
      Thank you.
      Yours Truly.
      Dr. LEE Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon Hospital

  84. Jason P
    28 November, 2015 at 12:13 AM

    Dear Dr. Lee,

    My wife is diagnosed with a cyst lesion on her left temporal lobe since 2013 & according to her MRI report, it is likely to be an arachnoid cyst. The size is 1.3 x 0.9 x 1.02cm. She suffers from temporal lobe epilepsy (automatism) due to this. The specialist we consulted in Ipoh advice against removing the cyst. Her treatment from Ipoh GH is just through seizure medication, which at times, doesnt completely stop the automatism. Is her condition common? Is it advisable to remove it? Im deeply worried about her condition and am hoping you can shed some lights into her condition. Your advice is truly appreciated. Thank you.

    • 30 November, 2015 at 2:36 PM

      Dear Jason,
      Thank you for your enquiry.
      It looks like your wife has a small arachnoid cyst. We need to ascertain that her temporal lobe epilepsy (TLE) originates from the temporal lobe on EEG before considering taking out the cyst. Most arachnoid cysts are incidental and do not require removal. A good quality MRI Brain will however, allow us to exclude “scars” in the medial temporal lobe (medial temporal sclerosis) excision of which through stereotactic micro neurosurgery, will lead to excellent long term relief, even permanent cure of temporal lobe epilepsy.
      Thank you.
      Yours truly.
      Dr. LEE Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre/ Beacon Hospital

  85. kanagha
    16 November, 2015 at 11:40 AM

    i’m kanagah from perak this case regarding my brother get treatment in Singapore for Hydrocephalus Secondary to 4th ventricle intraventricular haemorrhage. now he become normal but we need to continue his followup checkup we the best place we can bring him.

    • 16 November, 2015 at 2:31 PM

      Dear Kanagah

      Your brother can see either of the Consultant Neurosurgeons on this website for follow up. Please refer to the addresses at this website.

      Best wishes, Webmaster

  86. kc
    16 November, 2015 at 10:32 AM

    Dear Dr Lee,

    My mum is 75 years old, she complain of having thigh pain, area below the buttock. Sometimes the pain area move around. We went to see the traditional chinese specialist at Suntech Traditional Healthcare. puchong. They just prescribed us some herb medicine (more like nutritious powder). There isn’t any much improvement to the pain after a few visit & herb medicine taking. At times, the pain is quite severe especially when she walk or standing. The doctors there said her spinal cord has signs of bend inward, this causes the neurone to be under pressure (神经线被压着) (nerve compression?), The doctors didn’t recommend surgery due to her age. We have tried infrared light treatment (off the shelf product) to relieve the pain areas, but the symptom persists.

    Hence, we would like to seek second opinion on the treatment to cure or relieve the pain. Appreciate your advices.


    • 16 November, 2015 at 2:02 PM

      Dear KC,
      You can bring your mother to see a neurosurgeon and have an MRI lumbar spine done. If the MRI confirms a disc prolapse, She may benefit from a micro lumbar discectomy.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre / Beacon Hospital

  87. Nancy
    11 November, 2015 at 12:45 PM

    Hi,Doctor Lee,
    Appreciate much for your professional opinions. We are facing a big problem here. My nephew suppose go for surgery today in Sungai Buloh(cutoff the brain tumors). But they cancelled it last mins,reason is the operation room not ‘chilled ‘enough,is it make sense?and the doctors advise either to wait one more week or transfer him to GH Kuala Lumpur.is it meaning they have no confidence for the operation? Can i attach my nephew’s CT scan And MRI scan to u, and we eagerly hope to hear from your professional opinions.we r terribly anxious now,please help my poor boy. Thank you, doctor

    • 15 November, 2015 at 6:41 PM

      This case has been resolved; appropriate treatment was administered.


  88. Sri
    7 November, 2015 at 2:15 PM

    Hello doctor,
    I hit my right side of head about one year plus. Ever since then I am having pricking sensation/pins and needles all over my body and I often get static. I have done mri everything seems normal. Can you advise what can I do to get rid of the pricking pain. It happens all the time and last for all day long.

    • 10 November, 2015 at 4:52 PM

      Dear Sri

      It is good that the MRI scan does not show any brain damage. Quite often, bodily sensations arise with no evidence of injury. In such a case, you could obtain medications for symptom relief from your family doctor, in the expectation that these symptoms are likely to subside.

      Best wishes, Webmaster

  89. Ms Nancy
    4 November, 2015 at 3:46 PM

    Hi Dr Lee, my nephew is 5 years old, did the MRI and just diagnosed a tumor in brain and cause ‘water’ retain in brain, today had undergone a minor surgery to evacuate the water.
    There is another major surgery (to remove brain tumor) and we need to make decision latest by this Friday. We are worry as the surgery take high risk esp. to a 5-year-old boy. I sincerely seek for your professional advice whether to carry on the surgery or consult other specialists. Would you have recommendation of brain surgeon or pediatrician? Much appreciate to reply asap with your valuable advices.Tqvm

    • 10 November, 2015 at 4:48 PM

      Dear Miss Nancy,
      Post fossa tumour in children causing obstructive hydrocephalus requires a VP shunt followed at a later stage by microsurgical removal of the tumour. The operations done by experienced neurosurgeons are generally safe and straightforward. Surgery takes typically 3-4 hrs with a low mortality risk of 1-2%. Patient stays in ICU for 2-3 days post surgery and in normal ward for another 2-3 days.
      A good tumour clearance can be achieved under operating microscope using ultrasonic surgical aspirator and aided by stereotactic image guidance. It is considered “bread and butter” surgery amongst the numerous brain tumour operations in my practice every year.
      Thank you.
      Dr. LEE Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon International Specialist Centre
      603-74910777, 603-74919191 ext 15519.

  90. Eileen
    2 November, 2015 at 11:06 PM

    Hi Dr,
    I am 52 years old. I was recently diagnosed with craniopharyngioma, and the tumor has already compressed on my optic chiasm, causing me to have partial blindness of both my eyes. I would like to know what is the recurrence rate of partial resection of the tumor since total resection is impossible? And which hospital or neurosurgeon would you recommend from Ipoh?
    Thank you.

    • 16 November, 2015 at 7:43 AM

      Dear Eileen,
      Both the private hospitals and government hospital in Ipoh have neurosurgical service. You may also want to consult some of the senior neurosurgeons in KL.
      Thank you.
      Yours Truly.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon

  91. manoj kumar
    13 October, 2015 at 12:58 PM

    Dear Dr lee
    I am a 46 year old male I am suffering from tinnitus is there any surgery possible to stop or at least reduce the high pitched noise in my ears? Thank-you

    • 19 October, 2015 at 5:59 PM

      Dear Manoj

      Tinnitus is treated by Ear, Nose and Throat specialist. Medications are helpful for acute attacks. Surgery is rarely recommended. Do consult your ENT doctor for proper advice.

      Best wishes, Webmaster

  92. Natasha
    29 September, 2015 at 5:26 PM

    Hi Dr. Lee,

    Is MVD an elective surgery? If I am diagnosed with hemifacial spasm, will the cost of the surgery be covered by my medical insurance?

    Thanks for your time.


    • 1 October, 2015 at 9:41 AM

      Dear Natasha

      Please refer to your email for a personal response.


  93. 24 September, 2015 at 12:00 AM

    What is the charges like to perform MDV for Trigeminal Neuralgia.
    Female patients about 59 yrs
    Mr Ng.

    • 27 September, 2015 at 7:06 PM

      Dear Mr Ng

      Thank you for your enquiry. Every patient needs a personalised assessment to plan for treatment. This includes review of other medical conditions and any special requirements. As such, you are kindly advised to consult Dr Lee for detailed discussions at the contacts listed in this website.

      Best wishes,

  94. miss low
    15 September, 2015 at 10:10 AM

    hi…Dr Lee,if i do MRI last year ..when should i do check up-MRI for this year?if i prepare to pregnant ,is that any badness for me?tq…

    • 19 September, 2015 at 12:24 PM

      Dear Miss Low

      You need to discuss with doctor in detail about this issue. Please do contact Dr Lee at his clinic.

      Best regards,

  95. Lee Hooiyee
    13 September, 2015 at 6:11 PM

    你明天(14/9/2015)on duty在哪间医院?我知道你本身是在sunway mediacal.. 可是你的appointment time没有注明14/9的时间

  96. 13 September, 2015 at 4:12 PM

    Hi dr, i’m 43 years old. I’m working as an artist. 5 months ago i had a pain at neck.already took x-ray and my c4.c5.c6 looks a bit straight…in same time i quit smoking for five months,, i feel headache, dizzy, shoulder pain and feel very tired…..Need your advice,TQ

    • 14 September, 2015 at 9:03 AM

      Dear Sir

      Since you have multiple symptoms, a clinical assessment is needed to identify any problem(s). Do see your GP for an initial appraisal.

      Best wishes.


  97. 12 September, 2015 at 9:39 PM

    Dear Dr. Lee,

    I would like to seek your professional advice on my father’s condition. He suffered a stroke 3 months ago and his right side was affected. He has undergone acupuncture treatment and physiotherapy for more than 2 months. However, his arm and leg is quite stiff and painful whenever I try to some stretching exercise. I heard from my GP that Botox injection can help. Does Dr Lee have this treatment? How much does it cost? Appreciate if you could advise.

    • 14 September, 2015 at 9:06 AM

      Dear Sir

      Botox is indeed one of the treatment options for post-stroke spasticity. It is performed by Neurologist. Please see your personal email for details.

      on behalf of Dr Lee Moon Keen

  98. Pat Hiew
    9 September, 2015 at 11:28 AM

    Dear Doctor, an 80 year old female is experiencing numbness, slight swelling and some itchiness on both feet. Symptoms started since last year (2014). At first, only on 1 foot, now both feet. Blood test done 2 weeks ago, no evidence of diabetes. Patient can walk but slow due to numbness. No problem standing. Numbness is continuous, day and night. What is the cause / are the causes and what treatment do you recommend? Thank you. Regards, Pat Hiew

    • 9 September, 2015 at 5:13 PM

      Dear Pat,

      The symptoms described require clinical assessment and probably further tests to arrive at diagnosis and treatment. There are many possible causes including varicose veins, heart failure, and neuropathy, just to mention a few Do discuss with the family doctor about the need for other tests and/or specialist referral.

      Best wishes,


  99. chin
    8 September, 2015 at 2:24 PM

    Dr Lee,
    I read you earlier message with regards the deep brain stimulation surgery , may I know what is the estimated charges?
    Thank you.

    • 9 September, 2015 at 5:06 PM

      Dear Chin

      The estimated charges are around USD 40,000.

      Best regards,


  100. 5 September, 2015 at 10:53 AM

    Dear Dr Lee,
    I have HFS on the right side of my face. Botox injections only give slight relief. Eye and mouth are affected and it does impact my working life. Would surgery be an option? What is the risk? Is it frequently done in Kuala Lumpur? How long would i be hospitalized? Any after care/restrictions? Thanks in advance for your response. With best regards, Adrian

    • 9 September, 2015 at 5:04 PM

      Dear Mr. Adriaan,
      Micro vascular decompression micro neurosurgery for hemifacial spasm has been performed regularly in my practice since 1988. It is a very safe procedure. The main potential morbidity is loss of hearing on the operated ear which used to occur in the range up to one in four cases. This is reduced nowadays with the use of intraoperative hearing monitoring ( BAEP).
      Surgery takes about one and a half hrs. Hospitalisation of 3-4 days after surgery is needed. Total estimated cost of treatment is in the range of RM 55-60k ( USD 15-16k)
      I hope you find these informations useful.
      Thank you.
      Yours truly.
      Dr. LEE Foo Chiang
      MBBS, FRACS ( neurosurgery )
      Consultant Neurosurgery
      Sunway Medical Center/ Beacon International Specialist Center.

  101. Lin
    3 September, 2015 at 12:55 AM

    Dr Lee good day to you, I m so glad that I found this channel to communicate with doctor for your professional advise as I m totally lost in direction.

    My sis 25 years old. Since young she appears to be slow mover as she talks slow n steady. We didnt put much concern as we thought it was her style due to bad hearing. she did one time operations on norse when young due to bad hearing. She started to have headache 2, 3 yrs back and she complaint neck pain. We thought massage caused her nerve injured. As she often said headache, she started to wear hearing aid mid 2014. Due to her neck condition that getting worst (fainted, lost concentration, often look blankly, neck pain till body bent S shape as to release pain, often want sleep) we bring her ent n Xray, doctor said bit crook bone but not big deal as could be due to her work that often need ban down her head. No ct scan or mri doctor said no need as no accident record.

    Last week, she shit on bed while mum called her up morning n she couldn’t speak or respond that time, couldn’t walk. After some times she ok n vomit n rest then she back to normal next day. She couldn’t remember the incident. Doctor I m worry she has central nervous system disorder pls guide me on how to go for it as I do not want to bring here there and see the wrong one wasted money n time n miss the golden time to cure her.. thanks doctor for your kind advise!

    • 8 September, 2015 at 8:19 AM

      Dear Lin

      Your sister has a complex list of symptoms. Her doctor is in the best position to assess what may be the problem(s). Do speak with the doctor for advice on which specialist should be consulted.
      Best wishes.

      • Lin
        8 September, 2015 at 7:46 PM

        Thanks, doctor. Her last visited doctor recommended her to see neurology. But we have yet to bring her as she sometimes appears ok and her neck pain reduced

  102. Daapp
    2 September, 2015 at 11:50 PM

    我今年二十九歲,今年二月發現突然看東西時有雙影,通常是發候睡醒的時候,過了一會沒事,可是完全沒有頭痛或任何其他症狀,最近這兩個月會開始偏頭痛,眼睛痛,鼻梁痛,噁心,想吐,通常也只發生在剛睡醒時,上個月去看了醫生,照了 ct scan 然後 mri 發現有一顆良性腦瘤在右腦然後壓到眼睛的神經線所以會導致眼睛出現狀況,醫生建議我說可以選擇開刀拿掉沒有壓倒神經線的瘤,處於拿不掉的需要電療,或者第二選則不開刀只電療。我希望可以聽聽李醫生給我的建議。謝謝。

    • 10 September, 2015 at 8:11 AM

      我建议你可以带你的脑MRI 照片或是CD 到我所服务的专科医院作个详细的臨床撿查及讨论治疗方法。
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Sunway Medical Centre/ Beacon Hospital
      603-7620 7979

  103. Kee Lam
    31 August, 2015 at 10:38 AM

    Dear Dr Lee,

    My daughter has been diagnosed with Cerebella Tonsillar Octopia with 5MM after MRI SCAN.

    No evident of syringomyelia noted at cervical spine

    No hydrocephalus

    Is her condition can be treated? Is the surgery dangerous? How much will be the costs?

    • 28 December, 2015 at 10:19 AM

      Dear KL

      Your enquiry has been responded to via private email. Below is Dr Lee’s reply:

      Dear Mr Kee Lam,

      Cerebellar tonsillar ectopia cab be treated with Gardner’s operation i.e. Craniovertebral decompression which is a straightforward and safe micro neurosurgery procedure.

      Operation takes about one and half hrs and requires hospital stay of 3-4 days.

  104. Patricia
    30 August, 2015 at 8:44 PM

    I have a very bad headache for 9 days now. The pain when it started, was like an explosion. N it’s accompanied by neck pain n stiffness. The pain radiates from the left back part of my head to my neck. I’ve seen a GP n the Dr says it’s migraine n prescribed a muscle relaxant n migraine pills. It’s not working n I’ve just finished the medication. The pain is horrible. Please could you advise, do I come in for a ct scan ?
    Thank you.

    • 1 September, 2015 at 9:11 PM

      Dear Patricia

      Your doctor is in the best position to assess the pain and to consider its cause, be it migraine or some other condition. Do see your doctor for reassessment and to discuss the necessity for brain scanning.

      Best wishes, Webmaster

      • Patricia
        9 September, 2015 at 9:02 PM

        Thank you, I’ve been to the ER and a neurologist, had a MRI scan done. Was on medication n much better now.

  105. Esther Wong
    24 August, 2015 at 1:31 AM


    我家婆今年48岁,8岁昏倒撞头,28岁发现脑积水,未曾开刀。上个月开始不舒服,出现类似感冒症状,发烧颈项肩膀头疼,手脚麻眼睛蒙。看了几家诊所都查不出原因,就决定再照MRI .

    MRI 结果显示脑积水的部分是黑色蝴蝶型的,可是中间有一处是灰色。

    第一位 说必须马上开刀,permanent tubing引流到胃,否则会失明等等

    第二位医生对灰色地带比较忧心,要我们做CSF flow study 和 flare。


    请问,CSF flow 和 flare 在新山有得做吗?如果在你们家, 一般收费在多少?


    • 24 August, 2015 at 12:41 PM

      Dear Miss Esther,
      Thanks for your enquiry.
      MRI CSF flow study is a common test and can certainly be done at Sunway Medical Centre or Beacon International Specialist Centre. Cystoperitoneal or ventriculoperitoneal shunt are simple neurosurgical procedures with overall risks of <1%.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre / Beacon International Specialist Centre

  106. Mrs Lai
    19 August, 2015 at 11:11 PM

    ,如果是周末,可以睡到中午十二点也不起床。起初以为他功课太繁重,睡眠不足所至的。三个月前给他补充很多营养品,可是都没有见效,就去看了脑科专科医生,起初医生开了arcalion, melatonin给他服用,情况沒有改善,然后做了MRI, sleep study,沒有发现有什么不妥,医生怀疑是嗜睡症(narcolepsy) 现在开了 ritalin10mg早午各半粒,服用 二天后沒效,增加早午各一粒,他的身体出现不适,心跳至120还有点痛,医生又建意减去早中午各半粒,心跳115还是有点痛,鼻塞,咳嗽及脚下半部有红疹)在这种情况下还要继续给他服用吗?还有另外一种药是concerta18mg(服用ritalin五天后才开始)每天一粒,服一星期。李医生,我儿子到底是怎么了?服用这些药对他以后影响大吗!因为是兴奋剂。

    • 25 August, 2015 at 7:47 AM

      Mrs. Lai 女士,李醫生是神經外科醫生。合適的人來諮詢一下你兒子的療程為“NARCOLEPSY”,是他的醫生。


  107. JP
    17 August, 2015 at 8:42 PM

    Dear Dr. Lee,

    I have a brain aneurysm. I would like to seek for second opinion. Can I make an appointment with you?

    • 18 August, 2015 at 9:52 AM

      Dear JP

      Please contact Dr Lee’s clinic at the numbers in this website.

      Best wishes.


  108. Stephy
    2 August, 2015 at 3:03 PM

    Hi Dr Lee,

    My mum suffering from insomnia in the past few years and sometimes she can fall a sleep at night but she is a very light sleeper. Recently her condition is getting worst and she told us that her brain being too active and unable to relax/switch off at night even during holiday, hence her insomnia problem is getting worst. We are unsure whether you provide any treatments for this type of patient (except sleeping pills)? Please kindly advise. Many thanks.

    • 6 August, 2015 at 8:57 AM

      Dear Stephy

      Your mother needs a psychological evaluation for the symptoms. You are right, sleeping pills are not the ultimate solution.

      Do talk to your GP to arrange for a psychiatric referral to be made.

      Best wishes.

      on behalf of Dr Lee

  109. warid
    2 August, 2015 at 12:59 AM

    Dear Dr Lee,
    My friend suffering from paraplegia . I wonder if there is treatment for him.

    • 6 August, 2015 at 8:59 AM

      Dear Warid

      Choice of treatment for paraplegia is determined by the cause, be it trauma, infection, degeneration of spine, etc.

      Do talk to your friend’s doctor for guidance.

      Best wishes.

      on behalf of Dr Lee

  110. nicole
    29 July, 2015 at 8:48 AM

    Hi dr lee,
    My mom has been diagnosed with mild stroke last week by a GP. Currently she is taking aspirin and medicine to lower her blood pressure. No further action has been advised. She is still quite week, can’t walk too much and has little numbness on her right face. Cant u advise us what is the next step that we should take ?

    Thanks a lot..

    • 6 August, 2015 at 8:54 AM

      Dear Nicole

      Every patient needs to be assessed individually before any treatment can be recommended. If you are concerned about your mother’s progress, do consult her GP again. If necessary, she can be referred to a specialist.

      Best wishes.

      on behalf of Dr Lee

    24 July, 2015 at 10:10 PM


    • 6 August, 2015 at 9:01 AM

      Dear Mr Teraj Uddin
      Thank you for your enquiry.
      Hydrocephalus (water in the brain) can be easily treated with either Ventriculoperitoneal shunting which is a minor neurosurgical operation, or neuro-endoscopic fenestration.
      Thank you.
      Yours truly.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon
      Beacon International Specialist Center / Sunway Medical Center
      +603 74910777.

  112. Loon
    11 July, 2015 at 2:34 PM

    Dear Dr Lee,

    I have read your website and knew that you have enormous experience on the neurology treatment. I believed with your substantial experience, you will be able to assist me as I really need your precious advices for my mum’s case. She is 72, she has diabetes, high blood pressure, heart beat weak. She has been suffering from bilateral by burning for years, have been treated many doctors, however, the burning was unable to cure. Recently, the situation become worst and she suffering badly.

    I am sincerely seeking Dr Lee’s precious advices to how to treat this type of bad burning.

    Hope Dr Lee will be able to respond my request. Really appreciate that.

    • 16 July, 2015 at 11:18 AM

      Dear M Loon

      Your mother has a complex situation. She needs a thorough evaluation of clinical status and test results before any treatment can be offered.

      You may wish to consult Dr Lee Foo Chiang at the address on this website.

      Best wishes,

  113. Carrina
    9 July, 2015 at 3:20 PM

    Dr lee, my sister has migraine, she has headache every day. Can she do the ct scan on brain?

    • 16 July, 2015 at 10:40 AM

      Dear Carrina

      Your sister is advised to consult her family doctor if she would like an assessment to determine which investigations are appropriate. These may turn out be blood tests, imaging scans or other neuro studies. Besides migraine, there are a number of causes for daily headache, including anaemia, thyroid disease and other systemic disorders.

      Best wishes,

  114. Harris Budiman
    1 July, 2015 at 9:12 AM

    Dear dr. Lee,

    My wife got Hemifacial problem. Do you do surgery for this case?

    • 16 July, 2015 at 11:15 AM

      Dear Mr Budiman,
      I have been performing Microvascular decompression MVD surgeries regularly for hemifacial spasm and trigeminal neuralgia since 1985. It is a very safe and rewarding surgery with high chance of permanent cure.
      Please feel free to contact my office for consultation and further discussions.
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  115. Celine
    22 June, 2015 at 8:37 AM

    Dr Lee,

    Do you help people to get rid of sleeping pill , like Alprazolam.

    • 16 July, 2015 at 11:24 AM

      Dear Celine

      The specialist for this problem is a psychiatrist with interest in Addiction Medicine.

      Best wishes,

  116. rodi bekas
    22 June, 2015 at 6:41 AM

    Dear Dr. Lee

    My brother he is 29 years opd had bleeding in cerebellum for unknown reason in September 2014 he was in hospital for over a 6 month. He suffer many side effect of multiple ataxia semptmos. Heavy speech . Cant walk . His left eye and left part of his face can not control He lives in germany . Dusseldorf he is now getting treatment of diffrent therapy types . Does acupuncture treatment will help his condition . Is there anything else we can do ?

    • 1 September, 2015 at 9:34 PM

      Dear Rodi

      Please accept our apologies for late reply – your post was caught in the spam filter. Your brother is likely to be receiving “state of the art” rehabilitation in Dusseldorf. Acupuncture has not been shown to be evidence-based treatment for neuro rehab. Please do encourage him to persist with treatment in Germany.

      Best wishes, Webmaster

  117. tlt
    18 June, 2015 at 9:43 AM

    Dear Dr Lee,
    I had a mild case of cerebal Palsy since birth. I was on physio therapy for several years.
    The doctors at that time said there is no cure. I have a normal growing up years with allergies to some medication.

    I am now 33 years old. Recently i find my self not able to balance well and its I find it hard to talk sometimes

    Is it related to the CP i had ?

    • 16 July, 2015 at 11:28 AM

      Dear M Tan

      You seem to have done well with physiotherapy. If you would like to find a cause for the change in functioning, a re-evaluation is needed, preferably by the team which treated you previously. Otherwise, you can consider a neurological reassessment.

      Best wishes,

  118. Christina Joseet
    17 June, 2015 at 1:23 PM

    Dear Dr Lee
    My husband is a quadriplegic who had a hip dislocation and in constant pain and want to do rizotomy. Do you do this procedure?

    • 17 June, 2015 at 5:47 PM

      Dear Ms Joseet

      Your husband as a complicated situation. Management should be tailored to his condition. Do consider meeting Dr Lee to discuss, at the address on this site.

      Best wishes.

  119. Lee
    11 June, 2015 at 1:48 PM

    Dr Lee, may I know the technic that you use for brain tomur operation?

    • 16 June, 2015 at 8:33 PM

      Dear M Lee

      Surgery techniques for brain tumour are guided by the nature of the tumour, its size and location, as well as the patient’s general health, i.e. no one size fits all.

      on behalf of Dr Lee.

  120. Jxxx
    11 June, 2015 at 1:06 PM

    Dear dr lee,
    I’m 16 and I had sex. I haven’t gotten my period since then and it’s been 3 months plus. I went to test for the pregnancy test 2 times and it was negative. I have no stomache, nausea, nor any pregnancy symptoms. but the only thing I had was really little bit of brown discharge like during the first month and second. what do I do.. please reply. I’ve been stressing out worrying about this for quite some time.

    • 16 June, 2015 at 8:42 PM

      Dear Jxxx

      This website is not able to provide the advice you need. Do see your family doctor for checkup and help.

      Best wishes.

  121. Sam Wong
    10 June, 2015 at 6:42 PM

    Dear Dr. Lee,I have Cervical Hernia on my right side of my neck since several years back, recently it has been worsen. After X-ray doctor told me its at C4, C5,C6. My upper shoulder straight down to my 3 last fingers will produce numbness and electrical shocks of and on, more obvious when sitting down. At present l am under chiropractic therapy. But not much improvement, please advice is it possible to have surgery, l hopefully to ease it once for all.
    Sam Wong
    Age: 64
    Profession: Textile Chemicals
    Request: Can l have a personal mail reply. Thank you.

    • 17 June, 2015 at 5:41 PM

      Dear Mr Sam Wong,
      Cervical herniated disc with nerve compression can be safely treated with anterior cervical discectomy and interbody cage fusion or artificial disc replacement. This is a microsurgery commonly doneb y experienced neurosurgeons.
      Relief of pain in most cases is immediate. It requires 2-3 days of hospitalization and patients are ambulating by the time of discharage.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre

  122. SK
    10 June, 2015 at 3:13 AM

    Recently my sister has giddiness and double vision for more than a week. She did CT scan at a hospital and the report described blood clot. Her doctor referred her to a neurosurgeon at another hospital. She was sent for MRI and the report described pontine cavernoma measured 2cm x 1.6cm. She was advised to have surgery to remove it. However, we would like to seek second opinion; especially the risks involved.

    • 16 June, 2015 at 8:37 PM

      Dear M Hoh

      Please contact the neurosurgeons on this website for thorough clinical evaluation and advice.

      Best wishes.

    • 16 June, 2015 at 8:38 PM

      Dear M Ng

      Please contact the neurosurgeons on this website for thorough clinical evaluation and advice.

      Best wishes.

  123. ng
    9 June, 2015 at 9:58 PM

    Dear Dr Lee,
    I was diagnosed of having right meniere ‘s disease. im having symptoms like giddiness and nausea. on the 20/4/15 i went for a CT scan and they found out that there is right fossa cyst. my appointment with government hospital is still a long time to come. can u kindly advice me on the possible treatment? do i have to undergo any surgery to remove the cyst? what are the best treatment available now for my condition?
    thank you

  124. Tan
    1 June, 2015 at 2:20 PM

    Dear Dr Lee,
    I had a mild case of cerebal Palsy since birth. I was on physio therapy for several years.

    The doctors at that time said there is no cure and because its mild i should use my mind to control my coordination. I am now 33 years old. I find myself not able to control my balance and movement (constantly shaking) with my mind and I think my speech is slowing down. I know what I want to speak but I can’t get the words out clearly.

    My mother says nothing is wrong its just my habit of not controlling myself. I think something is not right. Should I be seeking professional help and where to get such help?

  125. sri
    11 May, 2015 at 12:27 PM

    Dear Dr Lee,

    I am 28, female, suffering from epilepsy since I was 12. It started one day when I was asleep. According to my parents, I suddenly let out a loud scream and had seizures. I usually bite my tongue and the left side of my body shakes. After that, I became unconscious. After some time, I became conscious and felt very weak and tired, with extreme pain at the back part of my head and eyes. For several years I continued having seizures within several minutes after I fell asleep. This happened once or twice a month until I was 18. Then, I didn’t have any seizures when I was 19 till 21. Suddenly, one day I collapsed when I was awake, became unconscious and had seizures. This was my first attack when I was awake. Till now, I am getting seizures when I am awake, and after several minutes of it ending, I get another one too, sometimes two or three at a time. I have taken MRI and EEG tests and doctor (neurologist) said that there wasn’t any abnormalities in my brain activities. They recommended me to take Lamictal to control my epileptic frequencies. Is there any treatment to cure this problem? How has it changed from occurring during sleep to now at awake? It is definitely affecting my daily activities and situations at my work place. It also affected my vision, as my left eye’s power has increased a lot. Please advise.

    • 21 May, 2015 at 11:07 AM

      Dear Madam

      Seizures can occur at any time of the day or night. The EEG provides definite proof of seizure attacks. However, since the recording is done done over a limited time period, seizure activities may be missed. To overcome this, 24-hour video EEG can be considered. Alternatively, people with epilepsy may have non-epileptic seizures (NES) too. Treatment for NES obviously will not be not antiepileptic medication. Do discuss these issues with your doctor. Finally, for information, epilepsy does not affect the eyes.

      Best wishes, Webmaster

  126. Ms tan
    29 April, 2015 at 11:00 PM

    Dr Lee
    您好!想向您寻问有关我爸爸在去年十二月,因发生了事故,照了plain ct scan,証实得了right external capsule old infarct with underlying age related celebral atrophy.最近,发觉眼睛不时在眨,每当睡醒,左眼都感不舒服,疼痛,双手颤抖,有时大便没知觉,猜测他有痴呆症状,想让爸爸到医生那做一些脑部检查。1)若要知道有无癫癞症状 可做那些检查?2)像爸情况 要做那些检查,个别检查费用约多少?3)要如何医治?

    • 20 May, 2015 at 9:02 AM

      Dear Miss Tan,
      可以带您父亲去做脑部扫描MRI Brain。至於癫痫症的檢查则是需要脑电波EEG. 国内各大医院都有这类的设备。
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon

  127. Sarah
    17 April, 2015 at 10:27 PM

    Dear Dr Lee, I’ve diagnosed hemi facial spasm at my right face since 7 years ago & currently doing botox treatment at GH . But recently I noticed that my left eye started twitching . I worry that it will getting worse . Can I go for botox injection for my left eye too. Beside botox what treatment I can do.

    • 17 June, 2015 at 10:58 PM

      Dear Sarah

      Hemifacial spasm (HFS) remains on one side. If you have symptoms on the opposite side, do consult your doctor about other possible explanations. It is not likely to be due to HSF affecting the opposite side.

  128. Prema Balakrishnan
    16 April, 2015 at 6:33 PM

    Dear Doctor

    I am female aged 48 years old. I*ve been told by my doctor that I*ve got Multiple Sclerosis (MS) It was diagnosed based on the MRI and the results of the lumber puncture done. The results are as follows:

    Oligoclonal bands DETECTED in this sample.

    The finding suggests intrathecal immunoglubulin synthesis.

    Based on the above the doctors confirmed that i have got MS.

    Before this, I had tingling feeling on my feet and hands. This feeling became worst effecting my whole body. When I walk or stand I get tired fast. My right leg becomes really numb until I have to force myself to walk. Feels like my blood is not running to my head. My face and under my sole are pale.

    I was given 5 dose of the steroids drips. I forgot the name. After the drips, I felt better. But I was told that, that was not the treatment. and my problem will come back.

    1. So, what shall I do? The doctor told me that the treatment is expensive.
    2. When should I start this treatment?

    I am now on Neurontin, Revicon Forte and Neorobion.

    The doctor also told me to go on Fampyra 10mg. I am taking 1/2 tablet at night.

    I am a little worried about the my future. Whats going to come next. It seems that all this medication is on trial. I feel like a TEST. I would like a second opinion. What do you advice?

    Awaiting your kind reply in anticipation.

    Thank you.


    • 19 April, 2015 at 5:44 PM

      Dear Prema

      From your account, you had a thorough clinical evaluation followed by the necessary investigations, to arrive at the diagnosis of Multiple Sclerosis.

      MS is a complex condition with a wide range of severity. Your treatment has to be individualised according to your condition. The recommendations proposed to you appear to be appropriate for MS. The practice guidelines for MS contain only treatments which have been proven in clinical trials of MS patients to be effective. No experimental therapy can be offered to you except with your express consent.

      Do discuss your concerns with your doctor if you have doubts. You can of course request to be referred for a 2nd opinion.

      Best wishes, Webmaster

  129. ummu eman
    13 April, 2015 at 10:31 PM

    Dear Dr Li,
    i have a recurrent of chronic lower back pain since 2008(reprolapsed), disectomy of l4/l5 disc done in 99. it was associated with sciatica. do you do Radiofrequency or can recommend any dr that do radio frequency? last Rf I did at Uiam; but their RF machine is out of order. id tried conservative treatment for 6 weeks; but not much improvement.

    • 22 April, 2015 at 7:57 AM

      Dear Ummu

      So sorry to hear of your recurrent problem. RF is not yet offered at our centre, so you will need to look for alternative providers.

      Best wishes for your recovery.


      • poorneema
        5 May, 2015 at 10:48 AM

        Hello Dr.Foo, Recently I faint in office with my eyes open. its that any problem with my brain?

        Date: Tue, 21 Apr 2015 23:57:26 +0000 To: poorneema2009@hotmail.com

      • 7 May, 2015 at 10:37 AM

        Dear Madam

        Fainting may be due to many causes, including dehydration, fasting, loss of blood, heart disturbance and of course, neurological conditions. You are advised to first consult your family doctor for initial assessment.

        Best wishes, Webmaster

  130. Nurliana
    13 April, 2015 at 6:01 PM

    Dear Dr.LEE. my husband has been detected “Pituitary Macroadenoma” (4 cm) by doctors in Penang through MRI. So I want to know more about this and I am planning to bring him to KL for more consultations. Do Dr.LEE handle a case like this? please reply and tq for your time. Regards : Nurliana – Indonesia

    • 19 June, 2015 at 4:40 PM

      Dear Ms Nurliana,
      Pituitary macroadenoma can be safely removed microsurgically / endoscopically by neurosurgeons. This is done through the nostril. It is a common operation in my practice.
      The overall risk is less than 1%. Surgery takes 1 1/2 hr and 3-4 days of hospitalization.
      I hope you find these informations helpful.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre.

  131. ganish
    13 April, 2015 at 1:35 PM

    Dear Dr Lee
    I am suffering fr back pain for almost 4yr n recently I hv pain in my buttoks,I do a research in web n I found similar as called sciatica.wat I am suffering now pls help…..

    • 19 April, 2015 at 5:27 PM

      Dear Ganish

      Yes your description could fit in with sciatica. However, there are other causes which need to be considered. Do consult your GP for further evaluation, in order to exclude other less common but more serious causes of back pain.

      Best wishes.


  132. swaseni
    27 March, 2015 at 11:44 AM

    Dear Dr my mum has problem with her right leg eversince she fell 2 years back.she cannot walk well n suffers in great pain.someone told me about’nerve block’jab.plz advice tq for your time

    • 28 March, 2015 at 4:01 PM

      Dear Swaseni

      Your Mum’s condition needs proper clinical assessment in order to formulate any treatment recommendation, including nerve block. You may wish to either consult her doctor or make an appointment with Dr Lee.

      Best wishes, Webmaster

  133. Mrs Ng
    23 March, 2015 at 12:03 AM

    Dear Dr. LEE Foo Chiang

    Firstly, thank u for having this platform! Appreciate your advice and comments on my husband’s condition.

    Few months ago, my husband (age 74) started feeling numbness and lost control/strength on his fingers. We thought it could be because of his Atrial Fibrillation (currently under control by medication) or that he had a mini stroke.

    He then went for an MRI scan of his cervical spine and found the following :-
    – Gross cervical spondylosis. Multilevel gross disc herniation with cored compression, foranimal narrowing and nerve root impingement. It is worst at C4/5 with underlying myelopathic change.
    – The cord appears relatively flat at the cranio-cervical junction. It is of unknown nature and significance. there is however no focal myelopathic change at this level.

    He is currently 74, has Atrial Fibrillation, respiratory sensitivity (occasional wheezing), and insomnia. He now has difficulty controlling his limbs (i.e. can’t button shirt, can’t hold pen, weakness in legs, he has difficulty walking), and just today started to have difficulty reading (can’t see clearly).

    The doctor suggested wearing a neck guard and take Neurobion.

    What are your advice on his options, risks of treatments and chances of recovery? Greatly appreciate your kind insights.

    Mrs Ng,

    • Mrs Ng
      24 March, 2015 at 12:56 AM

      Dear Dr. LEE Foo Chiang

      Firstly, thank u for having this platform! Appreciate your advice and comments on my husband’s condition.

      Few months ago, my husband (age 74) started feeling numbness and lost control/strength on his fingers. We thought it could be because of his Atrial Fibrillation (currently under control by medication) or that he had a mini stroke.

      He then went for an MRI scan of his cervical spine and found the following :-
      – Gross cervical spondylosis. Multilevel gross disc herniation with cored compression, foranimal narrowing and nerve root impingement. It is worst at C4/5 with underlying myelopathic change.
      – The cord appears relatively flat at the cranio-cervical junction. It is of unknown nature and significance. there is however no focal myelopathic change at this level.

      He is currently 74, has Atrial Fibrillation, respiratory sensitivity (occasional wheezing), and insomnia. He now has difficulty controlling his limbs (i.e. can’t button shirt, can’t hold pen, weakness in legs, he has difficulty walking), and just today started to have difficulty reading (can’t see clearly).

      The doctor suggested wearing a neck guard and take Neurobion.

      What are your advice on his options, risks of treatments and chances of recovery? Greatly appreciate your kind insights.

      Mrs Ng,

    • 28 March, 2015 at 4:15 PM

      Dear Mrs Ng
      His cervical cord compression with resultant weakness and numbness of limbs can only be corrected with microsurgical decompression from either the front (anterior cervical discectomy) or back (cervical laminoplasty) which can only be ascertained after clinical assessment and review of his MRI. Due care to the atrial fibrillation is needed as we may need to withhold his anti-clotting medication perioperatively.
      Functional improvement can be anticipated.
      Thank you.

  134. Joann Low
    19 March, 2015 at 9:52 AM

    Hi Doctor Lee,

    Good day to you. Would like to obtain professional opinion from you. My dad has suffer from minor stroke on Monday, he was immediately send to do acupuncture to release blood and air (I am not family with this and not sure the process help). Now, his right side of his body has no strength and will not able to walk, he still can move his right hand & leg while laying down. I want to do a thorough scanning and checking for him to see if any blockage. What is the kind of scanning or what kind of checking I shall bring my father to?

    Thanks so much and appreciate this.


    • 19 March, 2015 at 10:14 PM

      Dear Joann

      Your father needs a clinical assessment by a doctor to determine what kind of tests are needed, in order to prescribe the appropriate treatment. Do consult your GP for advice on the next steps.

      Best wishes,

  135. 58 yrs old
    9 March, 2015 at 7:04 AM

    Dear Dr. Lee’

    My husband is 60 yrs old and have been sick for the last 19 yrs. Recently a neurologist in Penang diagnosed my husband with anxiety neurosis. In the beginning the medication prescribed by the specialists works. The pain was minimised but after 2 mths the pain was back to what it was before. This situation has been the same for the past 19 yrs. Can you advice me who I should consult as I seen most of the neurologists in KL namely Dr. Abu Salim of Tawakkal, Dr. Sng of gleaneagles, also those from prince court, Ampang putri, KLJ group, pantai ipoh etc.

    Appreciate your help on this matter

    • 19 March, 2015 at 10:19 PM

      Dear Rogayah

      Dr Lee Foo Chiang is able to offer neurosurgical expertise for surgical conditions. In the case of anxiety neurosis and chronic pain, surgery is not appropriate.

      Best wishes,

  136. 5 March, 2015 at 3:28 PM

    Thank you. Much appreciated.

  137. Lee Yet Shan
    23 February, 2015 at 12:27 PM

    Dear Dr Lee,

    I have been suffering from migraine since my teens. Of late, I noticed I get it before and after my menstruation. However, this month is different. I’m having migraine as I write to you now since the first day of my period, which was on the 12th Feb. It’s been 12 days already and this isn’t normal, is it?
    I’m not sure if this warrants a MRI? Please advise. Thank you.


    • 25 February, 2015 at 2:34 PM

      Dear M Lee

      It is not possible to provide advice based on the linited information given. You may wish to first consult your GP, as to what should be the next step.

      Best wishes.


  138. Hanan Hatami
    21 February, 2015 at 5:43 PM

    Dear Dr. Lee.
    My name is Hanan, 34 years old and a mother of 2 years old baby girl. I do live and work in MY for last 7 years. Following my pregnancy I started with cramps in my legs by which I was told is normal to experience during pregnancy. However the cramps turned into sever condition in more frequent attacks day and nights after I gave birth. My muscles cramps and becomes too hard that at times I feel is going to break my bone. I am diagnosed with mixed connective tissues more than 12 years ago but I have no SLE, just have developed morphea. My ANA still is high (640) but all the other tests that I have been through on and off during last 3 years all came negative. I did some tests on my nerves and ranged normal (no MS), I have done two MRIs and other than a very slight slip disc seems okay. I also completed blood test and all the minerals are in normal range. Doctors told me they are in dilemma. I have sever attacks for nights. I can’t sleep, I can’t rest. Nothing works. Please advise what should be my nest step as I can’t live further without getting this pain diagnosed. Thank you very much.

    • Hanan Hatami
      21 February, 2015 at 6:45 PM

      Just an add on information on my cramps. The stiffness may force my leg joints to move and turn without me having any control over it. The pain is so sever that at times I will shout for help (if at home)!


    • 25 February, 2015 at 2:38 PM

      Dear Hanan

      Since your condition appears to be complex, you need to have a thorough evaluation of your clinical condition and test results before any treatment can be recommended. Your condition could require either rheumatological or neurological opinion. Would you like to request for doctors for an appropriate referral.

      Best wishes.


  139. sarah rush
    19 February, 2015 at 7:36 PM

    Dear doctor i would like to ask what an atypical hemangioma may be? I have one in my cervical spine does this need treatment it further investigation

    • 25 February, 2015 at 2:40 PM

      Dear Sarah

      It is not possible to comment based on the limited information. A spine specialist would be able to advise on this.

      Best wishes.


  140. mr.rana
    18 February, 2015 at 8:21 PM

    I’m from bangladesh. my son is 13 years old. unfortunately he had been affected by moyamoya. doctors of bangladesh told me that the patient need a by pass surgery. sir, if u will do the surgery at sunway medical centre, Malaysia. how much us dollars will be needed? pls ret
    urn me an email as early as possibe .regards mr. rana

    • 19 February, 2015 at 5:55 PM

      Dear Mr.Rana,
      EC/IC bypass surgery (direct and/or indirect) as cerebral revascularization for various conditions including Moya-moya disease have been performed in Sunway Medical Center by our Neurosurgery team since 1999.
      Your son needs to be admitted the day before for MR Angio or cerebral angiogram followed by the microneurosurgery the next morning. Patency of the bypass is confirmed during surgery with ICG Vascular fluorescence. He can be discharged on day 4 after surgery but needs to be reviewed on day 7. He will be fit to fly back to Bangladesh on day 14 onwards.
      Please contact my office at this number 603-74910777 (direct line) or 603-74919191 (main line ext 15519) or email: fclee.neurosurg@gmail.com.
      Thank you.
      Warm Regards.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Senior Consultant Neurosurgeon
      Sunway Medical Center

  141. Shirley Ong
    12 January, 2015 at 5:48 PM

    Dear doctor,
    My nephew has been diagnosed with craniopharyngioma chordoma n underwent two ops, nasal n cranium but the tumour has grown again. His doctor suggested gamma knife. I would like a second opinion n also which hospital in malaysia has this treatment.
    Thank you
    S ong

    • 5 March, 2015 at 12:10 PM

      Dear Miss Ong,
      Stereotactic radiosurgery can be performed in Malaysia using Cyberknife (Accuray USA) at Beacon International Specialist Center PJ or Gammaknife (Elekta Sweden) at Gleneagles Med Center, KL.
      If the tumour is near to the optic nerve and optic chiasm as in this case, then protection of these structures from radiation is of paramount importance. In this respect fractionating the total to 5 or even 10 fractions has a distinct advantage. This is regularly done with Cyberknife and generally not possible with the Gammaknife unless of course the Perfexion model in Gleneagles has the Extend package with the vacuum assisted pillows and vacuum assisted bite block. Otherwise the Gammaknife will have to be done without fractionation, i.e. total calculated radiation dose to be given in single dose.

      Thank You.
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre / Beacon ISC

  142. 12 January, 2015 at 4:32 PM

    Dear Dr. Lee,

    I’m seeking for your advise, I’m experiencing headache for more than 5 years, and now it’s getting worse, few years back the paint last for 3 to 4 hours but now it can last for 2 to 3 days. And without fail it will happen almost every week. I’m not sure what to do? I have been to clinics and hospital but they told me I got migraine. I’m seeking for treatment and hopefully it can reduce my paint. Thank you

    • 25 February, 2015 at 2:54 PM

      Dear Aini

      If you are confirmed to suffer from migraine, there are medications available for preventive treatment and pain control which are appropriate for your level of severity. Do request for referral to a neurologist for relief of your symptoms.

      Best wishes.


  143. Michelle
    8 January, 2015 at 3:53 PM

    Dear Dr. Lee,
    My dad suffers from MND. I read a few websites on stem cells that could help to slower down the deterioration rate of MND. The websites that I read on was updated on 2013, stating that there were still no clear cure for this disease. May I know whether there is any form of stem cells that are recognised to be able to cure this disease? Please do provide me alot of information so that I could quickly send my dad for this stem cell treatment. I hope to hear from you very soon. Thank you very much.

    Warm regards,

    • 15 January, 2015 at 10:52 AM

      Dear Michelle,
      Thank you for your enquiry.
      There is no definitive treatment for MND.
      Stem cell treatment is considered clinical experimental treatment. At best it can only delay the progressive decline in patient’s condition as measured on the ALS-FRS scale and hopefully maintain the patient’s current quality of life at entry point of treatment for a longer period.
      Yours truly,
      Dr FC Lee
      Consultant Neurosurgeon

  144. Razy Ariff
    6 January, 2015 at 1:30 PM

    Dear Dr. Lee,

    I have Ankylosing Spondilitis-HLA B27 since several years ago.

    On November last year, I had visited my rheumatologist due to numbness in my foot and back pain. Then I’ve done MRI on lumbar spine and Tarlov’s cysts seen in the S2 region.

    I’d referred to the Orthopedic & Spine Surgery specialist and he told me the cysts is normal & accidentally appeared. He advised me to do more exercises & physio therapies.

    Here are the questions for you doc
    i- Is the any connection between AS and Tarlov cysts?
    ii- What’s the best treatment to deal with the cysts?

    Thank you doc!

    • 15 January, 2015 at 10:56 AM

      Dear Mr Razy

      You are advised to direct your concerns to the Rheumatologist and Spine Surgeon. These specialists would be able to provide expert advice on Ankylosing Spondylitis, rather then neuro consultants.

      Best wishes,


  145. Kang Ket Hao
    4 January, 2015 at 2:31 AM

    Dear DR Lee,

    My girlfriend was diagnosed as cystic cerebellar mass with mural nodule – possibility of cystic astrocytoma from the MRI and the only solution is surgery.

    MRI scan of brain findings:
    1. Cystic mass in the paravermian region of left cerebellar hemisphere measuring 4.5x4x3.5cm and showing an enhancing mural nodule on its floor. Lesion compresses the fourth ventricle though there is no hydrocephalus.
    2. Normal cerebral hemispheres – cortex, white matter and basal ganglia.
    3. Normal cerebral peduncles, pons, medulla oblongata.
    4. Normal lateral and third ventricles, basal cisterns and subarachnoid space.
    5. Normal skull vault and base.
    6. Normal internal carotid arteries, vertebral and basilar arteries and their intracranial branches.

    She feel headache, giddiness and unsteadiness since one month ago. Its become serious now as she feel faint while moving but nothing if motionless. I would like to check any other treatment other than surgery. How many percent is the success rate if going for surgery?

    Thank you for your kind attention.

    Best Regards,
    Kang Ket Hao

    • 13 January, 2015 at 9:50 AM

      Dear Mr Kang,
      The best treatment for her cystic astrocytoma is microneurosurgery excision of the mural nodule and evacuation of the cystic fluid at the same time.
      This is done with the help of stereotactic image guidance (“GPS”) through our very high definition operating microscope. It is a safe procedure and in experienced hand the overall risk is low. It leads to a long term cure if the mural nodule is removed as shown by many patients over the last 3 decades of practice.
      As it is usually a low grade (non cancerous) tumour, radiotherapy / radiosurgery (Cyberknife / Gamma knife) will not help. Instead, there is a genuine concern about radiation accelerating conversion to a higher grade tumour, if the tumor mural nodule is not totally removed surgically.
      Most of her symptoms are due to the mass effect caused by the fluid cyst secreted by the tumour on the surrounding brain structures. Furthermore it it helpful to know the histopathology of this tumour.
      Best wishes.
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Senior Consultant Neurosurgeon
      Sunway Medical Centre.

    24 December, 2014 at 11:03 AM

    Dr Lee, My wife suffer frequent headache since 2010. At present, she had headche quite severe 4 or 5 days in a week. She had CT scan on tha brain done in 2010 and recently blood test . The doctor said ‘no cause’ found. I am very worried about her problem as there is no improvement at all. I would to seek your advice whether she can have a clinical assessment done by you or neuro specialist at Sunway Medical Centre? Thank you. Best Regards, Teo.

    • 5 January, 2015 at 10:37 PM

      Dear Mr Teo,
      Please contact my office at Sunway Medical Centre 03-74910777 or 03-74919191 and ask for Miss Agnes / Rose for an early appointment.
      Best regards.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre

  147. 18 December, 2014 at 10:35 AM

    Dear DR Lee,
    My father is multiple brain metastasis? primary source E/A for biopsy of left frontal lesion.
    Findings: multiple samples of pale looking brain tissue obtained. Sent for HPE and result will be released on beginning of Jan 2015.
    MRI findings: Several enhancing subcortical lesions with marked perilesional white matter oedema.
    -1.3×1.3×1.1cm (APxWxCC) : left parietal region (post central gyrus).
    -0.6×0.6×0.7cm (APxWxCC) : right hight parietal parasagittal region.
    0.3×0.2cm (APxW): right frontal
    He posts operatively, able to ambulate and tolerate orally well. After biopsy done on Dec 10, 2014, power impressively improved on 5/5 on right side while initially only 4/5 on right side. Now power aggravated to 4/5 starting Dec 15, 2014 on left side.
    I would like to check whether there is any treatment which could help him improve movement and minimize tumour accordingly?
    Thank you.

    Best Regards,
    Allan Sim

    • 22 December, 2014 at 10:36 AM

      Dear Allan,
      Multiple brain metastases can be treated with radiosurgery using the frameless Cyberknife which allows for fractionation to minimize radiation side effects or using the Leksell Frame based Gamma knife which delivers the total radiation dose in one session.
      Both of these offer palliative benefit and lessen the adverse side effects of whole brain irradiation.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon

  148. Franciscus Xaverius Raharjo
    18 November, 2014 at 3:41 PM

    Doc, I’m diagnosed as HNP on L5S1 from the MRI and the only solution is surgery. But I was advise to swim for 4 months. The pain is on the middle part of my left buttock when I walk/stand/sit for more than 29 minutes. I feel numbness on the gluteal fold. How big is the surgery to replace a disc and how to technically attach a human made disc to te vertebrae? How many percent is the success rate?
    Thank you for your kind attention.
    Best regsrds,

    • 4 December, 2014 at 12:12 PM

      Dear Mr. Franciscus
      You should also consider a minimally invasive Microlumbar discectomy done with operating microscope or endoscope. This takes 40 min and patient can start walking the next day and be home the 3rd day.
      Thank you.
      Dr. FC Lee
      Consultant Neurosurgeon
      Sunway Medical Center

  149. 17 November, 2014 at 7:30 PM

    Hi, my relative has hemifacial spasms, if she were to do a microvascular decompression, may I know the cost for this surgery?

  150. Joey
    14 November, 2014 at 6:19 PM

    Hi, my neck and my left shoulder are feeling painful since 2 months back. Now the pain in my neck is gone but left arm and left back start feeling painful. Pls advise! Thank you!

    • 4 December, 2014 at 12:33 PM

      Dear Joey

      Do consult your GP about these symptoms. You need a clinical assessment to identify the cause.

      Best wishes, Webmaster

  151. Sarah rush
    13 November, 2014 at 5:55 PM

    I had my csf flow done and it shows no flow at all in the fourth ventricle . Does this mean I will require surgery ??

    • 14 November, 2014 at 5:15 PM

      Dear Sarah,
      The absence of flow at 4th ventricle indicates that craniovertebral junction and foramen Magendie decompression is needed.
      Thank you!
      Dr. FC Lee

  152. Lee
    11 November, 2014 at 11:43 AM

    Hi Dr Lee,

    My mother has been diagnosed with Atherosclerosis in the brain and shrinkage of the small brain (Celebral Atrophy) after an MRI being done in July this year. She has been taking medication since then. There are 3 types of medication prescribed, i do not have the names off hand but i do know that they are to treat her “balancing”, “dizziness” and “numbness in the limbs”. At the same time, my mum has High Blood Pressure and also taking medication to control.
    The reason we went to see a Neurologist was because my mum was having constant dizziness and frequent headache. It has been about 4 months and my mum still feel dizzy 3 to 4 days in a week and still gets frequent headache. She is unable to do her usual activities like cooking for the past months and most of the time, she needs to lie down / sit down. This few days, she complains tightness of her chest.
    I need your kind advise on the progression of my mum’s condition. Is it possible at all to stop the dizziness? Is there any other treatment that could help my mum? Should we get a second opinion? Appreciate if you could assist on that.
    Thank you in advanced.

    • 14 November, 2014 at 11:02 AM

      Dear M Lee
      Your mother has a number of medical conditions, hence her symptoms could arise from several causes. She needs a thorough clinical evaluation to establish this.
      Other than brain and nerve disorders, systemic diseases and ear problems may also need to be considered. At times, there may be more than one issue.
      Seniors are also be prone to anxiety and depression for a variety of reasons.
      Do discuss your concerns with her doctors.
      Best wishes,
      Webmaster, on behalf of Dr Lee

  153. jason r
    8 November, 2014 at 11:36 PM

    Dear doctor,i m 30.the past one year,I been having this on and off blur of vision and I start sweating with a fast heartbeat.A headache would follow suit after having that symptom.besides that,i do feel like i am floating,cant concerntrate and sensitive to bright lights.did a bloodtest and also went to Uni hospital,everything showed good result except a lil bit high on the cholestrol section.I now have the fear of driving,I can’t give my 100% towards my job and I do not know what’s wrong with me.does it have anything to do with my brain?Can you help me out as I m lost..

    • 11 November, 2014 at 9:53 AM

      Dear Jason

      Sorry to hear you have such troublesome symptoms. If indeed your tests at University Hospital did not show any physical illness, you should discuss with your GP whether to consult a psychiatrist, to look into the possibility of stress, anxiety or other psychological process.

      Best wishes, Webmaster

  154. charis Thang
    8 November, 2014 at 12:45 AM

    Hi Dr, my father fell off from doing gym. His MRI report stated: bilateral facet joint dislocation at c4/c5 with cord compression and cord oedema/contusion. Abnormal right vertebral artery signal may represent thrombosis, sluggish flow or vascular injury/dissection.

    Currently he is in ICU, Pg gh. But i would like to seek for second opinion.
    I wouldn’t mind to travel over kl if need to.
    Looking forward to hear from you soon.

    Thank you!

    • 11 November, 2014 at 9:16 AM

      Dear Charis,

      Sorry to hear about your father’s unfortunate injury. He will require immediate immobilization with traction and surgical decompression and cervical spinal fixation should be done to prevent further cord compression. This can be done by either Neurosurgeon or Orthopedic spine surgeon or operating together.

      Wish him all the best in his recovery.

      Dr. LEE Foo Chiang
      MBBS. FRACS (Neurosurgery)
      Consultant Neurosurgeon.
      Sunway Medical Centre

  155. Jason
    2 November, 2014 at 6:38 AM

    Dear doctor,
    My foot is in pain for no reason as I woke up to this and I can’t even walk. This has been happening for quite sometime and I don’t exercise that frequent. Where should I go and what should I do next?
    Regards, Jason

    • 11 November, 2014 at 9:19 AM

      Dear Jason

      You need to have a clinical assessment to determine the source of your foot pain. Do consult your GP, who may decide to refer you to the appropriate specialist if necessary.

      Best wishes, Webmaster

  156. Devi
    2 November, 2014 at 12:53 AM


    My son been diagnosed ADD, is there any help or option can be helped? please advise. tq

    • 11 November, 2014 at 9:49 AM

      Dear Devi

      ADD is managed by child psychiatrists. Please get a referral from your family doctor or check the National Specialist Register https://www.nsr.org.my/

      Best wishes, Webmaster

  157. Low Siew Kee
    27 October, 2014 at 10:01 PM


    • 13 January, 2015 at 9:58 AM

      看起来这水瘤可能是屬于cystic astrocytoma 膠質瘤或是Hemangioblastoma. 两者都需要通过立体定向䐉外科手术切除。当然亦有可能只是一般的水瘤而己。手术安全性極很髙。是以手术显微镜進行也可以endoscope 切除。

  158. sarah rush
    22 October, 2014 at 8:52 PM

    I have just been diagnosed with chiari type 1 I have headaches vision problems and a seizure but my go says its nothing should in pursue further testing my herniation of tonsils is 7 mm in

    • 12 November, 2014 at 11:16 AM

      Dear Sarah,
      It may be useful to do an MRI brain CSF flow study to assess the latency if the CSF at the 4th ventricle opening (foramen Magendie) and the foramen magnum. This will determine whether you require a surgical decompression (craniovertebral junction decompression).
      Thank you.
      Dr LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon

  159. 21 October, 2014 at 4:35 PM

    dear doctor i am having a seriously painful on my entire hole body an i am looking for a surgery treatment that can permanently removed this painful body pain , could you help me for this

    • 22 October, 2014 at 6:09 PM

      Dear Khavishanth

      We are sorry to hear of your serious symptom. However, there is insufficient information provided to formulate appropriate advice. Would you like to provide a medical summary from your doctor?

      Best wishes,
      on behalf of Dr Lee Foo Chiang

  160. mr.rana
    18 October, 2014 at 9:21 AM

    dear lee,
    my son who is 13 years old has been suffering from moyamoya. doctors of appolo hospitals dhaka told me that the patient needs a bypass surgery. we have decide we will do it at sunway medical centre at Malaysia by you.
    so pls make me an return email by knowing how much US dollars will be need for this operation.
    dhaka, Bangladesh.

    • 20 October, 2014 at 12:52 PM

      Dear Mr Rana,
      Thank you for your e-mail enquiry.
      Unilateral EC / IC bypass is done at Sunway Medical Center under Intraoperative EEG burst suppression. This includes 1 day each of Intensive Care Unit and High Dependency Unit and 4-5 days in the general ward before removal of suture.

      A pre operative angiogram may be necessary.

      If the Moya-Moya disease involves both sides of the brain, similar procedure may need to be done on the second side usually 6 weeks later.
      Thank you.
      Dr. LEE Foo Chiang

  161. Wati
    16 October, 2014 at 10:53 PM

    Dear Dr.Lee…
    My daughter was diagnosed with Febrile Fits (July 2011), Presumed Meningitis (Apr 2012), Febrile fits (Sept 2012), Febrile fits (May 2013) & Complex Partial Seizure (July 2014). She has done her Brain EEG test in government hospital on the 15/08/2014 and just got the result on the 14/10/2014. Verbally being told that the result is ABNORMAL after the doc make a call to Neuro dept and no further explaination given as according to the doc, need to have a look at the physical report first. My daughter’s development is good and there is no changes on her attitude, study or performance. After gotten the result, the doc decided not to start any medication yet and advice for another review after 6 mnths. I am so worried and if the result is ABNORMAL, is she suppose to start her medication?…I already requested for a copy of report but it will takes about 2 to 8 weeks before reach to my hand. My concerned now is what is her diagnose and should she start with her medication?…i do appreciated for your kind advise whether she need to repeat her test in private hosp for fast action. She did not perform any MRI except for the EEG test.

    Thank you.

    • 17 October, 2014 at 10:13 PM

      Dear Puan Wati

      Your daughter’s case needs careful evaluation of her medical history and test results, before any meaningful advice can be formulated. Childhood seizures are managed by Paediatric Neurologist. Do talk to her doctor, and if needed, a specialist referral can be considered.
      Best wishes.

      on behalf of Dr Lee Foo Chiang

  162. Syafiqah
    13 October, 2014 at 11:32 AM

    Doctor,one of my aunty suffered with this kind of sick which is phemphigus foliaceus. She have been to many hospital but still not cure. Please give me any suggestion by my email. Tq doctor

    • 22 October, 2014 at 6:12 PM

      Dear Syafiqah

      Pemphigus is a skin condition. For information, we are specialists in the treatment of neuro conditions. Would you like to talk to the doctor who is treating your aunt about your concerns?

      Best wishes,

  163. chandran
    7 October, 2014 at 6:19 PM

    Mr Lee,
    I been having a cyst in brain for the past 10 years and had seizure problem too.But the doctors told me its not growing.
    But lately im feeling the heat back.Feels numb and uneasy.Is there any way to remove it.Pls advice.


    • 9 October, 2014 at 8:03 AM

      Dear Mr Chandran,
      Arachnoid cyst if large enough and symptomatic needs to be removed surgically through either microneurosurgery or endoscopically, the latter to create openings in the membranous wall (fenestration).
      Thank you.
      Dr LEE Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  164. nurashikin
    6 October, 2014 at 7:01 PM

    Dr lee. My father is suffering Parkinson disease since 2004. He used follow up at hospital sultan ismail jb and depends on medicine to control hand shaking. But sometimes consumed drugs ineffective. He had to take more quantity to reduce his shake. Recently, I have heard about laser treatment for parkinson. Where can I get the treatment. Or doctor has any suggestion to cure this disease. Can you respon me via email: eqnnrsln@yahoo.com

    • 7 October, 2014 at 10:49 AM

      Dear Nurashikin

      Thank you for your enquiry. Pleased be informed that Parkinson’s Disease is not treated with laser therapy. In fact, even moderately severe cases can be helped with adjustments to the medication. Do consult your father’s doctors about this.
      In a minority of patients, PD cannot be controlled with drugs. In such cases, deep brain stimulation surgery (DBS) is considered. It is expensive and requires long term checkups to adjust the stimulator settings. This therapy has been available in Malaysia for the past decade.

      For info, there is as yet NO cure for PD.


  165. Maria Teresa Coulson
    27 September, 2014 at 5:31 AM

    Dear Sir,
    Having been diagnosed with a large Suprasellar Cyst in my Brain, it was decided that this should be removed sooner rather than later, so to speak. The Procedure was performed on 29 August 2014. A subsequent MRI Scan has revealed 5 Arachnoid Cysts, also in my Brain. Can you please advise whether these are cause for concern, or indeed if they will ‘shrink’ of their own accord.
    Sincere and heartfelt thanks in anticipation of you reply…

    • 9 October, 2014 at 8:04 AM

      Dear Miss Coulson,
      Arachnoid cysts if large enough to be symptomatic need to be removed surgically through either microneurosurgery or endoscopically, the latter to create openings in the membranous wall (fenestration).
      Multiple arachnoid cysts are very rare and if not causing any neurological symptoms do not require surgical intervention.
      Thank you.
      Dr LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  166. Cannie
    25 September, 2014 at 10:34 AM

    Dr.Lee,my farther in law admitted Hospital for the sick of stroke on his brain for last 2 weeks. Yesterday doctor inform me that his Cerebellum no function and now he got infection on his lung and fever. I want to know can i transfer him to Sunway medical central for treatment? you can contact me via email : canniekoh@hotmail.com

  167. Caffy
    23 September, 2014 at 11:05 AM

    Dr Lee

    My father is 79 years old and had suffered stroke twice more than 20 years and 10 years ago respectively.

    In 2009, he was diagnosed by a neurosurgeon that the water in his brain is accumulated and an operation to insert tube into his brain to drain out the water to the stomach or elsewhere. However, we did not opt for the operation for him in view of his age (73-74 years old then). Moreover, he did not encounter any complication such as headache.

    However, he started to feel drowsy and tends to sleep long hours during day time. So, we sent him to hospital for a MRI on this brain. The same neurosurgeon diagnosed that the water in his brain has accumulated more and there is a swelling condition in his brain. So, he suggested the operation for my father, i.e. to insert tube to drain out the water.

    According to the neurosurgeon, the operation is not a major operation and only a little hole will be opened to insert the tube. The risk of operation is as low as 1%.

    In this regard, I would like to seek Dr Lee’s consultation and advice on the risk of the operation. Would the operation be suitable for my father who is so old now and would the recovery be difficult for him who had suffered stroke twice.

    Your consultation and advice are truly appreciated.

    Thank you.

    Ms Choo

    • 25 September, 2014 at 10:22 AM

      Dear Caffy,
      Ventriculostomy-peritoneal shunt is indeed a neurosurgical operation which generally takes 30 min to 1 hr. It is necessary to differentiate between hydrocephalus ex-vacuo whereby CSF accumulates in the cavities of the brain due to shrinkage of the brain tissue with age or normal pressure hydrocephalus due to suboptimal CSF (fluid) absorption in the presence of a normal CSF production.
      The former will not benefit from a VP shunt.
      The latter has a classical triad of symptoms namely gait disturbance ( dyspraxia ), loss of urine control (incontinence) and memory loss.
      Best wishes.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  168. Lawrence Fong
    22 September, 2014 at 12:40 PM

    Dear Doctor Lee
    I am writing in from Labuan, Federal Territory.
    On 19/09/14, I send my 8 year old son to an eye specialist in Kota Kinabalu, Sabah.
    The eye specialist, Dr. Peter V.Y. Kong, diagnosed my son’s condition having Bilateral Optic Atrophy.
    He recommended that an MRI be done on my son immediately.
    The result of the MRI done by KPJ Sabah as follows:
    1. Large sellar-suprasellar mass 5×4.5×3.5 showing enhancement and a central cystic component. Lesion compresses the optic chiasm and elevates the floor of the third ventricle. There is no hydrocephalus.
    2. Normal cerebral hemisphere, the cortical grey matter, the white matter and the basal ganglia.
    3. Normal cerebral, pons, medulla oblongata and the cerebellar hemispheres.
    4. Normal skull vault and base of skull structure.
    IMPRESSION: MRI features suggest a large craniopharyngioma causing severe chiasmal compression.
    We took the report back to the eye specialist and immediately Dr. Peter V.Y. Kong referred us to you. We are very worry about our son’s condition. Please advise us what is the next course of action. My email address is: fong129@gmail.com.
    Thank you and our best regards.
    Lawrence Fong

    • 23 September, 2014 at 10:13 AM

      Dear Mr Fong,
      The large craniopharyngioma is best approached via a craniotomy and removed piecemeal microsurgically. This will immediately decompress the optic nerve and prevent further damage to his eyesight.
      Surgery may take 3-4 hours and he needs to be warded for 4-7 days.
      Thank you.
      Dr. LEE Foo Chiang.
      Consultant Neurosurgeon
      Sunway Medical Centre.

  169. 20 September, 2014 at 1:58 AM

    Hi Dr Lee,
    My brother has been diagnosed having Trigeminal Neuralgia since 2 years ago. Planning to do microsurgery decompression in KL or Penang. May I know how much does the surgery cost? My email is ms_m3l1na@yahoo.com Thanks, Melina.

    • 22 September, 2014 at 9:00 AM

      Dear Melina

      Please see your email for a personal reply.

      Best regards.

  170. Eric Lim
    4 September, 2014 at 11:02 AM

    Hi Dr. Lee, I was diagnosed of having Bell’s Palsy 5 days ago and currently having physiotherapy with heat therapy and electric stimulation therapy. The physiotherapist also asked me to do some facial exercises which seems futile as my affected face wasn’t moving at all. Some of the patient in the forum advice me to stop the exercises as well as the electrical stimulation which they said will damage the nerves further which contradicts with what the physiotherapist said. I am so confused now, please advice on what should I do in the current state. Thank you.

    • 4 September, 2014 at 11:29 AM

      Dear Eric

      Facial exercises are a beneficial adjunctive treatment in addition to medication in the case of Bell’s palsy. There will of course be no visible benefit in the early stages but the neural system is being modulated.

      As for electrical stimulation, there are differing views on its benefit. There has been no evidence of it causing harm. In case of doubt, do refer your questions to your doctor.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  171. Cindy
    3 September, 2014 at 9:50 PM

    Dr Lee … 我的家人昨晚才刚开了minor operation 去除 brain tumors. 他在昨天早上八点多进行了手术,过后在下午就醒过来了。手术成功。可是今天他开始说话反应有点慢,也说不准。请问这样的反应是正常的吗?是因为手术的药物还没退吗?

    Tumors 拿去化验了。如果报告显示的是良性,那接下来病患应该注意些什么?如果是恶性呢?

    • 13 September, 2014 at 7:14 PM

      Dear Cindy,
      你家人所进行的所谓minor surgery 应该是抽取腫瘤样本作切片化驗。手术过后的可能反应该会包括腫瘤出血,水腫及細菌感染。這些都是很罕見,但卻可導至手术后病人反应迟顿。不妨要求主治医生作䐉扫描,以作適当处理。

  172. Praveen Sudananthan
    28 August, 2014 at 4:45 PM

    Dear Dr,Lee,

    My dad is suffering from hemifacial spasm for almost 3 years now. He’s 59 years old and I would say he’s been going through a tough time. His left eye twitches non stop. This affects his vision and there’s a difficulty in eating as well since his mouth sometimes follows the movement of his eye. He had medical treatment done (botox injected) for quite some time. But it doesn’t help. He even tried ayurvedic treatment as some people advised since it has got something to do with nerves. It refuses to go away. He’s just living with it now and it causes so much of uneasiness to him.
    I’m seeking your kind advice from your good self.
    Thank you.


    • 7 September, 2014 at 4:36 PM

      Dear Praveen

      The treatments for hemifacial spasm (HFS) consist of medications, botulinum toxin (BTX) injection and finally, microvascular decompression in the case of failure of the first two options. Currently, BTX is the most widely used treatment for severe HFS. You should be aware that the benefit is not permanent; usually repeat treatment is needed after every 3-6 months or so. Do discuss with his specialist as to how he can obtain relief from proper administration of BTX.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  173. lim
    20 August, 2014 at 11:52 AM

    Dear Dr Lee,

    My father, 55 yrs old, has got Parkinson for the past 10 years and used to follow up at Hospital Kuala Lumpur. Currently, he is on medication and body patch given by HKL to control his shaking hands and stiffness. Do you have any advice or updates for him in terms of medication and treatment? Is there anything else we can do for him? What about the deep brain surgery? Is it effective?


    • 24 August, 2014 at 10:58 PM

      Dear Mr Lim

      Your father has young onset PD. Treatment consists of medication adjustments suited to his requirements. Deep brain surgery (DBS) can be considered when the condition cannot be controlled with medications. It is effective in carefully selected cases.

      As such, your father should have a detailed discussion with his specialist about his current and future options. If DBS is proposed, he needs a thorough assessment to confirm its indications and to determine his fitness for surgery.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  174. huey ying
    7 August, 2014 at 10:27 AM

    Dear Dr. Lee,
    We are seeking a better management for our father. 75 years old, gentleman post traumatic head injury (bilateral subdural hemorrhage) on 30/6/14, right craniotomy and left burr hole done on 7/7/14. Currently alert, conscious, speech is slurred and bed bound. He is on Ryle tube feeding and Upper limb power 4/5, lower limb power 2/5.

    As he is still in hospital, thus we would like to call you personally to discuss in detail. Please advice.

    Thanks & Regards,

    • 11 August, 2014 at 9:38 AM

      Dear Huey Ying,
      Please call my office at Sunway Medical Centre +603 74910777 or ANOC +603 2282 6113 for an appointment. Please bring along his CT Scan or MRI brain and medical report if available for a more meaningful discussion.
      Thank you.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon

  175. Mona
    5 August, 2014 at 5:42 PM

    Hi, Dr. Lee

    My name is mona and im 36 years old. i have spine split disc, L1 & L4. Now im going for fisio therapy for strecting my spine. now my pain is getting worst and worst until i cannot sleep straight. Can i do laser surgery and is the safe for me to do. Can you advise me ?

    Thank you
    Mrs. Mona

    • 13 August, 2014 at 10:15 AM

      Dear Mrs Mona
      It appears that you have prolapsed lumbar disc which requires some form of definitive treatment. It will be necessary to look at your MRI lumbar spine apart from assessing you clinically before a decision can be made.
      Thank you.
      Dr. LEE Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre.

  176. Adex Chia
    5 August, 2014 at 11:57 AM

    Dear Dr. Lee Foo Chiang,

    My mother in law was admitted to the hospital on 17 Jun 2014 in ICU for 3 weeks and currently switches over to general ward for nearly 4 weeks. She never regain consciousness in between, experienced prolong fever until today.


    On 17 Jun 2014, she fitted 3 times at home (never fitted before), first time at 1am last 5mins, then at 2am also about 5mins and last at 5am lasting about 15mins, associated with uprooling eyeball, no drooling of saliva, no bowel or urinary incontinence. However she never regain consciousness in between, all spontaneously aborted. She is admitted to the hospital immediately and experienced another fitting, GTC, uprooling of eyeball, drooling of saliva, followed by bowel incontinence.

    GCS E1M3V1, pink, warm peripheries, CRT <2s
    Pupils: sluggish equal, bilaterally. Elective intubated at about 0720H, 17.06.2014
    1. ETT size 7.5, anchored @ 21cm
    Pre meds: IV fentanyl 100mcg, IV midazolam 5mg stat, IV scalene 100mg stat
    2. POST intubation: SpO2 99, loaded with IV Phenytoin for 1 hr

    1. IV Merophenem 2g TDS
    2. IV Phenytoin 100mg TDS (Patient allergy causes Pemphigus)
    3. IVi Sodium thiopentone 10mg/min
    4. IV Sodium valproate 600mg BD
    5. Oral Keppra 500mg BD
    6. IV Phenobarbitone 100mg BD


    She is well all this while, but a week ago, started on 12 Jun 2014 she experienced lower back pain and lethargy, she went to Hospital Tong Shin and X-ray result done was normal, discharge with mecoabalamin, etericoxib and orphonedrine. She took the medicine until 15 Jun 2014 and she claimed that the pain reduced after taking medications but having ear pain and headache. Other than that, no prolong fever, no neck stiffness, no anormal behaviour, no history of one sided weakness, no history of trauma to the head, no UTI/URTI sysmtoms.

    1. Status epilpeticus 2’ meningoencephalitis
    2. CT brain (17.06.2014) – No significant abnormalities detected. No ICB.
    3. CT brain contrast 21.06.2014:
    – No focal enhancing brain parenchymal lesion or abnormal leptomeningeal
    – Culture CSF – Final No Growth
    – CSF protein: 0.9
    – CDF glucose: 5.5, dxt: 8.8, opening pressure not done
    – CSF Bact Ag – Negative
    – Blood Culture – NGD1

    Treatment History:

    1. Treated for Enterococcus Faecalis bacteria
    2. Covered for meningoencephalitis
    3. Resolved AKI
    4. Treated for Clostridium Infection – Negative
    5. Drug induced bullous pemphigoid – Resolved

    Antibiotic History:

    1. IV Ceftriaxone 2g BD – 06.07.2014 completed
    2. IV Meropenem 2g TDS – 08.07.2014 completed
    3. IV Acyclovir 500mg TDS – completed
    4. IV Tazocin 4.5g QID


    18.06.2014 Lumbar Puncture – Normal Study
    24.06.2014 Abnormal EEG with generalised epileptiform discharge with burst suppression
    and diffuses cerebral dysfunction
    02.07.2014 Abnormal EEG with burst suppression throughout the tracing, absence of
    background activity during interburst interval
    07.07.2014 CT Brain Scan with contrast – Normal Study
    23.07.2014 NMDA rough activity – Negative

    Current Medication for anti epilepsy

    1. Syrup Sodium Valproate 600mg
    2. T Keppra 1.5g
    3. T Clonazepam 1mg

    P/s: Suspect the prolong fever is affected by the brain

    Currently the doctors are unable to determine the actual reason behind. Can you please give us some advice?

    Your kind assistance and earliest reply are very much appreciated. Thank you.

    Best Regards,
    Adex Chia

    • 6 August, 2014 at 10:20 AM

      Dear Adex

      For info, Dr Lee is away. Looking at your relative’s complex treatment progress, it is not likely any meaningful advice/recommendation can be given without examining the patient and studying all the relevant scans and results. Do discuss with her doctors about further measures. If there is still uncertainty, you could consider asking for a 2nd opinion.

      Best wishes.

      Webmaster, on behalf of Dr Lee Foo Chiang

  177. 17 July, 2014 at 2:05 PM

    Ct scan normal . However escalated loss of frontal brain since last scan in 2006 to now 2014 . I suffer daily blackouts . Affects my life greatly . My memory isn’t the greatest . Doctor did small test 7 out of 10 . I forget to my surname . Address . Dates . Day it is . I’m a 50 year old female . Going to see neurologist for further investigations . Why has ct scan not detected why I have blackouts ? Why loosing braincells faster than I should be ?

    • 26 July, 2014 at 11:57 AM

      Dear Ms Pearson

      Your symptoms need thorough evaluation by Neurologist, followed by appropriate investigations. Thereafter, there should be sufficient information to advise you on the diagnosis and the necessary treatment.

      Best wishes.


  178. Febby Fabianty
    10 July, 2014 at 8:26 PM

    Dear Dr. Lee,

    I have an emergency situation. Three weeks ago, my sister in law did the MRI test for her head, because almost nearly 2 months she headache continuously. The MRI result says there’s Colloid Cyst in her brain. We will arrive in Kuala Lumpur tomorrow, we have an appointment with neurosurgeon in one of hospital in KL. my question is, how can I make an appointment with you and bring my sis in law to be checked ? Please kindly your advice.

    • 17 July, 2014 at 10:50 AM

      Dear Febby

      Please contact Dr Lee Foo Chiang’s clinic – details in the Contacts page.

      Best wishes.


    • Yam Piek Ying
      30 July, 2014 at 12:27 PM

      Dear Doctor Lee

      My mother 65 years old, from Alor Setar suffer with Trigeminal Neuralgia more than 3 years. Earlier on she take medications such as Carbamazepine and Pregabalin. But over the pass 4 months her condition become more serious, the medicine can help to relieve pain.

      I found the surgical named below online.

      iCT and CT-guided percutaneous radiofrequency trigeminal rhizotomy

      Microvascular Decompression (MVD)

      Would like to know any other option for my mum case. Any risk for this surgical for my mum aged 65. How much for the medical cost for this surgical.

      Thank you.
      Piek Ying

      • 1 August, 2014 at 9:09 AM

        Dear Miss Yam,
        Radio frequency rhizotomy is basically using radio frequency to “burn” the Trigeminal nerve. It is in a way a “destructive” procedure.
        It can lead to anaesthesia dolorosa with loss of facial sensation and more dangerous, ulceration of the eye cornea with loss of sight in the worst case.
        In contrast Microvascular decompression (MVD) microsurgery or with endoscope is a regularly performed “physiological” procedure and in safe hands has an overall risk of not more than 1-2%. It leads to relief of facial pain and recurrence is the exception in my experience. It has been practiced in this country for the last 30 yrs.
        I hope this helps you make an appropriate decision for your mother.
        You may want to talk to some patients who have undergone MVD.

        Warm Regards.
        Dr. Lee Foo Chiang
        MBBS, FRACS (Neurosurgery)
        Consultant Neurosurgeon
        Sunway Medical Centre.

  179. Jenise Fong
    9 July, 2014 at 9:52 AM

    Hi doctor, my mother has severe nerves pain on both of her hands, she can’t even open the cover of a water bottle. the condition become worse in the early morning, may i know whats the medical problem she faces?
    Thank you so much.

    • 17 July, 2014 at 10:52 AM

      Dear Jenise

      Your mother needs a clinical assessment by her family doctor to determine what is the source of her pain. Possibilities include rheumatic, orthopaedic and neurological conditions.

      Best wishes.


  180. ming
    8 July, 2014 at 1:30 AM

    Dear Doctor Lee,

    My brother in law’s medical insurance application was rejected due to to diagnosis made as follows: demyelinating polyneuropathy, high protein content in urine, and low thyroid reading. The insurance agent advised us to see an orthopedic to treat his neuro problem soonest possble but we ignored.within a week my brother in law cannot walk, must rely on walking stick and assistance from my father in law, the numbness in limbs seems to spread to his tongue. Should we bring him to see an orthopedic or an neurosurgeon?

    • 17 July, 2014 at 10:56 AM

      Dear Ming

      We recommend that your relative should consult the doctor(s) who made diagnosis of demyelinating polyneuropathy, to determine whether the new symptoms are also due to this condition or alternatively, he has a separate illness.

      Best wishes.


  181. Canness
    7 July, 2014 at 3:17 PM

    Dear Dr Lee,
    I am suffering migraine during menstruate for many years. Recently it is getting worst as the period of the pain is getting longer.Sometimes it can be up to 4-5 days. Please advise what should I do in order to reduce the pain.

    • 17 July, 2014 at 10:59 AM

      Dear Canness

      You should see your doctor to assess why the menstrual migraine has worsened. Causes could be hormonal or lifestyle factors, as well as the development of another (separate) medical condition.


  182. Joanne teo
    23 June, 2014 at 5:31 PM

    Dear doctor,
    My dad have a bone spur on his foot,we went to Kota Kinabalu and have an injection,but still same problem,which doctor should I meet?

    • 1 July, 2014 at 11:21 AM

      Dear Joanne

      You can consult an orthopaedic surgeon.

      Best wishes.


  183. 3 June, 2014 at 2:37 PM

    Dear Dr. Lee,

    My husband has been experiencing severe pain at his neck area and back head, and if the pain is severe, he will experience photophobia, nausea, shivering and generalized bone aching. Apart from these, he also experiences body stiffness, weakness on left hand & shoulder as well as muscle tremor.

    He used to take 1-2 tablets of Tramadol (prescribed by Dr) to suppress the pain but lately he needs to take 10-12 tablets daily to suppress the severe pain. He had previously done CT, MRI and everything seems fine except that DR has once diagnosed him with osteoporosis at the hips. However, no treatment was recommended except the prescription of Tramadol.

    When he was admitted to hospital last year due to high fever, he had done MRI and he was diagnosed with acute myositis with acute neck/muscle sprain, mild disc bulge C4-C6 and L5/S1. Based on the result the ortho said nothing major but my husband is still experiencing the pain until now and in fact it’s worsening. Recently, he had done a PET/CT Scan and no tumor or cancer is detected but the Dr found out that there is abnormal appearance of his C2 bone (C2 bone is split) and unusual space is detected at his celleberum. The Dr has advised to further study by doing a MRI at these 2 areas.

    We are unsure of the specialty that we should go for, ortho or neuro? If neurology, shall we go for neurologist or neurosurgeon and what would be the possible diagnosis? We would really hope that Dr. Lee will be able to provide some advice. Appreciate it.

    Thank you in advance.

    Soo Mei

    • 4 June, 2014 at 1:55 PM

      Dear Miss Soo Mei,
      I think your husband needs a thorough assessment by a neurosurgeon including MRAngio. Review of the earlier MRI cervical spine is necessary. Apart from the possibility of cervical spine problem with neural compression, exclusion of sentinel bleed from aneurysm warrants exclusion.
      Thank you.
      Dr. LEE Foo Chiang.
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

      • 4 June, 2014 at 10:08 PM

        Dear Dr. Lee,

        Thank you for your valuable advice. We have made an appointment to consult you in your office tomorrow.
        Hope you will be able to help him. Thanks.

        Soo Mei

  184. Eric Wong
    26 May, 2014 at 10:10 PM

    Dear Dr Lee,
    i recently got my wisdom tooth removed, and on the same night after the surgery, i feel that part of my tongue still numb and uncomfortable,within the same week, i went to see the dentist again, and she said my nerve could have been hurt during the extraction process, and she said that my tongue will recover naturally after ap month. i would like to confirm if what she told me is real, or do i need to get my tongue check by a specialist ?

    • 1 July, 2014 at 11:31 AM

      Dear Eric

      It is not possible to comment without a complete set of the clinical information. You are best advised to follow up with your dentist. If not recovered after the prescribed period, you could request for second opinion.

      Best wishes.


  185. Lisa
    25 May, 2014 at 7:35 PM

    Name: Lisa Leow
    Email: lyllisa@yahoo.com
    Message: Dear Dr Lee I am 42 yrs old. I recently went to see a neurologist 3 days ago on 23 may 2014, to find out why I keep getting aura, zigzag and vision loss. No pain. Did an MRA which showed minor narrowing of intracranial right NICA. Saw eye dr upon recommendation of my neurologist and was diagnosed with Fuchs distrophy in both eyes but the eye doctor said it is unrelated to my aura…etc. my nephew (8 yrs) and niece (13 yrs) both hv been diagnosed with moya moya. I was given Cardiprin to be taken indefinitely and Amitriptyline to be taken for two weeks. I am worried and would like to seek a second opinion on whether this is the right treatment for me and whether the medication prescribed takes into account my Fuchs. I also hv slightly low blood pressure of 100/60 and hv never been able to donate blood as I was informed I was anaemic.

    • 27 May, 2014 at 8:26 AM

      Dear Lisa

      You may wish to consider consulting Dr Lee Foo Chiang for opinion concerning your MRA findings and any possibility of Moya Moya disease. His clinic address is provided on the website.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  186. Zune Lim
    23 May, 2014 at 8:58 AM

    Hi Doctor,

    My dad has a fat tumor at left chest wall, is this a lipoma? we are looking for respective doctor for further examination and treatment, is this the right place we are looking for? thanks

    • 26 May, 2014 at 11:51 AM

      Dear Miss Lim,
      He should see a general surgeon or cardiothoracic surgeon.
      Thank you.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon.

  187. Mrs Kumar
    20 May, 2014 at 4:20 PM

    Hi Dr Lee,

    I’ve had three spinal surgeries over the course of three years, l5-s1, acdf for c4-5 and c6/7. After my last operation, I find my symptoms aren’t getting better, in fact, I’m worse now. I have checked it out with doctors, they don’t seem to think it’s the surgery but perhaps a syrinx in my spinal cord could be causing all my symptoms. However, I’m told that the syrinx, which extends from c3-c7 is not large. It has grown tho, slightly from previous scans.

    I’m in constant pain. Pain that makes it impossible to sleep, my neck is always very stiff even tho I diligently do my neck exercises, my left arm is always painful near the biceps, n there is marked weakness on my grip, and I frequently drop things. I also suffer from memory loss, unable to totally empty my bladder, and a few days ago, I developed breathing issues, whereby i’d be sleeping but can’t seem to breathe. Sometimes I have trouble swallowing saliva. I’ve been on a host of medications from gabapentin to duloxetine, even opioids to relief pain but it doesn’t go away nor does it help with my weakness on my left.

    If there’s anything you can do, please help me. I am terrified of the prospects of being paralyzed. Thank you in advance.

    • 28 May, 2014 at 10:15 AM

      Dear Mrs Kumar

      It appears you have a severe and complex problem in spite of multiple surgeries. Therefore, it is not feasible to provide meaningful advice without detailed assessment and understanding of your treatment history.

      Your best option is an in-depth discussion with your doctors. We note that you are already taking various pain medications; perhaps referral to a Pain Specialist could be considered.

      Best wishes,

      on behalf of Dr Lee Foo Chiang

  188. Mala
    20 May, 2014 at 10:27 AM

    Dear Dr.Lee,
    im 25 years old women, suffering with migraine. Nowadays the symptoms tend to worsen by vomiting. Can you help me to suggest for my problem. Thank you. Regards Mala.

    • 27 May, 2014 at 8:29 AM

      Dear Mala

      You are advised to consult a neurologist. There are effective rescue as well as preventive medications for migraine.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  189. 19 May, 2014 at 1:44 PM

    Hello Dr. Foo,

    I found your website upon researching online for clarity about my condition. My name is Qistina and I’m 22 years old, I have been experiencing migraines/headaches that are intensifying in terms of pain and frequency.

    A little history that I feel that could be relevant is that I’ve experienced quite a number of head injuries on numerous occasions:

    3yrs old/ 8+yrs – Involved in 2 car accidents in which my head made hard impact with the car handbrake/ the hood of a van.
    10yrs onwards – Incidents which include; head on impact with football causing me to blackout for a few seconds and a nosebleed, the steel pole of a basketball hoop falling on the top of my head, futsal ball in contact with front/back and side of head, and numerous accounts of falling forwards and backwards with my head in contact with concrete.

    Note also that I have been experiencing frequent nosebleeds from the age of 9 till about 18, in which I have sought treatment and have been diagnosed with a slightly deviated septum (suspected to be the result of the car accidents)

    Regarding my headaches/migraines;
    They escalate in intensity depending on different situations i.e. stress,loud sounds/voices, sudden changes in weather/temperature, hot/humid environments, bright natural/artificial lighting and even waking up too fast.

    The pain experienced varies from allover pressure and throbbing during milder cases, and intense sharp pain on the front,side and back of my head coupled with radiating aches throughout my face, jaw, neck and back on more serious cases. There have been some accounts where I have experienced being “knocked back” to my seating position while standing up due to the sharp pain.

    I do hope you can shed some light on my condition and if its possible for me to book an appointment with you.

    Thank you for your time, I hope to hear from you soon.

    Regards, Qistina Ruslan

    • 27 May, 2014 at 8:31 AM

      Dear Miss Qistina,
      Thank you for your e- mail.
      Although most so called “migraines” are idiopathic without any underlying cause nor related to head trauma, headaches of increasing degree of severity or frequency warrants investigation with a CT or MRI Brain scan to rule out the rare incidences of say tumor or other space occupying lesions.
      Most headaches however are “benign” and requires just symptomatic treatments.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Center

  190. 15 May, 2014 at 1:35 PM

    Dear Dr Lee,

    My son( 9 months old now) was diagnosed to have suprasellar arachnoid cyst since birth. In fact, we knew it since I was 24 weeks pregnant, by routine ultrasound by my O & G. At 3 weeks old, he had an MRI which showed the suprasellar cyst ,size 2.7X2.6X3 cm , causing superior displacement of optic chiasm and splaying of midbrain, no hydrocephalus. Now at 9 months, his rpt MRI showed slight increase in cyst size- to about 3X3.4X3.2 cm and also mild dilatation of 3rd ventricles and lateral ventricles, other than the local mass effect on optic chiasm and midbrain. My son is growing well, and developmentally normal.

    We just saw his neurosurgeon. Plan was rpt MRI at 1 year and KIV op- endoscopic cyst fenestration. Can i consult you, in KL, who’s the best neurosurgeon in this kind of operation, as it is an endoscopic procedure… I’ll appreciate if you could recommend who you think best in management in such case…thanks..

    anxious mum

    • 28 May, 2014 at 10:09 AM

      Dear DeZhuang,
      Endoscopic cyst fenestration for children is generally done by Pediatric Neurosurgeons. There are a couple in University Malaya Medical Centre.
      Thank you.
      Dr LEE Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre.

  191. Jenny
    12 May, 2014 at 5:28 PM

    Dear Webmaster, I would like to get second opinion for my dad, neurosurgeon suggested him to undergo Posterior Lumbar Interbody Fusion for neck and lumbar. I would like to get a quotation if possible. I can send you the file of his recent MRI. Can you please let me know which email address to contact you. Thank you


    • 17 May, 2014 at 10:39 AM

      Dear Jenny

      Lumbar and cervical surgery are both complex operations for a senior like your father. Discussion about potential benefit, feasibility and safety requires a thorough clinical assessment of the spine as well as his general health. We would like to suggest that you seek a second opinion from a surgeon who is able to provide clinical evaluation.

      Best wishes.


  192. shasveena
    10 May, 2014 at 10:46 PM

    Dear doctor Lee,

    My father who is 44years old is suffering from neck pain for a three months.He believe that the pain start from the left neck until the left hand.Sometimes,he feels numbness on his left hand by a half an hour.He have done MRI scan and confirmed by doctor that he having POTRUSION DISC on his neck.He also have done accupuncture ,massages from some center but the pain is still same to day by day my father searching for treatment that without surgery.Kindly,please doctor advice.Thank you.

    • 17 May, 2014 at 10:40 AM

      Dear Shasveena

      It is not possible to provide meaningful advice without detailed understanding of your father’s condition. Do please speak to his doctors who are in the best position to counsel you.

      Best wishes.


    • 21 May, 2014 at 10:53 AM

      Dear Miss Shasveena,

      Dr Lee Foo Chiang has the following recommendations for your father:

      If medical treatment is unsuccessful, cervical disc protrusion in 44 yr old causing neck pain, arm pain and weakness from nerve root compression can be treated with anterior cervical discectomy, and/or artificial disc replacement by neurosurgeon.

      Thank You.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  193. puterikr@yahoo.com
    8 May, 2014 at 3:07 PM

    Dear Dr. Lee,
    My father is admitted to university hospital petaling jaya he is at the menara selatan level 9.Mr.katamuthu with stroke .He cant recognise us he is talking to him self …can you advice me on this ..can he recover and what is the status .

    johor bahru.

    • 17 May, 2014 at 10:33 AM

      Dear Mathy

      It is not possible to provide meaningful advice without detailed understanding of your father’s condition. Do please speak to his doctors who are in the best position to counsel you.

      Best wishes.


  194. Christy
    7 May, 2014 at 5:10 PM

    DR 请问您的医院有做Awake craniotomy这个手术吗?谢谢!

    • 28 May, 2014 at 10:21 AM

      Dear Christy,
      We have done awake brain surgery since 2003 when we started the first Deep brain stimulation for Parkinson’s disease in Malaysia.

      Awake brain surgery was also done for brain tumour resection in sensitive areas of the brain more than 5 years ago.

      For info, the ASIAN Congress of Neurosurgery 2010 the Pre-Congress Training Workshop for “Awake surgery on brain” was conducted in Sunway Medical Centre for the teaching of neurosurgical delegates from all over Asia.

      Warm Regards.
      Dr. LEE Foo Chiang
      MBBS FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  195. Said Alwee
    7 May, 2014 at 5:02 PM

    Hi Dr Lee,

    i have all the symptom of (MSA)Multiple System Atrophy, but currently as per research done in internet, i couldn’t find any diagnosis to confirm this disease. i have done MRI scan on my lower back and confirmed by doctor that i am having slipped bulging disc on my L4 and L5. Recently done neck MRI, but everything looks fine there. can u suggest any other diagnosis to confirm whether i am having this disease or not? because am having the symtoms more than 8 months now currently it is getting worse day by day. need to confirm this urgently because as per information given the life span of the sufferer will only last 6-7 years. i am male and 35 now.. TQ

    • 10 May, 2014 at 10:13 PM

      Hi Said Alwee

      You should discuss with your doctor about your diagnosis, and whether it is at all likely to be MSA, which is a rare condition. The diagnosis is based on a set of clinical criteria, supplemented with imaging information. If in doubt, your doctor may refer you to a neurologist for expert assessment, so that your worry and concerns could be resolved promptly.

      Best wishes.

      on behalf of Dr Lee Foo Chiang, Consultant Neurosurgeon

    • 17 May, 2014 at 10:51 AM

      Dear Encik Said Alwee

      MSA is diagnosed by a set of clinical criteria. There is no diagnostic (confirmatory) test. Therefore you are advised to see a neurologist for proper assessment and diagnosis, and to consider alternative causes for your symptoms.

      For information, in recent years it has been noted that there is a wide range of severity for MSA, and mild cases do much better than previously predicted.

      Best wishes.


  196. Usha
    7 May, 2014 at 11:47 AM

    Dear Dr Lee,

    Any surgical intervention for phantom limb pain post AKA for chondrosarcoma done in year 2000. Currently on Lyrica 150mg bd with no improvement.

    • 17 May, 2014 at 10:42 AM

      Dear Usha

      You can consider consultation with a Pain Specialist. Most major hospitals in the private and public sector provide such expertise.

      All the best.


  197. Ng SH
    6 May, 2014 at 8:58 PM

    Dear Dr Lee,

    My father (75 years old) was diagnosed with :-
    (1) moderately severe spinal canal stenosis throughout the lumbar spine secondary to lumbar spondylosis
    (2) L4-L5 spondylolisthesis causing severe spinal canal and bilateral foramina stenosis, and compression of the L4 nerve roots.
    No sure we should see neurosurgeon or spine surgeon ? 以上病况是指什么病(英文及华文)?
    Thank you.

    • 17 May, 2014 at 11:00 AM

      Dear M Soo

      Your father is a senior and the condition appears to be serious. He needs an experienced and skilled surgeon. Both neurosurgeons and spine surgeons conduct such operations. You should consult with your father’s doctor to discuss the technical expertise of the surgeons available. Please note that good medical and anaesthetic support are equally important for his safe surgery and recovery.

      Best wishes.

      On behalf of Dr Lee Foo Chiang

  198. Paul M
    3 May, 2014 at 9:49 PM

    Dr Lee,

    My sister has been recently diagnosed with idiopathic syringomyelia. Her symptoms are progressing. We have seen a number of Neuro surgeons over the past year saying she has a prominent central canal. The latest believes she has idiopathic syringomyelia. We are waiting to see another Neurosurgeon referred by a rehabilitation hospital in Sydney. What are the best treatment options for this diagnosis in your opinion. Many thanks Paul

    • 21 May, 2014 at 10:48 AM

      Dear Paul,
      Idiopathic syringomyelia if symptomatic can be treated variously with simple syringostomy, with / without craniovertebral junction decompression if associated with cerebellar tonsillar herniation (Arnold Chiari Malformation) and syringo-peritoneal/ pleural shunt in severe or recurrent cases. Small a symptomatic syrinx is usually left alone but monitored clinically and with MRI regularly.
      Thank you.
      Dr. LEE Foo Chiang
      MBBS FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  199. selva
    2 May, 2014 at 7:53 AM

    Dear Dr Lee ,
    My son who is 19 years old is suffering from upper back pain for a week . He belives the pain starts from the right neck area to the upper back .He feels a pain and a burning sensation in the back area which last throughout the day .We believe it could be a pinched nerve in the neck .kindly advice

    • 3 May, 2014 at 1:03 PM

      Dear Mr. Selva,
      Thank you for your e-mail.
      Your son obviously needs a thorough neurological assessment by a neurologist / neurosurgeon. MRI of the cervical and thoracic spine is essential. The former must include craniovertebral junction. There remains a few possibilities for the underlying cause of his pain and will include musculoskeletal, pinched nerve by disc herniation, spinal or nerve tumor, cyst (syringomyelia) within the spinal cord.
      Warm Regards.
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  200. 26 April, 2014 at 8:44 PM

    Dear Dr Lee, my aunty complaint serious headache last Tuesday. We sent her to hospital. unfortunately. she turned coma and couldnt breath herself the next day. Doctors found that the vein in the brain break and the blood clot inside. A major surgery was done to remove the blood clotting and the surgery considered successful. However, now she is still coma. We are so worry is when she will wake up? Dr Lee can you please advise on this?

    • 1 May, 2014 at 5:02 PM

      Dear Winne

      We are sorry to hear of the lack of response of your aunty. It sounds like her situation is complex and difficult. Her doctors would be in the best position to advise on the treatment and expected outcome. Do discuss your concerns with them.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  201. fennieteoh
    23 April, 2014 at 4:01 PM

    i wish to check as i do have frequent back pain especially around my back neck area. The pain are getting worse recently and have affect my sleeping. If i wish to do MRI, can i claim using my insurance card?

    • 27 April, 2014 at 7:34 AM

      Dear Ms Teoh

      We are sorry to hear you have a back problem. Claims for medical tests are based on the conditions stated in your insurance policy. Do check with your insurer.

      Best wishes, Webmaster

  202. Esther
    14 April, 2014 at 2:41 PM

    Dr. Lee,

    你好。 請問為什麼 after burr hole surgery 會有暈眩的問體,不能有太大的動作。手術是二年前,目前都在服藥。非常感謝!

    • 16 April, 2014 at 6:48 PM

      Dear Esther,
      晕眩不一定和burr hole 有关。導因有几个,包括䐉血液流通不顺畅,耳朵平衡神經失調等。須近一步檢查。

      Dr. FC Lee

      • Esther
        18 April, 2014 at 2:04 PM

        Thanks a lot !

  203. Hew Yoke khim
    13 April, 2014 at 12:02 PM

    Dear Dr. Lee,

    Below was my MRI findings:
    1. Multiple bilateral perineural cysts (right more than left) at L5/S1 and S2 exit foraminae.
    2. L4/L5 disc degenerative disease with mild central disc protrusion.

    I would like to know is that any treatment can help?

    • 16 April, 2014 at 5:37 PM

      Dear Miss Hew,
      You should benefit from Microlumbar / endoscopic discectomy. The peri neural cysts may be excised at the same time if they are sizable and causing symptoms.
      Warm Regards.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre

  204. affin
    11 April, 2014 at 9:34 PM

    dr lee
    i have spinal cord injury at c5 and c6, and i cannot move from shoulder to down, what kind of healing i can do? thanks

    • 16 April, 2014 at 6:25 PM

      Dear Mr Affin.
      Stem cell treatment has been used for spinal cord injury on a clinical experimental treatment with promising results. This has also been carried out in USA and UK.
      Good luck.
      Dr. LEE Foo Chiang.
      Consultant Neurosurgeon.

  205. 8 April, 2014 at 5:22 PM

    hello doctor. my name is poorneema. i been suffer headache since when i was in college. one day i was in class suddenly i fainting with my eyes opened and then the second time is in house. 3rd is my eyes were blankout. can you check it out whats my problem?

    • 16 April, 2014 at 6:20 PM

      Dear Poorneema

      You are advised to get a clinical evaluation, firstly by your family doctor, so that the problem can be identified. Blackouts may be due to neuro or other system disorders.

      Best wishes, Webmaster

  206. Sultan Basit Hassan
    7 April, 2014 at 5:04 AM

    My daughter is 1 year and 2 months old and She had a brain hemorrhage on 14th March and has been in hospital since then. Get latest MRI results suggest that she had a covernous malfunction (cavernoma). We seek your advice regarding her surgery, we are currently in Pakistan and can travel for her treatment, if you can kindly provide us consultation.

    Please contact me on my email so that we can discuss this further.

    Thank you.

    • 8 April, 2014 at 10:16 AM

      Dear Mr Sultan,
      I am sorry to hear about your child’s problem.
      Most cavernomas can be resected successfully using micro neurosurgery with image guidance stereotactic (surgical “GPS”).
      Once the cavernoma is resected, there is no risk of further bleeding. Overall surgical risk is 1-3%. Some of the disability from the bleed can be reversible after evacuation of the clot.
      Surgery generally takes 3-4 hours and 4-7 days of hospital stay including 1-2 days in Intensive Care Unit.
      Feel free to contact us if you like your child to be treated here.
      Warm Regards
      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Neuroscience Services
      Sunway Medical Centre.
      Selangor, Malaysia.
      +60374910777, +60374818191 (International Patients Services)

  207. Jessica Tan
    26 March, 2014 at 2:36 PM

    Dr. Lee,

    Thank you for your reply. We have came to your clinic last week. We will consider to have another MRI scan on the cervical spondylosis that you have suggested.
    Have a good day. Sincerely thank you again for your response.

  208. Ngo Chee Hung
    23 March, 2014 at 5:36 PM

    Hi Doctor Lee,

    If I want to do the MRI Scans, do I need to make appointment? or direct walk in? (sunway medical center)

    Hope can get your reply soon…

    Best Regards,


    • 26 March, 2014 at 1:59 PM

      Dear Ngo

      Scans and other tests are generally ordered after a consultation. This will ensure that only those which are appropriate are done, in the interest of the patient.

      Best regards, Webmaster

  209. Jessica Tan
    20 March, 2014 at 10:00 AM

    Dear Dr Lee,

    My father is 71yrs old and just 3 days ago he was admitted to the hospital. From the CT Scan he was informed that he has inflammation in the blood vessel. Later did a MRI scan and the image was cleared and was discharged with just some painkillers. He still feels dizzy at times and constant headache. Before his right eye has been twitching for years. Dr Lee, could you please kindly advise me what else or who else we could seek help. Is there any anti inflammation medication to prevent the condition to get worst?
    Looking forward to your reply.
    Thank you in advance.

  210. Oh Wee Ling
    10 March, 2014 at 9:24 PM

    Dear Dr Lee Foo Chiang,

    Appreciate if you could advise due to my mom who had gone through her 5th and 6th spinal cord surgery last 2 years as she felt the pain and numb on her hand while holding something, now she’s having back the same problem which i dont know why it is coming back again after 2 years, we did brought her for X-Ray scanning and was said that she need to go through another surgery to avoid paralyse. I wish i could bring her for your consultation, which is much more preferable to go over your clinic or sunway medical centre ? Because we are coming up from Johor.

    • 14 March, 2014 at 11:01 AM

      Dear Ms Oh

      Please see your email for a personal response.

      Best wishes.

  211. Maria
    9 March, 2014 at 12:24 AM

    Hi dr. Seek your opinion. My daughter now 6years old having a bump behind her back. A dr did mention the word lipoma. Then after i google the word on web… found that lipoma only happened to older people, not to children. Does it possible that a 6 years old child have this lipoma? Most of the dr i visited suggest dont do anyhing to it because the bump doesnt cause any pain to her. May i have your comments on this matter?

    • 14 March, 2014 at 11:03 AM

      Dear Ms Maria,
      I presume the lump is over her low back.
      It may be a subcutaneous lipoma which in some cases overlies a spinal bifida (congenital split back element of the vertebra).
      This can be confirmed on MRI lumbar spine which is a non invasive scan with no radiation hazard to the body. It is important to exclude this as it may be associated with similar lipoma within the spinal canal and can stretch the spinal cord downwards causing problem with urination and lower limbs (tethered cord syndrome) especially around puberty years.
      Thank you.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon

  212. Stephanie
    8 March, 2014 at 9:32 PM

    Dear Dr Lee,

    My mother age 54 has been suffering twitching below her right eye and cheek area for a few years. The movement got more frequent and now it even cause numbness and she could not sleep at night. May i ask for advise what illness this could be and can it be treated?

    • 27 April, 2014 at 7:58 AM

      Dear Stephanie

      Firstly, our apologies for the delay in response – your comment was caught in the spam filter.

      Causes of twitching around the eyes include myokymia, hemifacial spasm and blepharospasm. Your GP would be able to advise on first-line treatments. If there is no response, you would be advised to see a neurologist for opinion and treatment.

      Best wishes, Webmaster

  213. Vincent Tatum
    6 March, 2014 at 5:01 PM

    Dear Dr.Lee,

    My father has developed unwanted movement in his face & eyelid for several years now, and his initial diagnosis is hemifacial spasm.
    Do you have any experience in this problem, and how much does it cost for a surgery to Cure it permanently ?
    Thanks for your time

    • 7 March, 2014 at 8:41 AM

      Dear Mr Tatum,
      Microvascular decompression (MVD) surgery for hemifacial spasm (HFS) and trigeminal neuralgia is done regularly in my practice. It is a rewarding and elegant operation with excellent relief of HFS and trigeminal neuralgia immediately post operation.

      Please see your email for detailed information.

      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery )
      Consultant Neurosurgeon
      Sunway Medical Centre
      +603 74910777

  214. Noriza Ibak
    2 March, 2014 at 11:12 PM

    Hi. I have a cousin who was diagnosed as having ataxia. She is now immobile. She can move her arms, legs, fingers and toes but she cant stand, walk or use her hands to feed herself. Is there any hope for cure? She is 57 years old and has been immobile last 3 years. She is not on any medication. Pls advice what can be done. Thanks.

    • 27 April, 2014 at 8:11 AM

      Dear Noriza

      Our apologies for the delayed reply – your comment was caught in the spam filter.

      Treatment for ataxia depends on identifying the cause. There are many, including brain tumour, distant cancer, metabolic problems, degenerative conditions and inherited diseases. Do speak to your cousin’s doctors about her diagnosis and treatment plans. If the condition has no curative treatment, then physiotherapy for minimising deformity and home modifications for falls prevention are her only options.

      Best wishes, Webmaster

  215. NG PEI MENG
    24 February, 2014 at 8:28 PM

    Dear DR. LEE,
    My father (65 years old gentleman with underlying Hpt) diagnosed to have large falx meningioma. Excision done on 10/2/2014.However, 3 hours postoperation developed intraventricular hematoma.urgent evacuation done and EVD inserted.The sad thing is now infection comes in.csf from EVD showed ESBL(Klebsiella peumoniae).currently on iv meropenum and iv vanco. Doctor,I beg for your help to save my father life (I am thinking of ventriculitis). Can I have a chance to meet you as soon as possible?
    I am just a junior doctor, I am helpless now. My dad always give me the best,I hope I can give him the best too. Doctor Lee,please help us.Looking forward for your reply.


  216. othman
    18 February, 2014 at 1:26 AM

    Dear Dr Lee,
    My 43 years old brother has been suffering with epilepsy since very young age. Though he has been on medication since then his condition has been deteriorating lately with more frequent seizures. I was told surgery may provide alternative treatment and it is now available in Malaysia. Please advice.

    • 4 March, 2014 at 9:15 AM

      Dear Mr. Othman,
      Epilepsy surgery indeed has been available in Malaysia for more than a decade. Adequate trial of medications is the first step in the optimal management of epilepsy. Intractable epilepsy or secondary epilepsy (e.g. underlying tumor) undergoes surgery after elaborate pre operative workout.
      Do see experienced neurologist for epilepsy control – contacts on our website, as well as the National Specialist Register http://www.nsr.org.my/list1view.asp?page=1.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon

  217. Joyce
    16 February, 2014 at 4:33 PM

    Hi doctor,
    Can you advise how much does lipoma surgery cost? My dad got one about 4-5cm at back neck and it causes pain sometimes. Thanks a lot.

    • 18 February, 2014 at 8:18 AM

      Dear Joyce

      Please contact Dr Lee’s clinic for discussion (details on “Contacts” page).

      Best wishes.

  218. amy
    16 February, 2014 at 5:48 AM

    What are your thoughts on the use of cyberknife to treat a carotid body tumor instead of surgery which poses a lot of risks.

    • 18 February, 2014 at 8:19 AM

      Dear Amy,
      Cyberknife radiosurgery has been used to treat Carotid body tumors and achieved arrest of tumour growth successfully with / without adjunct surgical debulking of the tumour pre or post Cyberknife.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon

  219. Rozaidin Jaafar
    6 February, 2014 at 7:14 PM

    Happy new year Dr. Lee. You operated on my daughter when she was only 3 months old with the prognosis of shaken baby syndrome where her head swell and compressed the brain. When she was admitted, she was already in a coma and you quoted the probabilities of the surgery to be 50/50 and if she survived, she will be vegetable and/or paralyze.

    12 years later, I am happy to report that the surgery is a BIG success…Not only you save her life, she now live a normal life and being the best student in her school. My family and I can’t thank you enough for your bravery and skills in attending to our daughter. Her ambition today is to be a neurosurgeon like her hero. Again from us, THANK YOU SO MUCH….

    On another note, our neighbour daughter (about 9 years old) is infected with Meningitis. The early symptoms was in October 2013 displaying high fever and immobility of the limb. When brought to the hospital, the doctor did not suspect meningitis. However, her symptoms became worse and in December 2013, SJMC detected meningitis after taking the fluid from the spinal.

    After knowing about it and seeing our neighbour’s daughter today, my thought were back to my daughter 12 years ago and wish to help her the best I can,. My questions is there a cure for meningitis in Malaysia? And may I refer her to you for diagnosis and treatment?

    Thank you again, Rozaidin.

    • 10 February, 2014 at 11:09 AM

      Dear Mr. Rozaidin
      Glad to know that your daughter is doing well.
      Meningitis is treatable but may leave the patient with long term complication like effect on cognitive function and epilepsy. Hydrocephalus may benefit from shunt operation.
      Thank you.
      Dr. FC Lee
      Consultant Neurosurgeon
      Sunway Medical Centre

  220. calvern
    28 January, 2014 at 5:42 PM

    Hi, I have harrmohagic stroke on my right brain, been looking for and considering stem cell theraphy. Please notify me(010-231 2001) as how I can move forward from here. Thank you

    • 18 February, 2014 at 7:45 AM

      Dear Calvern

      Stem cells are now under intensive research, and beneficial results are being awaited. As such, stem cell therapy is not yet approved for routine clinical treatment.

      Best wishes,
      On behalf of Dr Lee

  221. Raj
    22 January, 2014 at 5:32 PM

    Dear Dr Lee,

    What is ‘Failed Back Syndrome’? Can ‘pain’ being used as a indicator for someone to be classified under ‘Total Permanent disability’ category?
    Appreciate your comment.
    Thanks Doctor

    • 18 February, 2014 at 8:07 AM

      Dear Raj

      “Failed back syndrome” requires detailed assessment for confirmation. Your question is best answered by the doctor who is assessing the disability claim.

      Best wishes.

      on behalf of Dr Lee

  222. bhavani
    18 January, 2014 at 11:05 PM

    Dear Dr.
    My broth a 17 year old boy underwent a brain tumor removal operation a month ago .he had fosa tumor and it was near the medula. He is currently having a csf liquid accumulated in his brain. The doctors are suggesting a permanent shunt placement.is this the onliest option doctor. What are the consequences of this permanent shunt?

    • 4 March, 2014 at 9:20 AM

      Dear Bhavani,
      Permanent CSF shunt is needed in situations where there is obstruction to CSF flow to its final absorption at the vertex of the brain, in this case due to residual tumor in the posterior fossa.
      It is a simple operation but demand for sterility is very strict as it involves the placement of a foreign body (shunt catheters) in the brain and abdominal cavity.
      Good placement of the ventricular catheter at the frontal horn and peritoneal catheter in the peritoneal cavity will prevent the shunt from being blocked, thereby avoiding need for repeat operation for shunt revision.
      Thank you.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon

      • bhavani
        23 March, 2014 at 12:55 PM

        Dear Dr.Foo. My brother had few rounds of shunt blockage.can i bring his report for further consultation as i dont really understand your terms below.
        Appreciate your urgent revert as currently my bros permanent shunt removed due to infection and replaced wt evd for time being.thanks.

      • 27 March, 2014 at 6:53 PM

        Dear Bhavani

        Ref. your enquiry, please contact Dr Lee’s office at address on this website.

        Best wishes, Webmaster

  223. Clement Lee
    16 January, 2014 at 7:20 PM

    Hi, Dr. Lee, please help me. I am Clement Lee aged 47 about 80kgs, having a pain on the right buttock for about a year plus, after I had a fall on the factory toilet resulted from the slippery floor (the right buttock hit exactly on the floor). I can feel the pain that is deep inside the buttock muscle, and the position is right in the middle of the buttock muscle. However, there is no pain when pressing the buttock muscle.

    I cannot stand too long (not more than 5 min), walk too fast or jogging or the pain starts. But when I walk around slowly, climbing the stair or sitting and squatting, there is no pain. I cannot carry heavy stuff, or the pain will come severe at night time. There is some minor numbness on my toes at the start, but it has gone off after a while.

    I cannot lie with face down as the pain is severe. The pain is lesser when I lie on the right side as compared to that of the left side. I have to find a comfortable position that lessens the pain to get into sleep, which is crossing my right leg on the left leg. I have to get up several times at night due to the pain and to readjust the position before I can continue the sleep. This has been seriously affecting me on my office duties.

    I was first diagnosed by an orthopedic. The MRI scan revealed a mild posterocental disc protrusion at L4/5 and L5/S1with disc desiccation and posterior annular torn but the nerve was not compressed. Also, there was a mild L4/5 ligamentum hypertrophy with mild central spinal canal stenosis noted (AP diameter about 9mm) and there was no slip disc. The doctor claimed that there was due to age degeneration. I was then referred to physiotherapy but it did not really help. The doctor was then suggested injection of steroid at the spinal, which might not 100% guarantee cure and I refused. (BTW, a blood test for the cancer was carried out but revealed nothing).

    I went to a Chinese acupuncture, who claimed it was piriformis. The treatment of the acupuncture was really hurt and buttock pain has become worsen, as the result, I stopped the acupuncture.

    Thereafter I consulted another orthopedic, who claimed that degeneration of spine was common and was not the cause of the pain. He suspected it could be due to a tear on the ligament at the pelvis. An x-ray was taken at the pelvis area but nothing revealed. The doctor prescribed some medicines (to strengthen the nerve) but were not working for me either.

    Just about 4 months back, I decided to go for a sport doctor, who also agreed that the cause of the pain was not due to the degeneration of the spine but suspect the ligament tear. He asked me to seek physiotherapy for acetabular labral tear and I did but it did not really cure.

    The doctor then suggested another MRI at the buttock area. The report of the MRI suggested that it might be a tear at the anterosuperior aspect of labrum, and the rest were normal. However, the doctor claimed that it was not the cause of the pain that I described, and then he suspect it could be due to Gluteus Medius muscle. Again he suggested another physio on Gluteus Medius strain, which I decided not to proceed, as I had no confident that he knew what was happening, and he was adopting trial and error approach.

    Now I am back to square one. After spending so much of money, I still not sure what is the root cause of the pain, and don’t even talk about the treatment. What do you advise?

    • 3 March, 2014 at 3:50 PM

      Dear Clement,

      From the info provided, you seem to have a complex situation for which clinical assessment is needed. You may wish to ask your doctor for further guidance or otherwise, you could consider getting a second opinion.

      Best wishes,

      • Clement Lee
        4 March, 2014 at 2:54 PM

        Dear Sir,
        Thanks for taking time to run through my message. Appreciated your comments. Will seek for another opinion.

  224. Johann Lim 0126140149
    8 January, 2014 at 5:16 PM

    Hi Dr. Lee, my doctor suspects I have a tethered spinal cord when I mentioned my urinary and fecal incontinence. I really would like to see somebody who can give me an accurate diagnosis and sound advice on what’s going on. Would you be able to help me? Thanks a lot, Joe.

    • 9 January, 2014 at 10:23 AM

      Dear Mr. Lim,
      Tethered cord syndrome is usually present in association with spinal bifida, which in its occult form has only a small dimple, sinus or subcutaneous lipoma and hence not easily noticeable by untrained eyes. The symptoms you describe may well be due to tethered cord. MRI thoracolumbar spine and brain is needed, the latter to exclude associated brain anomaly. Urological assessment is essential before deciding upon definitive neurosurgery treatment to section the tethered filum terminale.
      Thank You.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      MBBS, FRACS (Neurosurgery)

      Sunway Medical Centre +6 03-74910777
      Advanced Neuroscience and Orthopaedic Centre +60 3 2282 6113

  225. Charmaine
    8 January, 2014 at 12:23 AM

    Dear Dr.Lee,

    My mom is diagnosed with Motor Neurone Disease (MND) and she is now in her first year. It first started as her right thumb slowly loses strength, continues to deteriorate till now both her arms are weak, having difficulty to hold even a spoon. The back of her palms were seen shrinked over time, and also slurred speech.

    Alternatives from other doctors were Rilutek (where we found out numerous side effects on online medical site), which only manage to slow down the progression of MND. Henceforth my mum decided not to try it as her other organs are still functioning well. Is there any alternatives you can suggest to her sickness? Your efforts are truly appreciated and my family and I would be deeply thankful for your kind attention, Dr.Lee. Hope to hear from you soon.

    • 9 January, 2014 at 9:48 AM

      Dear Charmaine,
      I am sorry to hear that your Mum is suffering from Motor Neurone Disease. This is a progressive degenerative disease of the brain with hitherto no definitive remedy. Rilutek as you rightly pointed out has costly sides effects and only slows down the decline.
      Stem cells treatment shows promising prospect but at present the technology is not ready for large scale use. It is still categorized in most countries including Malaysia, as clinical experimental treatment. Using autologous stem cells cultured from patients own bone marrow cells is safe but its efficacy is unproven on clinical studies though animal studies appeared convincing.
      I hope these informations are helpful to you.
      Thank You.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre/ ANOC
      Acvanced Neurosciencs and Orthopaedic Centre 03-74910777 or
      +60 3 2282 6113

      • Charmaine
        10 January, 2014 at 9:10 AM

        Thank you so much Dr.Lee! Appreciate your effort in replying amidst your busy daily schedule.

  226. Grace Puspa Tanzil
    3 January, 2014 at 5:21 PM

    Hi Dr Lee,

    I am Indonesian female, 28 years old. I got back pain, shoulder pain, wrist and my ankle also pain. It has happened since several years ago. I went to doctor in Indonesia few years ago then doctor only suggested me to do exercise like fitness and swimming. I did the x-ray scan. Unfortunately I forgot his diagnostic but I remember he said I got problem with my back bone. I follow his suggestion to do fitness and become better. Around 2 years ago, I stopped my fitness exercise and my pain become worst. I must face this every day and disturb my productivity. My job is IT consultant and required to do overtime almost every day. Please advise me what I have to do? Thanks.

    • 6 January, 2014 at 7:33 AM

      Dear Miss Grace,
      We will need to see the MRI and X-rays and other relevant blood test results to correlate with your clinical signs and symptoms before advising you on you condition.
      You can make an appointment to see me at Lot 2.02,(East Wing), 2nd flr,menara BRBD,285,Jln Maarof,Bkt Bandaraya,Bangsar. (behind bangsar shopping center)
      59000‎ KL
      Malaysia +60 3 2282 6113 or
      Sunway Medical Centre
      5 Jln Lagoon Selatan
      Bandar Sunway
      47500 Selangor
      Malaysia +60 3 7491 0777
      Thank you.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon

  227. Mrs Leong
    2 January, 2014 at 1:58 PM

    Dear Dr Lee

    我们很衷心感谢您帮我们的两岁女儿Yu Tung在去年做了一个很好的手术(lipomeningocele),使她有个美好和正常的生活。




    • 3 January, 2014 at 5:41 PM

      Dear Mrs Leong.
      Thank you very much for your kind note. Happy New Year to you and your family too.
      Dr. FC Lee

  228. Mr hong
    27 December, 2013 at 9:30 PM

    hi DR lee, i ave headache at the top center of brain, for 5 years, ihv do ct scan before but doctor say nothing, but it keep pain when i concentrate to do thing.. so iwould like if ct scan scan no problem, will MRi detect the problem? if the brain nerve is flammation but the brain size is normal,can it detect on ct scan? Mr Hong..

    • 3 January, 2014 at 6:07 PM

      Dear Mr Hong

      You need a comprehensive assessment to determine the cause of headache. This includes a thorough clinical and psychological assessment together with other tests as indicated. Besides problems in the brain, headache may be due to illness in other systems in the body, as well as mental stress. The scan may or may not provide the precise diagnosis. You are advised to consult your doctor for the next steps.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  229. Yanti
    24 December, 2013 at 11:54 AM

    Dear Dr Lee,

    My husband, 37 years old (living in Jakarta, Indonesia) was a post stroke patient. He was diagnosed to have a brain stem blood clot and treated at the hospital for one month. At the time of stroke happening, he couldn’t swallow anything (even his own saliva) and couldn’t move his left part of his body. After discharged from hospital he was consistently done all of therapies (physiotherapy, speech therapy) and all of tests that he has to do. His physical recovered quite quickly, he can walk and do many things again just like before, right after 1.5 months being discharged from hospital. The problem is up until now he still cant eat and drink orally (it’s been 10 months already), he has been using PEG to supply the food and drinks to his body.

    He started to get frustrated due to not being able to eat and drink orally for 10 months.
    Could you please kindly advise or suggest what kind of actions that he could do to cure his illness?.

    Thank you and looking forward to receiving the reply from you soon.

    • 3 January, 2014 at 5:55 PM

      Dear Yanti

      Review of your husband’s treatment indicates that he has received all the necessary up-to-date treatment for his condition, and he appears to be responding to rehabilitation.

      Hopefully there will be further improvement with time.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  230. Connie
    23 December, 2013 at 5:15 PM

    Dear Dr. Lee,

    Good day! My mother-in-law had taken MRI diagnosis of her whole spine last week and the impression stated as following:

    1)T5-L1 paravertebral mass with bones infiltration and encasing the right T6, T7, T8, T9 and T10 exiting nerves suspicious of malignancy.

    2) Mild C3/C4, C4/C5 and L4/L5 PIDs.

    3) C5/C6 PID indenting the spinal cord and mildly narrowing the spinal canal.

    I would like to ask advises from Dr. Lee about the conditions stated above.
    Please also recommend which specialist should we refer to?
    Please arrange us have a meet at ANOC as soon as possible.

    Please advise. Thank you!


    • 8 January, 2014 at 5:53 PM

      Dear Connie

      Please see your email for a personal reply.

      Best wishes, Webmaster

  231. wong
    23 December, 2013 at 3:47 PM

    Hi Dr Lee, my mom 57 years old who is diabetic for 17 years. Recently she felt numbness on her left hand especially when she raise the newspapers while she lying on bed. Kindly advice.

    • 3 January, 2014 at 5:47 PM

      Dear M Wong

      Your mother needs a clinical assessment and perhaps some appropriate tests for diagnosis, before any advice can be formulated. She could consult her GP for the next steps.

      Best wishes.

      on behalf of Dr Lee Foo Chiang

  232. Mrs Yeoh
    20 December, 2013 at 2:09 AM

    Dear Dr Lee,
    My son 6 years old which diagnosed brain tumor call pontine glioma measure 3.4×4.6×3.4cm on feb 2013 and can,t do surgery on that part. Already done radiotherapy and chemotherapy at Singapore. Overall seem looking good n the tumor shrink small. Unfortunately in this sep, his right eye suddenly kept to the left side, another one is normal. MRI show that the tumor is become larger and slightly enhancing area at the right side. Singapore Dr is no more solution. So I’m here to seeking for your help, please…
    I’m already check with your clinic but you are in full appointment at sunway. Bangsar only first come first serve, can’t make an appointment. Do you have another way which we can meet as soon as possible? Because my son situation now is getting worst, cannot walk properly, will fall down.
    Please Dr… Thank you very much.

    • 21 December, 2013 at 12:42 PM

      Dear Mrs Yeoh

      We are sorry to hear of your serious concerns. Please see your email for a personal response.

      Best wishes,

  233. jo
    9 December, 2013 at 1:46 PM

    Dear Dr

    my dad(59years old) was diagnosed with brain tumor on 28/11/2013.according to my ENT DR,the size is 4cmx1.9cmx2.5cm T2W increased signal intensity mass lesion at right CP angle and IAM region.Dr informed that it is 70% operation successful rate & permanent side effect(dizziness,loss of hearing,facial expression disorder).can we seek for second opinion or should we undergo surgery?

    • 10 December, 2013 at 10:36 AM

      Dear Jo
      Feel free to come for second opinion.
      Thank you.
      Dr. F C Lee
      Consultant Neurosurgeon
      Sunway Medical Centre

  234. Kelly
    3 December, 2013 at 10:01 AM

    Dear Dr Lee,
    I am from Penang. My dad is suffering Trigeminal Neuralgia and currently is taking Carbamazepine, but the medicine seem like does not help much…pain remain. I heard about a surgery call “micro vascular decompression” can leads to permanent cure of Trigeminal Neuralgia and you are the doctor recommend to us. We would like to ask how much would be the cost to do the surgery in Sunway?


    • 4 December, 2013 at 5:42 PM

      Dear Miss Kelly,
      Thank you for your e-mail.
      Micro vascular decompression surgery for trigeminal neuralgia is a successful and safe surgery for pain which is not controllable in spite of adequate doses of medications.

      Please see your email for a personal reply.

      Kind Regards.

      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Senior Consultant Neurosurgeon

      • Uli
        4 February, 2014 at 11:30 PM

        Dear Dr Lee,

        Can you tell me how much does the cost of the surgery (MVD)? My mother is suffering Trigeminal Neuralgia and we are from Indonesia.

      • 10 February, 2014 at 11:10 AM

        Dear Uli

        Please see your email for a personal response.

        Best regards.

  235. Anna
    12 November, 2013 at 8:13 AM

    Dear Dr. Lee,

    My mum has a suspected herniated disc in her neck as she is experiencing numbness and tingling in the right arm. What kind of treatment is recommended and is an MRI scan required?

    We would like to find out if you have a clinic we could visit on Sat. Do you recommend coming to see you soon if my mum has been experiencing this numbness for about a month now? Should she see a chiropractor, neurologist or neurosurgeon on this? Thank you.

    • 13 November, 2013 at 9:50 AM

      Dear Miss Anna,
      Surgery for the relief of herniated cervical disc with nerve root compression can be performed by neurosurgeons under operating microscope with high degree of success rate and minimal risk.
      Surgery takes 1 1/2 hours and relief is often immediate. Patients are allowed to walk the next morning and go home the day after.
      Feel free to contact my office at Sunway Medical Centre 03-74910777 or 03-74919191 ext 15519. Clinic days Tuesday 2-5pm Thursday 0900am-300pm.
      I also see patients on Wed and Fri 2-5pm at ANOC
      Advanced Neurosciencs and Orthopaedic Centre Lot 2.02 (East Wing), 2nd Flr, Menara BRBD, 285,Jln Maarof, Bkt Bandaraya,Bangsar. (behind bangsar shopping center)
      59000‎ KL
      Malaysia +60 3 2282 6113

      Thank you
      Dr. Lee Foo Chiang
      MBBS, FRACS ( Neurosurgery)
      Consultant Neurosurgeon

  236. Serlie Fatrin
    10 November, 2013 at 10:34 PM

    Hi Dr. Lee, my brother had an accident around 10 years ago, leaving him with pinched nerves in his back. He had never really gone for any treatment until recently when he started feeling painful sometimes as he walks. He had tried a few massage treatment but it hasn’t seemed to have improved yet. One of the consultants in Indonesia suggested him to do a surgery, but the chance is 50-50 for him to survive the surgery without becoming handicapped. Is there anyway he can recover and is the chance really 50-50?

    Thank you.

    • 13 November, 2013 at 9:48 AM

      Dear Serlie Fatrin,
      Thank you for your enquiry.
      Surgery for the relief of a pinched nerve in the back, which I presume is in the low back, is a very common microsurgical operation by neurosurgeons with a high success rate. The same can be said for the cervical or thoracic spine.
      I hope you find this information helpful.

      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre
      +603-74910777 +603-74919191 ext 15519

  237. Anna
    10 November, 2013 at 9:06 PM

    Dear Dr. Lee,

    My mum has a suspected herniated disc in her neck as she is experiencing numbness and tingling in the right arm. What kind of treatment is recommended and is an MRI scan required?

    We would like to find out if you have a clinic we could visit on Sat. Do you recommend coming to see you soon if my mum has been experiencing this numbness for about a month now? Should she see a chiropractor, neurologist or neurosurgeon on this? Thank you.

  238. Eunice
    7 November, 2013 at 9:03 AM

    Hi Dr Lee
    My dad has a pituitary gland tumour of 4.4cm.
    We would like to ask how much would be the cost to do the surgery in Sunway?
    Does she need any radiotherapy afterward? If yes, how long and how much would it cost?
    Thanks a lot

    • 13 November, 2013 at 9:56 AM

      Dear Eunice

      Thank you for your enquiry. Please refer to your email for a personal response.

      Best regards, Webmaster.

  239. May Ng
    19 October, 2013 at 1:05 PM

    Dear Dr. Lee,
    I don’t know what to do now for my mum who was suffer from Degos disease. Can you suggest any medication or treatment for this disease ?

    May Ng

    • 22 October, 2013 at 9:41 AM

      Dear May

      Degos syndrome is a complex disorder for which treatment needs to be tailored to the individual patient. Please consult your mother’s specialists for advice. For information, treatment is generally medical rather than surgical.

      Best wishes.

      on behalf of
      Dr Lee Foo Chiang, Consultant Neurosurgeon

  240. Amy Yong
    1 October, 2013 at 2:33 AM

    hi Dr Lee,
    My brother underwent craniotomy due to burst in the blood vessel in mid of jan this year. It affected his memory, he is 45 years old. After six month of the operation, he had his first epilepsy in july. The doctor said it was the side effect of the craniotomy. How to cure for his epilepsy ? Is epilepsy due to craniotomy curable ? Does he needs to go for MRI again ? Which doctor should I send him to ?
    Can you advise me what to do ?
    Thank you very much !

    • 22 October, 2013 at 9:52 AM

      Dear Amy,
      Your brother’s epilepsy can be attributable to the effect of brain hemorrhage leading to scarring in the brains or any surgery on the brain substance.
      Neurosurgeons or neurologists usually can help to control the epilepsy with one or more of the many antileptic medications. Surgery for epilepsy is a last option.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre/ Beacon International Specialist Centre/ ANOC

  241. dev
    28 September, 2013 at 9:35 PM

    Hi Dr,

    I would like to check my daughter was initially scanned n diagnosed as holoprosencephaly alobar..mri and ct scan done… now the doctor who’s treating her says she needs a shunt.. what is exactly her illness can be?! N is this shunt is really needed as she is 6days old n her head size remain 38.5… and what is the cost at sunway medical for a shunt procedure roughly?! Pls advice

    • 24 October, 2013 at 11:08 AM

      Dear Dev,
      A shunt is not a major neurosurgical procedure even in the very young, though the requirement for sterility is very stringent. A low profile shunt is generally used in babies or young children. Programmable VP shunts are available to allow for shunt pressure adjustments in the clinic to fine tune the drainage rate of CSF.
      VP shunt procedure costs RM 10-15K and if programmable shunt is chosen the cost may go up by another RM 5-6K due to the price differential between the standard and programmable shunt.

      Thank you.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon

  242. Kishanr
    27 September, 2013 at 12:25 AM

    A good day Dr Lee,

    I hope i could get the good advice from you Dr, this is my humble request.

    My father now 56 years old, had gone surgery in 2004 due to left temporal lobe glioma grade 2 and was done with radiotheraphy too in one of the specialist hospital.

    Right now my father had slurring of speech and have weakness on his right hand and the leg.But sometimes his speech do progress well and there are times it slurred. He stumble whenever he walks. Plus he also have one side hearing loss especially on his left side.

    The neurosurgeon found from the recent mri that there is an evidence recurrence on the same place and it is surrounded with the odema as well. The tumour is right beside the stroke part of the brain. That is only my understanding as a layman.

    They have suggested to go for Cyberknife because a resection can cause paralyse on his right side of his body but my concern is do this treatment will cause much complications as opposed to resection and is there any chances of having brain swelling after the treatment.

    The second question even after the cyberknife treatment is there any ways that my father can get back to his normal life as he was earlier.

    I have provide you the MRI link for your reference purpose

    I really hope to get a better advice so i can proceed for further treatment.Would appreciate for your help Dr.

    • 22 November, 2013 at 4:43 PM

      Dear Mr. Kishan,
      There are a few options for consideration. Low grade glioma tends not to be radio-sensitive. If the recurrence occurs in a dispensable part of the brain, further resection is the choice. On an evocative part of the brain, however, the neurosurgeon may want to consider awake brain mapping during surgery to minimize the disability resulting from resection of the tumour. Further more low grade glioma may increase in tumour grade to a higher WHO grade. This can only be confirmed at time of surgery. Do consult your neurosurgeon on further treatment plans.
      Dr. FC Lee

  243. See Loong
    26 September, 2013 at 8:45 AM

    Dear Dr Lee
    Do you treat infant of 16 months old suffer from hydrocephalus ?

    Best regards
    See loong

    • 28 September, 2013 at 11:21 AM

      Dear Mr See Long,
      Hydrocephalus is a common neurosurgical condition for which there are established treatments.
      Yes, I treat hydrocephalus.
      Dr. Lee Foo Chiang
      Consultant Neurosurgeon

  244. Adeline
    20 September, 2013 at 2:31 PM

    Hi Dr. Lee,
    My mum suffer from back pain few years ago but now it’s getting worse. She can’t walk properly because of the back pain. What kind of treatment required for her case? She took some supplement for backache but it doesn’t really cure the pain. Thanks in advance.

    • 23 September, 2013 at 2:05 PM

      Dear Adeline,
      You may want to bring your mother to see a neurosurgeon for a neurological assessment followed by MRI scan of the lumbar spine.
      If the examination and scan confirm presence of a prolapsed lumbar disc. spinal neural foraminal narrowing or instability of the lumbar spine (spondylolisthesis) she may benefit from surgery which can take the form of Microlumbar discectomy neural foraminotomy and spinal fixation respectively.

      Thank you.
      Dr. Lee Foo Chiang.
      Consultant Neurosurgeon.
      Sunway Medical Centre (03-74910777, 03-74919191-15519)

      Advanced Neuroscience and Orthopaedic Centre ANOC
      Lot 2.02 (East Wing), 2nd Flr, Menara BRBD, 285, Jln Maarof,Bkt Bandaraya,Bangsar. (behind bangsar shopping center)
      59000‎ KL

  245. elina
    18 September, 2013 at 1:15 PM

    Dr Lee,

    Please help to advise. My aunt had a stroke and docs have done mri, TEE and results came in negative. She has been in the hospital for more than 2 weeks aand doctors are stumped as to what is causing the stroke. Her speech is slurry and her right side is numd and her left aarm is weak. Her right eye needs to be closed and she is having double vision. She vomits a lot.
    Doctor did another mri yesterday and found that my aunt has a tumour on her brain stem. A biopsy is scheduled this Friday. Is this a wise thing to do? Please advise as to what is the next course of action to save my aunt. Please do reply as soon as you can. I can have the medical reports ready for you to see to make a sound advice. I am afraid if time is running out so please do contact me as soon as you can.

    • 23 September, 2013 at 5:53 PM

      Dear Elina,
      Stroke with the presence of cranial nerves deficits in clinical medicine always point towards brain stem pathology, in your aunt’s case, a brain stem tumour. It sounds like an intrinsic tumor arising from within the brain stem. Conversely an extrinsic tumour can also give rise to similar symptoms if it is large or located in strategic regions of the brain stem.
      It is of course good to know the nature of the tumor. This is done through a so called biopsy either done through stereotactic method or open biopsy. Usually resection (partial) is done at the same sitting to relief pressure on the brain stem.
      The remnants of the tumour can usually be treated with radiosurgery and Temodale if the tumour turns out to be a glioma.
      I hope these informations can be of help to your aunt and family as the consider the treatment options.
      Thank you.
      Dr. Lee Foo Chiang
      MBBS, FRACS ( neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre.
      03-74910777, 03-74919191 ext 15519

      • 24 September, 2013 at 11:40 AM

        Dear Miss Elina,
        It is difficult without looking at the MRI brain scans and preferably the patient herself to be able to advise you properly. MRI usually gives a reliable idea of the nature of the tumor. You are welcomed to bring the MRI scans to my clinic at Sunway Medical Center or ANOC.
        Thank you.
        Dr. Lee Foo Chiang
        Consultant Neurosurgeon

  246. anna
    7 September, 2013 at 11:13 PM

    Hi Dr Lee,
    my cousin, 17 yrs old is having hearing problem. his mom brought him to check his ear, but the results is still same. recently his hearing becomes weak, we worry that it could be his brain nerve problem.

    hi doctor, i would like to seer advice n which department i should bring my cousin to go to? should i bring him to check his hearing 1st, get the report and then check his brain nerve?

    • 11 September, 2013 at 5:45 PM

      Dear Anna

      Hearing problem should first be assessed by Specialist in Ear, Nose and Throat Diseases. You are therefore advised to consult the ENT Consultant.

      Best wishes.

      on behalf of Dr Lee Foo Chiang.

    • 16 September, 2013 at 7:11 PM

      Dear Anna,
      Thanks for your enquiry.
      You may want to bring him to have a thorough examination by an ENT surgeon as a first step, if that has not been done. A good hearing test by an audiologist is essential. Secondary hearing loss can be caused by neurological causes and would require him to be seen by a neurologist or neurosurgeon. An MRI brain scan is necessary to rule out mass lesions like tumours.
      Thank you.
      Dr. LEE Foo Chiang
      Consultant Neurosurgeon.
      Sunway Medical Centre/ ANOC Advanced Neuroscience and Orthopedic Centre.

  247. teri wong
    23 August, 2013 at 6:59 PM

    Dr, PLS HELP MY DAD !!! My dad is diagnosed with PSP, movement disorder. My dad is a very strong willed person. Even kpj damansara doctors acknowledged tht my dad made an amazing recovery from 2 times cpr arrest. Two days ago, my dad has been transferred to university hospital, after more than a month at kpj icu. However, after eeg n relevant scans, they said tht my dad’s brain is not reacting much to their test. But dr, i hav all videos showing tht my dad indeed responded to us with the witness of nurses. Not reflex. I wish to speak to u dr. Pls help my dad. My no is 0122784242.

    • 28 August, 2013 at 1:55 PM

      Dear Teri

      It is not possible to provide advice based on the information given, without the benefit of a clinical assessment. Do please refer to your father’s doctors for updates on his condition.

      Best wishes.

      On behalf of Dr Lee Foo Chiang

  248. diamondyap@rocketmail.com
    22 August, 2013 at 3:27 PM

    Dr Lee Foo Chiang I want to ask what my son disease . I wan to buy a policies insurance for him.
    My son named Tan Wei Jean yr 2008 treated by you at sunway. He now age 16. Can dr lee give me details of the diagnosis &. Treatment surgery.

    • 26 August, 2013 at 10:29 AM

      Dear Sir/Madam,

      Reference your enquiry, you are advised to call my office at Sunway Medical Centre during office hours and request my staffs to retrieve your son’s medical file.
      The proper procedure will be to have your insurance agent bring the “attending physician statement” form to my office to be filled up by me. This may take more than two weeks.
      Thank you.

      Dr. LEE Foo Chiang

  249. slipped
    21 August, 2013 at 1:42 PM


    i slipped and passed out last week,.done 2ctscan and eeg test, discharged after two days. after 7 days, i still feel a little giddy, and my movement are limited else i feel light head. feel a little numbness on my head when i bend down. is this normal, how long before i can fully recover.

    • 22 August, 2013 at 11:31 AM

      Dear M Cheah,

      It is not possible to provide advice based on the information given, without the benefit of a clinical assessment. Do consult your doctor about your concerns.

      Best wishes for recovery.

      On behalf of Dr Lee Foo Chiang

  250. fenny
    19 August, 2013 at 4:23 PM

    Dear Dr. Lee,

    My mom (65 yo, currently living in Indonesia) recently has a sudden swelling yet no acute pain on her right shoulder joint since July 18th 2013. Previously, she had been generally in good health and had previously been very active. Now she becomes very afraid that she will further damage the shoulder if she uses her right hand as she can hear a loud creeping sound when she moves her arms to certain directions. The unstable swelling and creeping sound had been really annoying her.

    She has consulted some Orthopedics in Jakarta and has gone through the following examinations:
    1. Physical
    >>There is a creeping sound when she rotates her shoulder backward and forward, upward and downward. And she feels light numbness on her triceps area thru the bellow elbow area.
    2. X-Ray (shoulder dextra, bilateral and manus).
    >> It was found deformity on the corpus of the humeral bone
    3. Total Blood Count check
    >> The CRP was found to be a bit high
    4. Ureum and Creatinin
    >> The reading was normal
    5. MRI
    6. CT-Scan
    7. Bacteria culture from the fluid aspirated from the shoulder joint.
    >>It was found acinetobacter baumannii.

    Medication taken for the first week was Non-Steroid Anti Inflammation Drugs. Prescribed by orthopedic in Jakarta that she consulted, she has taken Co-Amoxiclav 500mg, three times a day since Thursday August 1st until Sunday August 18th.

    We also have gone for second opinion examination to orthopedic in Singapore last Lebaran holiday, and his diagnosis was my mother had neurophatic shoulder due to syringomyelia (based on the MRI results).

    I would like to bring my mon for further consultation to a neuro-surgeon for second opinion. What is your diagnosis for her shoulder? We hope you can provide examination and more information (diagnosis and treatment plan) on her case. Please inform, doctor. Please advise if we are able to see and consult you – or if not, can you please assist us by referring which doctor that we shall consult to for this case, as we hope to give the best treatment for her.

    I can be contacted at my email fennychudri@yahoo.com or by phone at +62 8128620700. I am looking forward to hearing from you soonest. Thank you. Fenny Chudri

    • 20 August, 2013 at 10:56 AM

      Dear Fenny,

      Thanks for your e-mail.
      It seems quite certain that your mother has septic arthritis of her shoulder joint based on the fluid culture result of acinetobacter and X-ray findings. If she has syringomyelia on MRI of the cervical spine then it may explain why she has minimal pain despite the joint swelling from joint infection.
      I think the more urgent issue is to have the septic arthritis treated adequately with antibiotics first. Syringomyelia can be managed with syringostomy and Gardner’s operation (decompression of craniovertebral junction) at a later stage. This will have to be done by neurosurgeons.

      Dr. LEE Foo Chiang
      MBBS, FRACS (Neurosurgery)
      Sunway Medical Centre, Selangor, Malaysia
      +603-74910777 +603-74919191ext 15519

      Acvanced Neurosciencs and Orthopaedic Centre
      Lot 2.02,(East Wing), 2nd flr, Menara BRBD,285, Jalan Maarof, Bukit Bandaraya, Bangsar. (behind Bangsar Shopping Center)
      59000‎ KL
      Malaysia +60 3 2282 6027

  251. 19 August, 2013 at 12:32 PM

    Dear Dr. Lee,
    I am Ingrid from Indonesia, 37 yo. I have been having back pain for the last 2 years and recently it’s getting worse. I fell about 2 years ago and had MRI. There was abnormality, but not really extreme. My doctors suggested either surgery or therapy. I chose therapy.
    Some part of my left leg to my foot has been numb since the accident and it hasn’t gone away. Since it isn’t really disturbing, I learned to live with it. However, my back pain is getting worse and it’s getting unbearable. If I would like to schedule a consult, what should I do first? Thank you.

    • 19 August, 2013 at 4:43 PM

      Dear Ingrid,
      Thanks for your e-mail.
      I think there is most probably a prolapse disc causing compression of a lumbar-sacral nerve foot. It may benefit from a Microlumbar discectomy which is a minimally invasive surgery usually with good relief of your symptoms. Surgery usually takes 40 minutes and you may be allowed to walk the next morning and be discharged from the hospital in another day or two.
      Thank you.
      Dr. LEE Foo Chiang
      MBBS, FRACS (neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre

  252. Daniel Tan
    8 August, 2013 at 9:11 PM

    Hi Dr Lee,

    My mum is a 80 year old lady with 10 children and 25 grand children. She has been taking the usual medicines for elders since 10 year ago. But her memory power has showed a sharp deterioration lately and tends to misplaced her own things frequently. We are concern that things may get worst and we wish to seek your opinion on what we can and should do to help her with her memory and prevent things from worsening.
    Thanks and regards.

    • 12 August, 2013 at 4:17 PM

      Dear Mr Tan,
      I think the best specialist for your mother’s problem would be either a neurologist or a geriatrician.
      Best wishes.
      Dr. Lee Foo Chiang.

  253. Lynn tay
    3 August, 2013 at 10:13 PM

    Dear Doctor Foo,

    My husband suffered very serious migraine since teen, he is 39 yrs old now, for this few weeks his migraine seem getting worse, he took at least 6-8 pain killer and still cannot get over the pain. What should I do? Should he see you or nerogist? Please advise.

    Warmest regards,
    Lynn Tay

    • 5 August, 2013 at 5:48 PM

      Dear Lynn

      There are a number of medications for severe migraine. For proper treatment, do ask your husband to consult a neurologist, who may decide whether the diagnosis is appropriate, and whether tests are needed.

      Best wishes.

      On behalf of Dr Lee Foo Chiang.

  254. Henny
    31 July, 2013 at 11:11 PM

    Hi Dr Lee

    My mom has a pituitary gland tumour.
    She had it removed 6 years ago. She did not do any radiotherapy at that time.
    Now it has been regrow.
    We would like to ask how much would be the cost to do the surgery in Malaysia?
    Does she need any radiotherapy afterward? If yes, how long and how much would it cost?

    Thanks a lot

    • 2 August, 2013 at 11:00 AM

      Dear Henny,
      Thank you for your e-mail.
      I think the recurrent pituitary tumor can be removed through the nostril ( transphenoidal surgery) with the incision on the gum, by neurosurgeons without having to go through the brain ( craniotomy).
      This is a very safe and straightforward operation and takes about one and half hours.
      If Radiotherapy is indicated it is better to opt for stereotactic fractionated radiosurgery with Cyberknife.

      Please see your email for more details.

      Thank you.
      Dr LEE Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre
      603-74910777 603-74919191 ext 15519

  255. Jerry Lim Soon Annn
    29 July, 2013 at 2:42 PM

    Dear Dr Lee,

    i had my operation of l4/ l5 disc op 2008 and l5 /s1 disc op 2011 at melaka pantai hospital.
    last week, i had severe numbness of right leg.

    i did MRI last week and found out that the disc protrusion at l4/ l5 and l5/ s1 levels.
    i am lacking confidence to the doctor who help me to do the past 2 operation.

    i was told to find neurosurgeon rather than orthopedic doctors.

    the report from the MRI stated as below:






    Dr. Lee, I would like to seek for your advise, what is the next step I should do to solve my numbness and pain of my leg.

    Thank you.
    Best Regards

    • 3 August, 2013 at 6:20 PM

      Dear Mr. Lim,

      It appears there is a recurrence of disc herniation.
      Repeat discectomy is indicated if conservative treatment has failed.
      Micro lumbar discectomy is usually done by neurosurgeon as a first option in cases not previously operated.
      Repeat discectomy is more demanding technically due to previous surgical scarring. Operating microscope magnification certainly helps.
      I hope you find these info useful.
      Thank you.

      Dr. Lee Foo Chiang
      Consultant neurosurgeon

  256. Sally Tan
    25 July, 2013 at 2:23 PM

    Dear Dr. Lee

    Thank you for your advise on 24 July 2013.

    For your information, I have gone through the following check up:-

    Year 1999 – CT Scan of Lumbar Intervertebral Disc L3 – S1 = no obvious PID seen at all levels. No osteophytosis. No evidence of spinal stenosis seen.

    Year 2000 – Lumbosacral spine = mild scoliosis to the right? Significance (after fell down from the staircase).

    Year 2004 – MRI Cervical Spine at Sunway Medical Centre, but no report, assume everything are fine ???

    Year 2011 – MRI Cervical Spine at UM specialist Hospital = Image quality degraded by motion artifact.
    The cervical alignment appears normal.
    The Cervico – medullary junction is normal.
    The Cord returns normal signed.
    The exit foraminae are normal.
    The Carotid vessels normal.
    The R vertebral is smaller and appear to enter the foramen transversum at higher level.

    At the same time, I have EMG report comments that : Nerve conduction studies and needle EMG are within normal limits.

    Dr. Lee, I would like to seek for your advise, what is the next step I should do and which specialist should I refer to to solve and find my problem on the numbless of my hand and leg and with the pain of my neck and lower back bone pain?

    Thank you.

    Best Regards

    Sally Tan

    • 27 July, 2013 at 12:58 PM

      Dear Miss Tan,
      I note you were not told of the MRI Cervical Spine 2004 which you presume were “normal” and the UMMC scan 2011 was of “degraded ” quality.
      It may be worthwhile to have a re look of your clinical symptoms and signs as well as neuro imaging and neuro physiological tests.
      You may see a senior neurologist like Dr Lee Moon Keen or neurosurgeon.
      Hope you find a definitive answer and treatment to your problem.

      Dr. LEE Foo Chiang
      Consultant Neurosurgeon
      e-mail: fclee.neurosurg@gmail.com
      Sunway Medical Centre 03-74910777 ANOC
      Advanced Neurosciencs and Orthopaedic Centre +60 3 2282 6027

  257. G.L Chan
    25 July, 2013 at 3:59 AM

    Dear Dr Lee

    I am 49 years old lady working in Penang. Recently diagnosed by doctor that I am having ependymoma within my cervical cord from C1-C6. MRI done and impression that I am having intramedulary mass with cystic component and hemorrhage. I am interested in radiosurgery than the laminectomy please advice more on the above. Thank you Dr Lee.

    • 27 July, 2013 at 1:00 PM

      Dear Miss Chan,
      Thank you for your e-mail.
      Intra medullary tumors, the commonest being ependymomas and astrocytomas very often lends itself to micro neurosurgical resection under operating microscope and Intraoperative neuro physiological monitoring.
      Very often there is a plane of cleavage between tumour and normal spinal cord tissue in appearance and consistency and color under operating microscope.
      Also it is important to know the exact histological diagnosis of the tumour and especially the grading on tumour cell aggressiveness. This allows for prediction of the tumour behavior in the future.
      Debulking the tumour reduces the tumour size facilitating further treatment.
      Cervical laminotomy will be done with sonic scalpel to allow for replacement of the posterior component ( lamina) after tumour removal, therefore offering bony protection on the back of the spine.
      Stereotactic radiosurgery if indicated, for intra medullary ependymomas or astrocytomas is best done with Cyberknife but carries with it the risk of radiation damage to the cord tissue with paralysis while radio responsiveness or these tumours to radiation is not definite nor encouraging.
      Post radiation scarring around tumour will mask the boundary of the tumour making subsequent surgery more difficult.
      You may contact my office for a more detailed assessment and discussion on the management.
      I hope you find these informations helpful.

      Dr. LEE Foo Chiang
      MBBS, FRACS (neurosurgery)
      Consultant Neurosurgeon
      Sunway Medical Centre (03-74910777)
      ANOC Acvanced Neurosciencs and Orthopaedic Centre (+60 3 2282 6027)

  258. Jane Saw
    23 July, 2013 at 1:18 PM

    Hi Dr. Lee


    • 24 July, 2013 at 10:19 AM

      Dear Miss Saw,
      Dr. FC Lee
      Consultant Neurosurgeon
      Sunway Medical Centre

  259. Sally tan
    23 July, 2013 at 9:36 AM

    Dear Dr. Foo

    I am having problem of numbless on my hand for the past ten year, recently getting worse, it goes to my leg as well, normally the numbless would move around, sometime in right hand and sometime in left hand, and all the time I have lower back bone pain, I can’t side sleep for more than 10 minutes, and I noticed that when I have done any exercise which need to use strength on the neck and lower back, my numbless would increase and feel in immediately. However, for the past 10 years, i went to see manys doctors, it includes traditional chinese doctors, neurosurgeon, cardiologist and orthopaedic they all said nothing wrong to me. Neurosurgeon check on my reaction of my leg and said that is it abnormal and it could be “Spurs” problem. However, after the MRI out, it shows no “Spurs” problem on my neck and lower back bone, but I went to see two traitional chinese doctors, they all claims that I have spurs on my neck and lower back bone. So, Dr. Foo, could you please advise what is the actual problem of me? which doctor should I refer to the next? is it Spine Specialist, if yes, any recommendation for this spine specialist? Please help, as for the past few days, my leg’s numbless continuous none stop and make me feel very bad.

    Thank you.


    Sally Tan

    • 24 July, 2013 at 10:17 AM

      Dear Miss Tan

      To further elucidate the potential underlying cause for your symptoms, you may require MRI cervical, lumbar spines and nerve conduction studies apart from a thorough clinical neurological examination by either a neurologist or neurosurgeon.
      We need to exclude compression of the spinal cord/ nerve roots by whatever causes as well as peripheral nerve disorders. Metabolic disorders can contribute to the latter.
      Hope you find these informations helpful.

      Dr. Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre

  260. KL Wong
    27 June, 2013 at 4:07 PM

    Dear Dr. Lee,
    I had MRI in 2000 in SMC and confirmed that Slip Disc at L4 & L5. This costs my Left Buttock pain when I stand more than 10 minutes and if I have slow walk.
    Can Laser surgery in your clinic?

    • 28 June, 2013 at 10:28 AM

      Dear Mr Wong,

      The definitive treatment for prolapsed lumbar disc where there is intractable pain from nerve root compression despite conservative treatment including physiotherapy is micro lumbar discectomy / endoscopic discectomy. In selected suitable cases, per cutaneous disc nucleolysis can be done.

      Best wishes,

      Dr Lee Foo Chiang
      MBBS, FRACS (neurosurgery)
      Consultant Neurosurgeon

  261. Aggie Sim
    27 June, 2013 at 8:08 AM

    我母亲今年62岁,最近投诉左眼视力退化,看了眼科专科,但是医生说不视力不全是老化的问题。后来照了MRI,发现靠近PITUITARY附近长了大概1.8 mm的瘤,压了视力神经线。 请问是不是该动手术呢?手术费大概是多少?谢谢

    • 28 June, 2013 at 10:17 AM

      Sim 小姐,请参阅您的电子邮件私有回复。谢谢。

      Best wishes,


  262. Belinda Kuan
    25 June, 2013 at 4:30 PM

    Dear Dr. Lee

    I was referred here by Dr. Yong Kam Leng. I am a 50 year old diagnosed with chronic pain syndrome since February 2012. MRI of lumbar shows L5 S1 annular disc tear and C5/6 disc with endplate fracture, disc space narrowing and bone marrow infiltration as well as an annular tear at this level. MRI of neck shows small annual tear at C6/7 with a small disc bulge. There was no evidence of neural foraminal stenosis and nerve root compression at any level. Muscular skeletal doctor recommended pain management due to spinal cord sensitization responsible for the widespread pain. I was later prescribed gabapentin in August 2012 but pain level remained high at about 8/10.

    This April, I saw a neurologist. He examined my nervous system and found it normal. He prescribed me with nortriptyline in addition to gabapentine I was still taking. After 2 months on nortriptyline, I was able to withdraw gabapentin. I am on 3.5 tablets of 25mg each at present. My pain level is now at 2-3/10. I do get tingling on my left arm and dull pain on both shoulders and muscle spasms in my right leg occasionally.

    Based on the above, do you think continuing with this pain management is the best way to go. Are there other options available?

    Thank you in advance for your time.

    Best regards

    • 26 June, 2013 at 10:25 AM

      Dear Belinda,
      Thanks for your e-mail.
      Pain with no structural neural compression demonstrable on MRI (as reported by radiologist) is best handled by pain clinic team. However it is still worthwhile to let a neurosurgeon familiar with spinal neurosurgery correlate your clinical signs and symptoms with the “normal” MRI. It may lead to a more definitive treatment and long term relief of your pain.
      Best wishes.

      Dr Lee Foo Chiang
      Consultant Neurosurgeon

      • Belinda Kuan
        26 June, 2013 at 3:00 PM

        Dear Dr. Lee

        Thank you very much for your prompt reply.

        Best regards

  263. Debbie
    21 June, 2013 at 11:08 AM

    Dear Dr Lee

    My name is Debbie from Indonesia , i am 42 yo , i have suferring hfs since 2010 , my both side checks are always tics and now getting worst . maybe the surgery like mdv is the best treatment to cure my pain . Could you pls give me information how much for the expense for the surgery in your hospital ? Many thanks for your attention

    • 21 June, 2013 at 4:22 PM

      Dear Miss Debbie,

      Thank you for your email. Please see you email for a personal response.


  264. peng
    17 June, 2013 at 10:20 AM

    Dear Doctor, I have a deep cavernoma in the L.parietal lobe, sensory area. symptoms right face numbness, weakness of leg. when i get micro bleed i get headaches, right palm burns for few days and pains/numbness until 1-2 weeks later i get much better, with minor symptoms again.

    micro bleeds are caused by more then 10 min on exercise bike, or activity with my wife.

    Do you think these are micro bleeds?

    i had MRI for past 3 years period and the cavernoma has remained the same size 1cm, i theorize that the micro bleeds stops it from growing bigger 3cm, that is why i notice my friend who had a larger cavernoma has only slight symptoms compared to me. his grows, mine bleeds. his cavernoma was in the r.parietal lobe. removed and no more facial tics/numbness and confusion. he also stopped seizure meds.

    Do you recommend removing a deep cavernoma? and do you think a devide like the nico myriad neuro tool will help?


    • 18 June, 2013 at 10:08 AM

      Dear Peng,

      We will need to see the MRI and perhaps do further tests like functional MRI/DTI to study the relationship of the speech and motor function before deciding whether it is worthwhile to resect the cavernoma. I presume you are R handed. With stereotactic guidance nearly all are technically resectable with micro neurosurgery, but decision is based on the benefits versus morbidity.

      Cavernomas typically present with neurological deficits from repeated bleeds and epilepsy.

      Dr Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre/ ANOC Neuroscience and Orthopedic Centre

  265. 2 June, 2013 at 10:46 PM

    Dear Dr Lee,

    My mum has been diagnosed to have a hemifacial spasm about 10 years ago. Initially, she had several botox injections as recommended by her physicians in Penang. However, as time goes, the effect worn off and now the disorder has came back again.

    Is it necessary for her to have a surgery to cure this once and for all? Can we please have your opinion on this?

    Many thanks for reading and I look forward for your reply.

    Best wishes,

    • 18 June, 2013 at 10:18 AM

      Dear Kheng,

      Hemifacial spasm after failed Botox injections can be cured with micro vascular decompression ( MVD ). This is a very safe and elegant operation when done by experienced neurosurgeons. This is however not a new operation as it has been described by Dr Peter Janetta since the late 1970’s and popularized since the 80’s. Techniques have improved over the years with the advent of better instrumentation and intraoperative neuro physiological monitoring.

      This has been the mainstay of treatment for hemifacial spasm for decades until the advent of Botox which works in some cases, at least in the early stages. The only downside of surgery is potential hearing loss on the same side and this is minimized by monitoring BAEP during the operation. Success rate should be more than 85-95% with equal percentage of patients remaining free from symptoms even after 10 yrs.
      Surgical incision is behind the ear, hence hidden when the hair has re-grown. The artery loop which compresses on the facial nerve near the root exit zone is displaced away from the nerve with either a small Teflon Or muscle graft. Surgery takes 1and 1/2 hrs, and requires a few days of hospitalization.

      I hope you fine these information useful.

      Dr. Lee Foo Chiang
      MBBS, FRACS ( neurosurgery )
      Consultant Neurosurgeon
      Sunway Medical Centre / ANOC Neuroscience and Orthopedic Centre

      • 16 January, 2014 at 12:16 PM

        Dear Dr Lee, I am suffering from HFS for 3 years and taking Botox injections every 3 months (in Seremban) to reduce the spasm. But now the spasm is getting stronger and still there even after the injections. May I know how much is the cost of MVD?

      • 10 March, 2014 at 9:43 AM

        Dear Mr. Khairul,
        Micro vascular decompression (MVD) for hemifacial spasm after failed Botox treatment is a successful operation in experienced hands. It is reimbursable by medical insurance.
        Please see your email for further details.
        Thank you.
        Dr. Lee Foo Chiang
        Consultant Neurosurgeon
        Sunway Medical Center.

  266. Sharon
    30 May, 2013 at 2:38 PM

    Hi Dr. Lee,

    I realized a bump on my head about 9 months to a year ago but didn’t think much of it hence did not do anything about it. Over last weekend, I realized that the shape/size may have changed. I just did an MRI scan and have been diagnosed with osteoma.

    – my movements are intact and there’s no pain on the bump itself
    – no focal space occupying lesion detected within the brain paranchyma
    – there is thickening of the outer cortex – 2.5cm x 1.9cm at the right frontal bone of the skull with no soft tissue component
    – apparently there’s no intracranial bleed or mass lesion – inner cortex, brainstem and cerebellum appears to be normal as well
    – grey and white matter appears to be normal
    – midline is central and no evidence of hydrocephalus
    – DWI is normal for an acute infarct
    – pituitary gland and corpus callosum appear normal
    – the lesion is seen in the outer cortex, and is most likely benign (but the radiologist is unwilling to guarantee that it’s 100% benign unless it’s removed or tested)

    Some questions I need your advice on:
    – since i’ve been told that it’s entirely on the outside of my skull, is there any way it could have been giving me headaches and causing dizziness? i’ve been getting is very easily in the past year but i’m not sure if this is the cause of it.
    – it’s not noticeable as it’s under my hair, right at my hairline. what are the chances of it continuing to grow and if it’s advisable to remove it now?
    – if i choose not to remove it, will it eventually encroach into the skull and brain? if yes, what does that part of the brain control, which will determine the risk of removing it only then?
    – if i choose not to remove it, is a yearly scan required to keep track of the size? the doctor i met with requested for me to monitor over the next 2-3 months to see if it’s growing fast. but is monitoring by touch sufficient to feel the growth?
    – i read that most osteoma are benign. is this true and should i worry about it being otherwise?

    (Actually, I’m most concerned about whether or not it’s causing my headaches and if it will continue to grow hence I should remove it now, even if it’s not causing me any pain)


    • 31 May, 2013 at 10:59 AM

      Dear Sharon,

      Thank you for your enquiry.
      What you have is Ivory osteoma. This is benign and involves only the outer table of the skull. Ivory osteomas do not cause compression of the underlying brain. They may increase in size but do so very slowly. The only indication for surgical removal is cosmetic, for those occurring in front of hairline and are hence unsightly.
      I hope these informations will be of help to you.

      Dr Lee Foo Chiang
      Consultant neurosurgeon
      Sunway Medical Centre/ ANOC- advanced neuroscience and orthopedic clinic.

  267. jack
    26 May, 2013 at 2:33 AM

    sir my mother is suffering from bulbar onset motor neuron disease , is there anything to help her

    • 29 May, 2013 at 11:07 PM

      Dear Riik,

      MND is basically a neuro degenerative disease with no known definitive treatment.
      The pain on the right side of the body may be managed symptomatically with medications like Myonal, Lyrica and Norgesic.

      Best wishes.

      Dr FC Lee

    • 18 June, 2013 at 10:33 AM

      Dear Jack,

      The mainstays of treatment for motor neuron disease (MND) are active exercise and physiotherapy together with maintenance of proper nutrition. Your mother would benefit from swallowing assessment by her doctor, with assistance from a speech/swallowing therapist. They can advise on the steps needed to maintain oral feeding.

      There is no curative medication; you need to discuss with her doctor whether she should take the drug Riluzole.

      Best wishes.

      Dr Lee Moon Keen
      Consultant Neurologist
      on behalf of Dr Lee Foo Chiang, Consultant Neurosurgeon

  268. riik
    23 May, 2013 at 7:28 PM

    hi sir my aunty diagnosed Bulbar onset MND , she is facing little trouble in breathing and when she talks her nose stops , she also have some pain in right side of body , can you help me

  269. Raimie Abdul Rahman
    20 May, 2013 at 3:10 PM

    Hello Doctor Lee,

    My brother-in-law collapsed this morning and currently in the ER of Hospital Tengku Ampuan Rahimah, Klang. He had brain tumor years ago and was successfully removed but not all. 3 weeks ago, he complaint of hiccup that won’t go away. We did not see it as something serious but now he’s in a coma.

    I asked some doctors i know and it is possible that the tumor is back. The hospital just did a CT Scan on him and we are currently waiting for the result.

    Can you please advise me what we need to do?

    Thank you.

    • 21 May, 2013 at 9:45 AM

      Dear Encik Ramie,
      Thanks for your e-mail.
      What was the nature of the tumour? Was it benign or malignant?
      CT scan should show what is the underlying cause for the coma, whether it is related to the tumour or was there a separate reason like intracranial bleed or stroke. Normally when in urgent situation like this, the CT scan is done as an urgent test and result will be known immediately so that urgent action if needed may be taken ASAP.
      Do discuss with the neuro.

  270. yang zaimey
    14 May, 2013 at 10:15 AM

    Dear Dr Lee, I have been diagnosed with ” cervical stenosis – C4/ C5 last week. Currently, my right hand is a bit “weak” and my right leg feel numbness. Is it normal for those having this stenosis problem? Secondly, I also notice my speech is also efffected .For example, i wanted to say “makan ” but i said “macan”. Whether cervical stenosis can effect speech as well? My fisioterapist also told me that for C4/C5 stenosis “traction technique” is not adviseble. Is true doc? Really need your advise and thank you in advance.

    • 16 May, 2013 at 7:58 AM

      Dear Yang,

      Thanks for your e-mail.

      Cervical stenosis with spinal cord and nerve roots compression is usually due to a combination of disc herniation, swelling of the ligament and facet joints. If the former is a major contributor to the problem, microsurgical (endoscope assisted) removal of the disc with decompression of the nerve root canal will lead to prompt relief of the symptoms. In patient younger than 65-70 yrs, a mobile disc replacement is inserted. Older patient will have inter body cage implanted instead.
      The other option is to do a decompression from the back of the neck (cervical laminoplasty and neural foraminotomy).

      These are commonly performed operations by neurosurgeons and takes between one and half hrs to 2 or 3 hrs depending on the number of levels involved.
      Most patients are allowed to walk the next morning and go home the day after.

      Hope you find these informations useful.

      Dr Lee Foo Chiang.
      Consultant Neurosurgeon
      Sunway Medical Centre
      03 74910777 03 74919191ext 15519

  271. JC
    12 May, 2013 at 9:28 PM

    Hi Dr Lee,

    I am experiencing involuntary muscle contraction of my right face for a year plus. Have consulted general practitioners and most were telling that was due to long hours on computer or insufficient sleep. Have consumed some Vitamins precribed by doctors and have gone through acupuncture treatments. It does not help much,

    Read from some forums (and your post above), Micro vascular decompression surgery is a better option to cease facial spasm. Would appreciate if you could let me know how much roughly is the cost of the surgery and how long would it take in terms of recovery?

    Thank you.

    • 14 May, 2013 at 10:40 AM

      Dear JC,
      It appears you have hemifacial spasm. This is usually due to an artery (blood vessel) compressing on the facial nerve at the spot where it leaves the brain stem. Botox injections by neurologists may give temporary relief but needs to be repeated every few months. Micro vascular decompression operation was first described by Dr Peter Janetta in the late 70’s is now done regularly by neurosurgeons is a definitive treatment leading to long term and permanent cure in most cases.

      Please see your email for personal reply. Thank you.

      Dr Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre
      03-74910777, 03-74919191 ext 15519

  272. Mr.Cheah
    5 May, 2013 at 2:24 PM

    Dear Dr
    I’ve got pain in my back.A.Shock sensation in the lower spine for 30 seconds before i can move.Can i go have a quick check up in Ipoh or can you point me where to go next.Thanks

    • 7 May, 2013 at 12:00 AM

      Dear Mr Cheah,

      You may go to a hospital in Ipoh see a neurosurgeon or orthopedic (spine) surgeon. MRI lumbar spine is necessary.

      Best wishes.

      Dr FC Lee
      Consultant neurosurgeon

  273. 20 April, 2013 at 2:23 AM

    dear Dr lee
    我的爸爸得了重症肌无力(myasthenia gravis),他也有胸腺瘤,可是他没有呼吸困难,请问我应该去找你吗?

    • 20 April, 2013 at 12:15 PM

      Dear Eiona,

      Myasthenia gravis 通常治疗由神经科专家。请询问您的医生,一个适当的转介。最良好的祝愿。


  274. Miss Ang
    18 April, 2013 at 7:13 PM

    Dear Dr Lee,

    I am 41 years old. It has been few years since I have headache at the back of my head, it is not so much of the pain but the feeling of heaviness at the back of my head. Recently I have been feeling numbness and tightness on certain part of my head and occasionally have numbness or pin and needle sensation on my fingers and feet. Which specialist should I visit and I wish to do a thorough brain check. Do you recommend MRI to be done. Thank you.

    • 19 April, 2013 at 5:44 PM

      Dear Ms Ang

      Your symptoms need to be evaluated clinically. Your GP would be able to assess and advise on whether you should see a specialist, and if so, which area of specialty. Following on that, decision could be made about the need for MRI.

      Best wishes, Webmaster.

  275. Choo Meng Chung
    18 April, 2013 at 12:25 AM

    Dear Dr Lee Foo Chiang,
    i was referred from your patient and would like too know more on Endoscopy minimally invasive microvascular decompression surgery for hemifacial spasm.
    Best regards!

    • 19 April, 2013 at 5:43 PM

      Dear Mr Choo,
      Thank you for your enquiry.
      Micro vascular decompression for hemifacial spasm is done via a skin incision behind the ear. A small craniotomy (bone opening) is made. A small piece of Teflon or as I normally prefer, a tiny 0.5 cm cube of patient’s own muscle graft taken after taking the skin incision, is interposed between the facial nerve and the compressing blood vessel loop.
      This usually result in immediate and long term cessation of the facial spasm in 85-95% of cases. This is an extremely safe procedure if done by experienced surgeons.
      Dr Lee Foo Chiang
      Consultant Neurosurgeon
      Sunway Medical Centre.

  276. L
    16 April, 2013 at 5:04 PM

    Hi Dr Lee
    My mum diagnosed with pituitary macrodenoma. What will be the estimated cost for this surgery in private. She has medical complication such as diabetes and BP. She is 59 yrs old. What will the after effect after the surgery.

  277. Thomas tai
    13 April, 2013 at 4:12 PM

    医生,最近我背后腰骨痛,然后睡觉,或向地下拿东西也有痛。有什么治疗方法?可以email 我location 联络号码?

    • 16 April, 2013 at 7:32 AM

      Dear Mr Tai,
      这种症状多数是腰椎骨椎间盘突出挤压到神经线导致。需要照MRI lumbar spine.
      Thank you.
      Dr. Lee Foo Chiang
      Sunway Medical Centre
      03-74910777 or 03-74919191 ext 15519
      ANOC – Advanced Neuroscience and Orthopedic Clinic. Lot 2.02 (East Wing), 2nd Flr, Menara BRBD, 285 Jln Maarof, Bkt Bandaraya, Bangsar (behind Bangsar Shopping Center), 59000‎ KL.
      +60 3 2282 6027

  278. Kerry
    5 April, 2013 at 4:41 PM

    Hi, I was wondering if you are a the type of neurologist who can test and diagnose children with ADHD. If not, should you be able to point me in the right direction, that would be much appreciated.

  279. Tan Sze Ling
    4 April, 2013 at 11:11 PM

    Dear Dr. Lee,



    • 5 April, 2013 at 2:36 PM

      Dear 小玲
      你妈妈的膝盖关节的问题可见骨科医生,李润强医生(无亲属关系) Dr Lee Joon Kiong ANOC +60 3 2282 6027 Lot 2.02,(East Wing) ,2nd Flr, Menara BRBD, 285 Jln Maarof, Bkt Bandaraya, Bangsar (behind Bangsar Shopping Center) 59000‎ KL
      Dr FC Lee

  280. Raynovak
    3 April, 2013 at 9:08 PM

    Good day Dr Lee,
    My son, 9 years old has been detected of having kyphoscoliosis recently. Appreciate your advice on any possible diagnosis and treatment to this.

    Thank you

    • 16 May, 2013 at 8:06 AM

      Dear Raynovak

      For specific and meaningful advice, your son needs a detailed clinical assessment by a spine surgeon. Please consult your doctor to arrange for this consultation.

      Best wishes.


  281. YH Jong
    2 April, 2013 at 1:43 PM

    Hi Dr. Lee,

    I am 42 years old. I found swollen on my left back body about 6 months ago when I went for massage. My GP told me that it is just muscle problem and ask me not to worry. But lately, about 2 weeks already, I feel numb on my two fingers (Thumb and Index finger) quite frequently everyday. I am worry that this has something to do with my swollen back. I also have a bad sour shoulder 2 years ago. My relative suggest me to go for a MRI scan.

    My question to doctor, Is it necessary and how much will it cost me to do the scan?


    • 3 April, 2013 at 5:24 PM

      Dear Mr. Jong,
      There are a few possible causes for your thumb and index finger numbness. It can be due to a cervical (neck) disc protrusion compressing the nerve roots. There is usually associated neck and shoulder soreness/stiffness and arm or forearm pain. The other equally common cause will be entrapment of the median nerve at the wrist. Non surgical problem e.g. Inflammation / degenerative conditions of the nerves can also lead to your type of symptoms. Investigation with MRI cervical spine and nerve conduction study (NCS) will help to confirm the underlying problem. The former cost RM 750-1,000, while the latter about RM 500-600. These are estimated costs and vary from hospital to hospital. You may call outpatient centers which are generally cheaper like ANOC +60 3 2282 6027 for the cost and appointment.
      Hope these informations are of help to you.
      Dr. FC Lee
      Consultant neurosurgeon

  282. Joanne chin
    19 March, 2013 at 8:34 PM

    Dear Dr Lee,

    This is Joanne, my aunt is get stoke about 2 weeks ago, this affected to her left body and get Incontinence problem. Below is her CT brain scan result.

    CT Brain:

    Plain and post I’VE contrast.
    There is an illdefined hypodensity in the right temporal and frontal lobes, basal ganglia and internal capsule. No enhancement shown. There is mass affect with compression of the right lateral ventricle. The appearances are not typical of infarction or encephelitis. The likehood of glioma exists. Normal brainstem and cerebellum.


    Illdefined hypodensity in the right temporal and frontal lobes, basal ganglia and internal capsule, possibly glioma.

    I hope to get yr proffesional advice, thanks.

    Best regards,

    • 29 March, 2013 at 9:34 AM

      Dear Miss Chin,
      You have not mentioned your aunt’s age.
      The scan seems to indicate a type of primary brain tumor, glioma, which in the adult (middle age and above) is malignant in > 50% of cases. It appears to be quite extensive. A confirmation of the diagnosis is useful before deciding on further steps. This can be done through a small operation via a small burr hole under computer guidance. Conversely partial resection and sending the tumor for diagnosis will offer some relief in her symptoms and prolong survival. MRI brain with contrast usually allows neurosurgeons to make a reasonably accurate clinical diagnosis.
      Hope you find thisinformation useful.
      Do bring the MRI/CT and your Aunt to see a neurosurgeon for a clearer discussion and assessment.
      Dr Lee Foo Chiang

  283. connie
    16 March, 2013 at 1:33 PM

    Dear Dr. Lee,

    Good day! I have a 2 years old daughter who had diagnosed with thoracolumbar scoliosis with convexity to the left (30 degree) since September last year. My doctor advised to wear brace for 20 hours everyday. What causes this? What treatment is suitable for my daughter?
    Please advise. Thank you very much.

    • 19 March, 2013 at 10:26 AM

      Dear Connie,
      Most of the kyphoscoliosis are idiopathic.
      Has an MRI thoraco-lumbar spine been done to exclude underlying etiology?
      Wearing a brace is advisable in the active growth age to prevent worsening of the scoliosis. He should be seen by orthopedic-spine surgeon/ pediatric orthopedic surgeon but needs a pediatric neurologist to monitor in case of any neurological deficit developing.
      Good luck.
      Dr FC Lee.

  284. William hoi
    13 March, 2013 at 12:07 AM

    Dear Dr Lee, greetings to u. At this current moment i am having a very situation where my father in law admitted due to a fall. his diagnosis is according to the Dr that his brain now is dead due long hours blood clot. And i was told that he only have 10% of recovery. He is also suffering on diabetic and high bp. His last reading before the fall is 250/150. What is your advice? Should i ask the Dr to operate him? He is now depend on the machine to feed him the oxygen. Tks Dr Lee

    • 14 March, 2013 at 7:11 AM

      Dear Mr Hoi,
      I am sorry to hear that your father in law is in such a critical condition.
      “Brain death” is a state where there is no evidence of detectable brain response to clinical testing. A strict guideline is followed to confirm the diagnosis of brain death after excluding metabolic or medical co-morbidities like electrolyte imbalance, hypoglycemia and hypothermia etc.
      Brain death certification if properly performed, is a legal definition of death and signals the beginning of irreversible death process.
      It is a contraindications for any surgical intervention as it will be futile to do so.
      Thank You.
      Dr FC Lee
      Consultant Neurosurgeon.

  285. Jason Theng
    2 March, 2013 at 9:03 PM

    Dear Dr. Lee,

    Good day.
    Seeking your advise for my daughter’s condition.

    My daughter born prematurely at 32wk 3 days at 1.8kg. She was infected by E.coli after 5 days since born. Treated as Meningitis case with 6 weeks of Meropenem treatment, plus 2 weeks of Amikacin. Total 42 days.

    Her weight is now at 3.65kg, breast-feeding at 100ml every 2-3 hrs. Feeding well and active.
    Today, we have been told that the baby is confirmed hydrocephalus after a series of ultrasound and CT scan. Suggested to putting a shunt in the brain asap.

    CT scan result shows below:>>
    The lateral and 3rd ventricle is grossly dilated except the left occipital horn.
    The left temporal horn is relatively more dilated than the right.
    Associated periventricular hypodensities represent seepage of CSF fluid.
    The 4th ventricle appears as normal.
    Evidence of loss of volume in the left occipital.
    The calcific foci in the left occipital noted.
    No significant midline shift.
    Obstructive hydrocephalus level of obstruction likely aqueduct.
    Previous insult of left occipital.

    What type of shunt is most suitable for baby? Fixed or variable?

    We urgently need your advise and would appreciate if we can reach you via phone or appointment.

    Thank you.

    • 4 March, 2013 at 10:33 AM

      Dear Mr Theng,
      Thanks for your e-mail.
      We tend to use low profile, low pressure VP shunt. Sometimes programmable shunt is used as it allows for pressure adjustments of the shunt in the outpatient setting as the child grows and the intracranial pressure requirement changes with age.
      Dr FC Lee
      Consultant Neurosurgeon.

  286. melody tay
    28 February, 2013 at 3:37 PM

    Dear Dr Lee, my dad had brain stroke and treated in icu sunway medical centre now, i wish to know will stem cell therapy help with his situation. My dad is breathing on his own now and there is movement from his eye balls and eye lid. His leg is reacting to pain now.

  287. H Lee
    26 February, 2013 at 4:38 PM

    Hi Dr Lee,
    I’m Dr H, thank you for the phone conversation with you last week regarding my uncle Mr.Eddy from Banda Aceh, Indonesia who was diagnosed to have Glioblastoma grade IV after an operation for the spontaneous ICB. After a long discussion between family members and relatives, he is keen to proceed with the treatment offered, namely cyberknife stereotactic radiosurgery followed by the conventional radiotherapy plus the chemo with Temozolomide. We realize that it is important to start the treatment asap when the patient’s general condition fit enough for the procedure however, in view of his financial difficulty there will be a delay in order to gathered help and contribution for his treatment. I’ll be grateful if Dr Lee could provide me some information/data regarding this treatment based on your experience. Is this a definite treatment or a palliative to prolonged life? How many years the survival rate could be prolonged? if this treatment has a potency to cure, how many percents of the successful rate and the relapse (for grade IV glioma)? How many percents of these patients need a debulking surgery after the treatment? As the treatment as well as the prognosis is important to come in between the risk, cost and benefits consideration for Mr. Eddy who unfortunately live in a non-ideal world. Thank you.


    H Lee

    • 1 March, 2013 at 10:42 AM

      Dear Dr H Lee,
      Thanks for your e-mail.
      Concurrent therapy (post surgical debulking) of glioblastoma / malignant astrocytoma using Temozolomide and radiotherapy/radiosurgery is a palliative treatment aimed at prolonging interval between tumor recurrences and improving quality of life.