Aneurysm, Neurosurgery FAQ

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Is It Safe to Fly After Intracranial Aneurysm Surgery?

Is it safe to fly after surgery for an intracranial vascular malformation? Dear Dr. Chang, My family member underwent clipping surgery for an intracranial aneurysm three years ago and has been in stable condition during follow-up visits. They have not flown on an airplane during...


Dr. Zhang Junwei Reply:
Theoretically, it shouldn't be a concern. However, if you are worried, it is advisable to consult the original surgeon for clarification.

[Read More] Is It Safe to Fly After Intracranial Aneurysm Surgery?


Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage

The cause of hemangiomas is not fully understood? Hello doctor, my family member was hospitalized on January 2nd due to subarachnoid hemorrhage. They underwent a CT scan and angiography, and although they have been continuously examined, no aneurysm has been found. The attending ...


Dr. Zhang Junwei Reply:
That's approximately the reason mentioned above.

[Read More] Understanding Why Aneurysms May Go Undetected After Subarachnoid Hemorrhage


Understanding Brain Hemorrhage: Why Angiography Might Miss the Bleeding Point

Cerebral hemorrhage underwent cerebral angiography, but no bleeding source (aneurysm) was found? Hello doctor, my sister was hospitalized on the night of January 2 due to a cerebral hemorrhage and underwent a craniotomy for drainage. She is currently in the intensive care unit, a...


Dr. Zhao Shaoqing Reply:
This needs to be evaluated based on the report and the judgment at that time. You can visit the outpatient clinic for consultation.

[Read More] Understanding Brain Hemorrhage: Why Angiography Might Miss the Bleeding Point


Understanding Recovery After Aneurysm Rupture and Coiling Surgery

Ruptured cerebral aneurysm, subarachnoid hemorrhage, has undergone embolization surgery? Hello Doctor, thank you very much for taking the time to respond. On Day 0, my father experienced a sudden severe headache on the morning of December 2nd. He was taken to the hospital half ...


Dr. Zhang Junwei Reply:
1. Hyperbaric oxygen therapy does not have a specific intervention time; it can begin once the condition is stable. 2. After regaining consciousness, a physician can reassess the situation. 3. It's really difficult to say.

[Read More] Understanding Recovery After Aneurysm Rupture and Coiling Surgery


Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered

Embolization coil Hello, doctor. A relative of mine has been diagnosed with an early-stage cerebral aneurysm. The doctor recommended endovascular coil embolization as a minimally invasive treatment. At the time, the person was too anxious and forgot to ask the doctor some questio...


Dr. Zhang Junwei Reply:
1. Remain in the brain, not to be removed. 2. There are coils available for MRI. 3. Same as above.

[Read More] Understanding Coil Embolization for Brain Aneurysms: Key Questions Answered


Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?

Intracranial dural arteriovenous fistula Hello Dr. Chang: My husband (37 years old) previously had an intracranial dural arteriovenous fistula and underwent surgery (with coils and stents placed in the cerebral vasculature). Recently, he has been experiencing pain in his shoulder...


Dr. Zhang Junwei Reply:
Due to the uncertainty regarding the exact location and size of the intracranial vascular stent, it is recommended to consult with Dr. Yuan Qiu for further evaluation.

[Read More] Can Massage Therapy Affect Intracranial Aneurysm Coils and Stents?


Can Brain Aneurysms Disappear? Insights from a Neurology Case

Arterial aneurysm Hello Dr. Chang, I was diagnosed with a cerebral aneurysm after experiencing severe headaches and undergoing a CT scan in 2017. Subsequently, I had MRI and angiography arranged. Over the past few years, I have had two follow-up MRIs, and the results indicated th...


Dr. Zhang Junwei Reply:
Theoretically, it is unlikely for it to disappear, but nothing is absolute. It may be necessary to inquire in detail with the physician about the size and type of the aneurysm, among other factors.

[Read More] Can Brain Aneurysms Disappear? Insights from a Neurology Case


Challenges in Managing Hydrocephalus: When Shunt Drainage Fails

The patient has symptoms of hydrocephalus and has had a shunt installed. The drainage is set to maximum, but the results are not satisfactory? Dear Dr. Zhang, My mother is 67 years old. In 2018, she underwent surgery for a carotid artery aneurysm that was compressing her brainst...


Dr. Zhang Junwei Reply:
Without detailed examination reports and imaging studies, it is difficult to answer such questions. If the drainage has been maximized and the condition has not improved, it may not be a problem related to hydrocephalus. Whether there is an improvement in hydrocephalus can be det...

[Read More] Challenges in Managing Hydrocephalus: When Shunt Drainage Fails


Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis

Aneurysm rupture, currently in a coma? Hello, Doctor: I would like to ask about a 71-year-old patient who has no poor dietary habits and maintains a normal daily routine, but is small in stature and has a weak immune system. Health checks show no signs of hypertension, diabetes, ...


Dr. Zhang Junwei Reply:
1. Theoretically, a person in a coma does not feel pain. 2. Not necessarily.

[Read More] Understanding Aneurysm Rupture: Coma, Pain Perception, and Prognosis


Understanding Follow-Up Care for a 1mm Intracranial Aneurysm

What is a 1mm intracranial aneurysm? Hello Dr. Zhao, at the beginning of this year, I visited the neurology department at Hospital A due to persistent dizziness and decreased hearing in my left ear. The doctor ordered a non-contrast MRI, which revealed a left-sided vestibular sch...


Dr. Zhao Shaoqing Reply:
Hello: Generally, follow-up can include a neurosurgical evaluation fee. Invasive examinations such as computed tomography angiography (CTA) and MRI may be covered by health insurance if they meet the symptoms and criteria provided by the insurance. An at-pouching lesion typically...

[Read More] Understanding Follow-Up Care for a 1mm Intracranial Aneurysm


Understanding Intracranial Aneurysms: Challenges and Treatment Options

Intracranial vascular tumor The patient has suffered from an aneurysm compressing the brainstem, resulting in severe flattening of the brainstem. Upon seeking help from a certain hospital, the doctor indicated that there was no intention to treat the aneurysm and only removed a o...


Dr. Zhang Junwei Reply:
Without detailed imaging reports and neurological examinations, it is not possible to provide an answer.

[Read More] Understanding Intracranial Aneurysms: Challenges and Treatment Options


Understanding Complications After Craniotomy: A Patient's Journey

Clamping surgery Hello Doctor: My mother underwent a craniotomy on March 15, with the surgery performed on the 16th. After the surgery, the doctor reported that it was very successful, with no bleeding and the aneurysm was clipped. She was then moved to the intensive care unit fo...


Dr. Zhang Junwei Reply:
Without detailed medical history, I cannot provide an answer. Please consult the surgeon.

[Read More] Understanding Complications After Craniotomy: A Patient's Journey


Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers

Ruptured cerebral aneurysm with right-sided hematoma? Hello, my mother is 59 years old and has high blood pressure. She hasn't been taking her medication regularly. On Friday night, she suffered a ruptured aneurysm and was admitted to the hospital. Her blood pressure was low...


Dr. Zhang Junwei Reply:
The questions you are asking are too complex; such inquiries require detailed neurological examinations and computed tomography imaging to provide answers.

[Read More] Understanding Aneurysm Rupture and Recovery: Key Insights for Caregivers


Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage

The recurrence rate of traumatic subarachnoid hemorrhage? Hello Doctor, I accidentally hit my head while walking two weeks ago. At that moment, I felt fine, but four days later, I suddenly experienced severe pain in my head. I was taken to the emergency room and diagnosed with su...


Dr. Zhang Junwei Reply:
This is a traumatic subarachnoid hemorrhage, which usually can resolve on its own.

[Read More] Understanding the Recurrence Risk of Traumatic Subarachnoid Hemorrhage


Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?

In cases of hypertension with aneurysm rupture and elevated intracranial pressure, administering glycerol to reduce intracranial pressure is part of the standard treatment protocol? 1. At 1:00 PM, the patient experienced a ruptured aneurysm with intracranial hemorrhage, as shown ...


Dr. Zhang Junwei Reply:
Administering glycerol can reduce intracranial pressure in patients with brain edema and is considered standard treatment.

[Read More] Is Glycerol Administration a Standard Treatment for High Blood Pressure Aneurysm?


Can Sexual Activity Trigger Aneurysm Rupture After Surgery?

Cerebral aneurysm Three months ago, I underwent surgery for a cerebral aneurysm, followed by an endovascular embolization procedure. I came across discussions online suggesting that engaging in sexual activity could potentially cause the aneurysm to rupture. Is this true? Also, i...


Dr. Zhang Junwei Reply:
The online reference likely pertains to an unaddressed aneurysm. If you have already undergone surgery and had it treated, please discuss it with your surgeon; it should not have any impact!

[Read More] Can Sexual Activity Trigger Aneurysm Rupture After Surgery?


Post-Craniectomy Care: Essential Tips for Recovery at Home

Craniectomy Due to a ruptured aneurysm, my mother had her skull removed for decompression. She is currently being cared for at home, but the skull has not been replaced. I would like to know what precautions should be taken. Aside from avoiding pressure and impact, can she functi...


Dr. Zhang Junwei Reply:
Yes, that's correct. In the neurosurgery outpatient clinic, it's important to return the skull as soon as possible.

[Read More] Post-Craniectomy Care: Essential Tips for Recovery at Home


Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery

Cerebrospinal fluid (CSF) shunt, hydrocephalus, brain tumor? Hello Doctor, my father underwent surgery last August due to a ruptured cerebral aneurysm. After the surgery, he developed hydrocephalus and underwent another procedure to have a drainage catheter installed. However, hi...


Dr. Zhang Junwei Reply:
Yes, there is no such thing as a "brain-stabilizing injection" in medicine. For headaches, pain relievers are administered, and for dizziness, antiemetics are given. The term "brain-stabilizing injection" was created to reassure the public.

[Read More] Understanding Brain Injections: Benefits, Risks, and Recovery After Surgery


Understanding Extracranial Aneurysms: Risks and Treatment Options

Extracranial aneurysm Hello Dr. Chang: Recently, an elder in my family underwent a vascular imaging examination and was found to have two extracranial aneurysms, each measuring 0.5 cm. Since they are extracranial, is it generally the case that no treatment is required? If an extr...


Dr. Zhang Junwei Reply:
Cerebral aneurysms generally do not cause immediate effects on brain tissue when they rupture, so they typically do not require intervention. However, the management may depend on the location and size of the aneurysm, so it is advisable to discuss this with your neurosurgeon or ...

[Read More] Understanding Extracranial Aneurysms: Risks and Treatment Options


Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal

Interval between two surgeries on the same limb? Doctor: Hello, I am a 50-year-old office worker. In December of last year, a health check revealed through MRI that I have a brain aneurysm on both the left and right sides of the cerebral cavity, each measuring 1 cm. In March of t...


Dr. Zhang Junwei Reply:
There is no specific regulation on how long one must wait before undergoing another procedure, but it is advisable to rest for at least three months. Alternatively, if craniotomy is not performed, embolization can also be utilized.

[Read More] Optimal Time Interval Between Two Neurosurgery Procedures for Aneurysm Removal


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