Skull Deformities: When to Seek a Second Opinion in Neurosurgery - Neurosurgery

Share to:

Cranial atrophy and depression?


The doctor suggested that the issue with the brain tumor may have improved, leading to bone depression, and recommended that I consult the original surgeon for an examination.
I really want to go back and ask that doctor, but...
his response made me quite sad.
The doctor said, "If it gets more serious, we can talk." Don't you think that's a bit excessive? I was originally being treated at Changhua Show Chwan Hospital, but the doctor's response forced me to transfer hospitals.
My forehead has sunken in towards my temples, and now it's almost sinking towards the back of my head.
Sometimes I feel dizzy; sometimes I have headaches, and when there's pressure, my eyeball hurts a lot.
Sometimes my hands and feet go numb...
I'm really worried.
Will my eyeball eventually detach due to the pressure?

Miss Huang, 20~29 year old female. Ask Date: 2004/02/17

Dr. Chen Changmu reply Neurosurgery


Hello Ms.
Huang: Cranial reshaping surgery is a method to address skull depressions, but it also carries risks.
This procedure is typically recommended only when symptoms are very pronounced or there is a strong desire for aesthetic improvement.
Symptoms such as dizziness, headaches, severe eye pain, and numbness in the limbs must be properly evaluated to determine their underlying causes.
It is advisable to consult with other specialists at a medical center's neurosurgery outpatient clinic for further opinions.

Reply Date: 2004/02/17

More Info


When it comes to skull deformities, particularly those that may arise from previous neurosurgical interventions, it is crucial to approach the situation with a comprehensive understanding of the underlying issues and potential complications. Your concerns about the changes in your skull shape, along with the associated symptoms such as headaches, dizziness, and eye pain, warrant careful evaluation and possibly a second opinion.

Firstly, it is important to recognize that skull deformities can result from various factors, including congenital conditions, trauma, or surgical interventions such as craniotomies for tumor removal. In your case, it seems that there may have been a previous issue with a brain tumor, and the current changes in your skull shape could be related to the healing process or complications from the surgery. The observation of a depression in the skull, especially if it is progressing, should not be taken lightly.

The symptoms you describe—headaches, dizziness, and pain in the eye—could indicate increased intracranial pressure or other neurological issues. The fact that you are experiencing these symptoms alongside the physical changes in your skull is concerning. It is essential to address these symptoms promptly, as they may indicate that the brain is being compressed or that there is an underlying issue that requires immediate attention.

Regarding your experience with the initial neurosurgeon, it is understandable to feel disheartened by their response. Medical professionals sometimes have varying approaches to patient concerns, and it is essential to find a physician who listens to your worries and takes them seriously. If you feel that your concerns were dismissed, seeking a second opinion is not only reasonable but advisable. A second opinion can provide you with additional insights and options for treatment, and it can help you feel more confident in the care you are receiving.

When seeking a second opinion, consider consulting with a neurosurgeon who specializes in skull deformities or craniofacial surgery. They will be able to assess your condition more thoroughly, possibly using imaging studies such as CT or MRI scans to evaluate the extent of the skull deformity and its impact on the brain. They can also assess whether there is any need for surgical intervention to correct the deformity or relieve pressure on the brain.

As for your concern about the possibility of your eye being affected due to pressure, it is important to note that while such complications can occur, they are not common. However, persistent pressure on the optic nerve can lead to vision problems, including the risk of vision loss. Therefore, it is crucial to address any symptoms of eye pain or changes in vision with a healthcare professional as soon as possible.

In summary, your symptoms and the changes in your skull shape are significant and warrant further investigation. Do not hesitate to seek a second opinion from a qualified neurosurgeon who can provide a thorough evaluation and discuss potential treatment options. Your health and well-being are paramount, and you deserve to have your concerns addressed with the seriousness they deserve.

Similar Q&A

Post-Craniectomy Skull Deformity: When to Seek Urgent Care?

After the craniotomy on November 17, 2020, the recovery has been relatively good, but recently I have noticed some deformation of the skull, with noticeable irregularities at the surgical incision site. Should I seek an urgent follow-up appointment, or can I wait for the schedule...


Dr. Zhang Junwei reply Neurosurgery
If there is no redness, swelling, heat, or pain, you may return for a follow-up appointment regularly.

[Read More] Post-Craniectomy Skull Deformity: When to Seek Urgent Care?


Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?

Hello Dr. Zhao, if there is a suspected bone issue in the head (approximately on the sides of the frontal bone, with a feeling of irregularities upon palpation), and it is not painful, I am a bit concerned because my friends and family do not have this condition. I am unsure if i...


Dr. Zhao Shaoqing reply Neurosurgery
Hello: You can visit our neurosurgery department for a direct assessment. The Ministry of Health and Welfare Changhua Hospital is concerned about you.

[Read More] Concerns About Uneven Skull: When to See a Neurologist or Orthopedic Specialist?


Understanding Skull Bumps: When to Seek Further Medical Evaluation

Hello Doctor, I recently noticed a bony protrusion near the top of my head. I consulted a neurosurgeon who performed a brief physical examination and said it felt normal (as I don't have any symptoms or discomfort). He advised me to monitor it for any changes in size or othe...


Dr. Zhang Junwei reply Neurosurgery
1. Very difficult. 2. Agree to observe further.

[Read More] Understanding Skull Bumps: When to Seek Further Medical Evaluation


Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation

Hello Doctor, I apologize for asking again. I am the patient who consulted you a few days ago regarding cranial deformities. I would like to know if I can bring my own CT scans to Kaohsiung for your evaluation?


Dr. Zhang Junwei reply Neurosurgery
I do not have experience in craniofacial surgery, so I recommend consulting a physician at a medical center.

[Read More] Consulting Neurosurgeons: Bringing Your CT Scan for Skull Deformity Evaluation


Related FAQ

Skull

(Neurosurgery)

Other

(Neurosurgery)

Skull

(Orthopedics)

Which Specialty To See

(Neurosurgery)

Headache

(Neurosurgery)

Back

(Neurosurgery)

Head Lump

(Surgery)

Post-Brain Surgery

(Neurosurgery)

Hands

(Neurosurgery)

Head Injury

(Surgery)