Post-Surgery Treatment for Brain Tumor: Addressing Memory and Mobility Issues

Treatment for postoperative complications following brain tumor surgery?

Hello Doctor: I would like to ask about my mother, who is 60 years old.
She has experienced memory and judgment decline and was diagnosed with a 6 cm benign brain tumor in the left hemisphere.
After surgery, she was in a coma for 52 days before waking up.
Currently, she has weakness in her right limbs (and is undergoing active rehabilitation).
She can remember the names of family and friends but cannot recognize them (for example, when asked who I am, she sometimes responds with my father's name, and at times she cannot answer at all).
Additionally, she is unable to name everyday objects (even after being taught, she cannot recall the names a few minutes later).
Should she be referred to a neurologist for treatment? Is acupuncture in traditional Chinese medicine recommended? What other treatments could help her in her recovery?

Niming, 30~39 year old female. Ask Date: 2016/06/11

Dr. Zhang Junwei reply Neurosurgery

It is recommended to transfer to the rehabilitation department for further treatment, as acupuncture therapy has shown good results!

Reply Date: 2016/06/11

More Info

Post-surgery treatment for brain tumors, particularly in cases involving memory and mobility issues, is a multifaceted process that requires careful consideration of the patient's unique circumstances. In your mother's case, the presence of a 6 cm benign brain tumor in the left hemisphere, followed by a prolonged coma and subsequent awakening, presents significant challenges. The symptoms you describe—right-sided weakness, difficulty recognizing familiar faces, and trouble recalling names or everyday objects—are not uncommon following such a significant neurological event.

Understanding the Impact of Brain Surgery
Brain surgery, even for benign tumors, can lead to various cognitive and physical impairments. The left hemisphere of the brain is primarily responsible for language, logic, and analytical thinking. Damage or disruption in this area can result in aphasia, which is characterized by difficulties in speaking, understanding language, and recalling words. This could explain why your mother struggles to recognize you or recall the names of objects, as these functions are closely tied to the left hemisphere's capabilities.

Memory and Recognition Issues
The fact that your mother can remember names but struggles to recognize faces suggests that her memory may be intact in some areas, but her ability to process and retrieve that information is impaired. This phenomenon is often seen in patients with brain injuries or surgeries affecting specific areas of the brain. Rehabilitation strategies focusing on cognitive therapy can be beneficial. Engaging her in memory exercises, using visual aids, and providing consistent and repetitive exposure to names and faces may help improve her recognition abilities over time.

Mobility Rehabilitation
The right-sided weakness indicates that the left hemisphere of her brain, which controls the right side of the body, has been affected. Physical therapy is crucial in this context. A structured rehabilitation program that includes physical therapy, occupational therapy, and possibly speech therapy will be essential for her recovery. These therapies can help improve her strength, coordination, and daily living skills, which are vital for her independence.

Neurological Consultation
Given the complexity of her condition, consulting a neurologist is advisable. A neurologist can provide a comprehensive evaluation of her cognitive and motor functions and may recommend further diagnostic tests, such as MRI or CT scans, to assess any potential complications from the surgery or to rule out other issues. They can also guide you on the best therapeutic approaches tailored to her specific needs.

Integrative Approaches
As for the use of traditional Chinese medicine (TCM) and acupuncture, these can be complementary therapies that some patients find beneficial. Acupuncture has been studied for its potential to alleviate certain neurological symptoms and improve overall well-being. However, it is essential to discuss these options with her healthcare team to ensure they align with her overall treatment plan and do not interfere with any ongoing therapies.

Additional Support and Resources
In addition to medical treatment, providing emotional support and creating a stimulating environment can significantly impact her recovery. Engaging her in conversations, reading to her, and encouraging her to participate in activities she enjoys can help stimulate her cognitive functions.
You might also consider joining support groups for caregivers of individuals with brain injuries or cognitive impairments. These groups can provide valuable resources, emotional support, and practical advice from others who are navigating similar challenges.

Conclusion
In summary, your mother's recovery will likely involve a combination of physical rehabilitation, cognitive therapy, and possibly integrative approaches like acupuncture. Regular follow-ups with her healthcare providers, including neurologists and rehabilitation specialists, will be crucial in monitoring her progress and adjusting her treatment plan as needed. With time, patience, and the right support, there is potential for improvement in her memory and mobility.

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