Aneurysm, Neurosurgery FAQ - Page 2

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Post-Surgery Numbness and Pain: When to Seek Medical Attention?

One and a half months after brain surgery, there is a sudden sensation of numbness in the head? Hello, doctor. I underwent brain aneurysm surgery on June 7, 2018, and my recovery has been quite good; my bodily functions are generally normal. However, the left side of my head wher...


Dr. Zhang Junwei Reply:
It is common to experience numbness at the surgical site after a craniotomy. As long as there is no redness, swelling, heat, or discharge of pus, there is no need to be overly concerned.

[Read More] Post-Surgery Numbness and Pain: When to Seek Medical Attention?


Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?

My wife is currently recovering after surgery for a brain aneurysm? Hello, doctor: My wife has successfully undergone surgery for a brain aneurysm and is currently recovering. I would like to ask how long it will take before she can engage in sexual intercourse, or if it will be ...


Dr. Zhang Junwei Reply:
Please consult the surgeon for details about the unknown medical condition.

[Read More] Recovery After Brain Aneurysm Surgery: When Can We Resume Intimacy?


Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems

Dr. Chang, does the ventricular-peritoneal shunt system have a lifespan or can it become damaged? Hello Dr. Chang, my mother is currently 57 years old. At the end of 2015, she underwent surgery for a cerebral hemorrhage at Linkou Chang Gung Memorial Hospital, where a cerebral ane...


Dr. Zhang Junwei Reply:
Basically, the likelihood of damage to the ventricular-peritoneal shunt system is low, but there is a possibility of incorrect pressure or blockage. Please visit the neurosurgery outpatient clinic for a physician evaluation.

[Read More] Understanding the Lifespan and Risks of Ventriculoperitoneal Shunt Systems


Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT

Examination of Intracranial Aneurysms Hello Doctor: The brain MRI (without contrast) from my health check-up shows a suspected 3mm internal carotid artery aneurysm. After one year, which follow-up examination is the better option, MRI or CT scan? Should the examination include co...


Dr. Zhang Junwei Reply:
MRI with contrast agent

[Read More] Best Follow-Up Imaging for Suspected Intracranial Aneurysm: MRI vs. CT


Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns

Postoperative Mental Status after Aneurysm Rupture Surgery Hello, doctor. My mother is 61 years old. On August 6th of this year, she suddenly fainted and was taken to the nearest Cathay General Hospital for emergency treatment. The doctors diagnosed her with a ruptured aneurysm, ...


Dr. Zhang Junwei Reply:
It should be the result of a brain injury caused by bleeding.

[Read More] Post-Surgery Mental Health Issues After Aneurysm Rupture: Insights and Concerns


Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns

Inquire about the sequelae after cerebral aneurysm surgery? Hello, my father underwent surgery on January 30, 2016, for a left-sided cerebral aneurysm measuring 1.5 cm, during which five clips were applied. Postoperatively, he developed right-sided hemiparesis and damage to the a...


Dr. Zhang Junwei Reply:
There are many potential complications that can occur after aneurysm surgery, and it is not possible to detail each one. The two questions you asked may not necessarily be related to postoperative complications!

[Read More] Post-Surgery Complications of Brain Aneurysm Treatment: A Patient's Concerns


Understanding Neck Lumps: A Guide to Aneurysms and Lipomas

The term "後頸" translates to "nape" in English, which I have a lump on the back of my neck, approximately 1 to 2 cm in diameter. It is not painful or itchy. I'm unsure if it is an "aneurysm" or a "lipoma." What treatment options are ava...


Dr. Zhang Junwei Reply:
Please schedule an appointment for the general surgery outpatient clinic.

[Read More] Understanding Neck Lumps: A Guide to Aneurysms and Lipomas


Managing Sexual Health Concerns After Brain Aneurysm Surgery

Could you please provide more context or specify what aspects of physiological needs you would like to know about? Hello, I have a cerebral arteriovenous malformation (AVM) and I underwent Gamma Knife surgery nearly three years ago, but I still haven't fully recovered. The i...


Dr. Zhang Junwei Reply:
You are discussing an extreme case; experiencing a climax does not necessarily lead to a rupture of blood vessels. Additionally, you may want to discuss with your neurosurgeon whether arteriovenous malformations can heal.

[Read More] Managing Sexual Health Concerns After Brain Aneurysm Surgery


Understanding Recovery After Aneurysm Rupture: A Daughter's Concern

Ruptured cerebral aneurysm I would like to ask about my mother. On October 20, 2016, she fell into a coma due to a ruptured cerebral artery, with a Glasgow Coma Scale score of 3 at that time. After surgery and the placement of a drainage tube, she was discharged in January and ha...


Dr. Zhang Junwei Reply:
Brain injuries are very complex. Once a person has experienced a severe coma with a Glasgow Coma Scale score as low as three, to be honest, no one can predict when they will wake up!

[Read More] Understanding Recovery After Aneurysm Rupture: A Daughter's Concern


Understanding Coma Levels and Recovery Potential After Brain Aneurysm

Coma scale score of 5 or 6? Hello, Doctor. I would like to ask about my mother, who suffered a ruptured intracranial aneurysm on March 7. The doctors mentioned that there is significant hypoxia in the left hemisphere of her brain. Currently, she has a nasogastric tube and a trach...


Dr. Zhang Junwei Reply:
A coma scale score of 5-6 indicates that awakening is quite difficult. Alternating between an ice pack and medication can be used to reduce fever.

[Read More] Understanding Coma Levels and Recovery Potential After Brain Aneurysm


Should Cerebral Aneurysms Be Actively Treated? A Neurological Perspective

Should cerebral venous aneurysms be actively managed? I fainted on January 8, 2016, and after an MRI examination, a neurologist assessed that I have a vascular malformation (approximately 1.4 cm, located in the right frontal lobe, about 2.5 cm from the intracranial space) and rec...


Dr. Zhang Junwei Reply:
This question is difficult to answer online; please consult further during your outpatient visit!

[Read More] Should Cerebral Aneurysms Be Actively Treated? A Neurological Perspective


Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients

Issues Related to Ruptured Cerebral Aneurysms Dear Dr. Chang, I have an elderly family member who is 81 years old (born in 1934). On Lunar New Year's Eve this year, she experienced a ruptured aneurysm (subarachnoid hemorrhage) and was sent to the hospital in a coma. After e...


Dr. Zhang Junwei Reply:
Hello: The physicians performing aneurysm embolization surgery in the country may be neurosurgeons or interventional radiologists. Make sure to confirm who your surgical physician is and schedule an outpatient appointment to discuss your concerns thoroughly. If the physician does...

[Read More] Post-Aneurysm Rupture: Air Travel Safety for Elderly Patients


Understanding Cervical Disc Herniation and Pain Management Options

Cervical disc herniation issues? My mother experienced severe pain in her left arm six months ago, requiring steroid injections for pain relief. An X-ray indicated the presence of bone spurs in her neck, and further MRI was recommended. Unfortunately, in early September, she suff...


Dr. Zhang Junwei Reply:
Hello: Nerve compression can cause pain. Treatments such as acupuncture or heat therapy may help alleviate the pain and discomfort, but these are only symptomatic relief and not a fundamental solution. It's likely that the symptoms will recur in a short period of time. Surge...

[Read More] Understanding Cervical Disc Herniation and Pain Management Options


Understanding Brain Microvascular Malformations: Risks, Treatment, and Management

Cerebral microangioma Hello, my girlfriend, who is 37 years old, often experiences dizziness and headaches. After undergoing a brain MRI at Linkou Chang Gung Memorial Hospital (without contrast), it was found that she has a cerebral microaneurysm with signs of hemorrhage (iron de...


Dr. Zhang Junwei Reply:
Hello: The English term for 腦微血管瘤 is "cerebral microvascular malformation." Since the Chinese translation is quite ambiguous, it can be difficult to address your question without the correct English terminology! It is recommended to return to the neurosurgery outpatient...

[Read More] Understanding Brain Microvascular Malformations: Risks, Treatment, and Management


Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus

Spider web mold Dear Dr. Ding, My mother was admitted to the emergency room at the end of September due to severe headaches. After examinations, the hospital diagnosed her with a cerebral hemorrhage and she was immediately taken to surgery. After the operation, the doctor discov...


Dr. Ding Xianwei Reply:
Due to the lack of imaging studies and not having personally participated in the surgery, I am unable to assess your mother's postoperative condition. The description regarding hydrocephalus is unclear; is it communicating hydrocephalus or cerebral edema? The treatment for b...

[Read More] Understanding Post-Surgery Complications: Brain Hemorrhage and Hydrocephalus


Recovery Potential for Hemiplegia After Traumatic Brain Injury

The possibility of recovery from hemiplegia? My friend was in a car accident on March 19, where the right side of his brain was directly impacted by a truck. He was urgently taken to the hospital, where he was diagnosed with traumatic intracranial hemorrhage, subdural hematoma, a...


Dr. Ding Xianwei Reply:
Please make sure to do your rehabilitation properly; there will be opportunities.

[Read More] Recovery Potential for Hemiplegia After Traumatic Brain Injury


Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines

Postoperative Care for Cerebral Hemorrhage Dear Director Hsieh, My mother experienced a ruptured cerebral aneurysm last year, which led to subarachnoid hemorrhage. She has recovered well after surgery. However, I would like to inquire about any other precautions we should take s...


Dr. Xie Bojun Reply:
Hello Chelle: Intracranial aneurysms are primarily located at the arterial trunks of the skull base, and when they rupture, they can cause subarachnoid hemorrhage at the skull base. The clinical manifestations following a hemorrhage are mainly related to the severity of the bleed...

[Read More] Post-Surgery Care for Brain Aneurysm Patients: Essential Guidelines


Choosing Between Titanium Implants and Original Skull for Cranioplasty

Regarding skull issues? For my 70-year-old mother, who underwent surgery for a ruptured cerebral aneurysm and had her skull removed, we are considering whether to use a titanium alloy cranial implant or to reattach the original skull bone (which has been preserved at low temperat...


Dr. Zhang Yuanyi Reply:
Dear Jeff, Generally, the primary choice is to use the patient's own bone for grafting. There are occasional concerns about infection with preserved skull bones, but such cases are quite rare, and current preservation techniques are quite good. There is no issue of rejectio...

[Read More] Choosing Between Titanium Implants and Original Skull for Cranioplasty


Understanding Treatment Options for Carotid-Cavernous Fistulas

Carotid-cavernous fistula What are the current treatment options for carotid-cavernous fistulas in modern medicine? How effective are these treatments? Are there any potential complications or risks involved? Thank you for your clarification!


Dr. Zheng Zhong Reply:
Craniotomy can be performed for aneurysm clipping or combined with cerebral angiography for aneurysm embolization treatment. The former requires general anesthesia and carries a high surgical risk. The latter can be done under local anesthesia but is technically challenging. Curr...

[Read More] Understanding Treatment Options for Carotid-Cavernous Fistulas


Pregnancy Considerations for Patients with Intracranial Aneurysms

Intracranial aneurysm I was diagnosed with an intracranial aneurysm and underwent embolization surgery a year ago. I have been on medication (Clopidogrel) for three months post-surgery, and my doctor informed me that I need to continue the medication for six months. I would like ...


Dr. Zhang Yuanyi Reply:
Hello, according to existing literature, the use of Baoshantong does not increase the risk of embryonic abnormalities. A 1996 epidemiological study published in the United States found that the risk of aneurysm rupture in pregnant women is 2.5 times that of the general population...

[Read More] Pregnancy Considerations for Patients with Intracranial Aneurysms


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