Post-Operative Symptoms After Brain Tumor Surgery: What to Expect

Symptoms After Craniotomy for Brain Tumor

Hello, Doctor.
I have a tumor about 3 centimeters in size in my cerebellum.
I underwent craniotomy in early March this year, and the result was benign.
It has been a month and a half since the surgery, and I still feel dizzy, especially when turning my head or bending down and looking up.
However, the dizziness stops when I remain still (I also experience nausea).
Additionally, my neck and shoulders are very stiff and painful.
Doctor, are these symptoms normal? If so, how long do they typically last? Are there any precautions I should take or activities I should avoid? Is there anything I can do to alleviate these symptoms? Thank you, as my doctor scheduled a follow-up appointment for July after removing the stitches, and I am worried about these physical discomforts and the potential delay in my condition.

Xiao Hua, 50~59 year old female. Ask Date: 2021/04/20

Dr. Zhang Junwei reply Neurosurgery

Dizziness is a common phenomenon after cerebellar surgery.
If you experience any unusual discomfort such as nausea or vomiting, you can return to the outpatient clinic for an examination at any time, and you do not have to wait for your scheduled follow-up appointment.

Reply Date: 2021/04/20

More Info

After undergoing surgery for a brain tumor, it is common for patients to experience a variety of post-operative symptoms. In your case, having had a 3 cm benign tumor removed from the cerebellum, the symptoms you are experiencing—such as dizziness, particularly when moving your head, and neck and shoulder stiffness—are not unusual.

Understanding Post-Operative Symptoms
1. Dizziness: Dizziness after cerebellar surgery can be attributed to several factors. The cerebellum plays a crucial role in balance and coordination, and any disruption to this area can lead to feelings of unsteadiness or vertigo, especially during head movements. This symptom may persist for weeks to months as your brain adjusts to the changes following surgery.
2. Nausea: The sensation of nausea that accompanies your dizziness could be related to the vestibular system, which is responsible for balance and spatial orientation. When the brain receives conflicting signals about movement, it can result in nausea.

3. Neck and Shoulder Pain: Stiffness and pain in the neck and shoulders are also common after brain surgery. This could be due to muscle tension from lying in a surgical position for an extended period, as well as the stress and anxiety that often accompany recovery from major surgery.

Duration of Symptoms
The duration of these symptoms can vary widely among individuals. Generally, dizziness may improve within a few weeks, but in some cases, it can take several months for full recovery. Neck and shoulder pain may also take time to resolve, especially if it is related to muscle tension or postural changes during recovery.

Recommendations for Management
1. Follow-Up Care: It is crucial to maintain regular follow-ups with your healthcare provider. If your symptoms worsen or if you experience new symptoms (such as severe headaches, vision changes, or significant balance issues), you should seek medical attention sooner than your scheduled appointment.

2. Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can provide exercises to improve balance, strengthen neck and shoulder muscles, and alleviate stiffness. They can also teach you techniques to manage dizziness.

3. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet. Sometimes, dehydration can exacerbate dizziness and nausea.

4. Gradual Movements: When changing positions (e.g., sitting up or turning your head), do so slowly to minimize dizziness. Avoid sudden movements that could trigger your symptoms.

5. Pain Management: If you are experiencing significant discomfort, discuss pain management options with your doctor. They may recommend medications or alternative therapies to help alleviate your symptoms.

6. Rest and Relaxation: Ensure you are getting adequate rest. Stress and fatigue can worsen symptoms, so incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga may be helpful.

Conclusion
While the symptoms you are experiencing after your cerebellar surgery are common, it is essential to monitor their progression and communicate with your healthcare provider. Recovery from brain surgery can be a gradual process, and patience is key. By following the recommendations above and maintaining open communication with your medical team, you can work towards alleviating your symptoms and improving your overall well-being.

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